Ms. Roberts returns to the pharmacy to ask for some help. She received her flu
vaccine the day before and she says that her arm is sore. She denies any
limited range of motion. After looking the injection site, the pharmacist does
not see any redness or bruising. What should the pharmacist do? Correct
Answer - Educate Ms. Thomas that soreness at the injection site is a common
side effect. Recommend that she use ice packs and an over the counter
analgesic to treat the pain. Inform her that t
Jean is regular patient of your pharmacy and is at the pharmacy for her annual
flu shot. She is 56 years old and smokes. Her medications include a thyroid
supplement for hypothyroidism and occasional naproxen 500 mg
osteoarthritis. Her immunization records include receiving pneumococcal
polysaccharide vaccine 3 years ago along and her annual flu shot last year.
Which of the following vaccines should the pharmacist recommend for her?1.
Pneumococcal conjugate vaccine (PCV13)2. Pneumococcal polysaccharide
vaccine (PPSV-23)3. Tetanus-diphtheria vaccine (Td)4. Tetanus-diphtheria
acellular pertussis vaccine (Tdap)5. Recombinant zoster vaccine (RZV)6.
Quadrivalent inactive influenza vaccine (QIIV)7. Inactive high-dose influenza
vaccine (IIV-HD) Correct Answer - 4/5/6
. Tetanus-diphtheria acellular pertussis vaccine (Tdap)5. Recombinant zoster
vaccine (RZV)6. Quadrivalent inactive influenza vaccine (QIIV)
overcome patient barriers to immunization? Correct Answer - Take
time to share why the vaccine is recommended, highlight vaccine benefits,
provide education about the vaccine, address patient concerns, recommend
the patient receive the vaccine and explain the concerns if the patient were
not vaccinated.
Simon has come to the pharmacy today to receive his flu shot. He is 63 years
old and just recently diagnosed with diabetes. Simon is also a smoker and is
overweight. He knows that his history of smoking is impacting his health. His
physician is encouraging him to be vaccinated against pneumococcal disease.
What is the appropriate pneumococcal vaccine regimen for this patient?What
, should the pharmacist recommend for William? Correct Answer -
Patients between the ages of 19 to 64 who have a high risk condition such
being a cigarette smoker or diabetes should receive Pneumovax 23. His risk
conditions are not considered high risk conditions by ACIP for Prevnar 13
vaccination. In this patient case, Prevnar 13 would be administered after the
patient turns 65.
Lola is a 32 year old pregnant patient, who is picking up her prenatal vitamins.
The pharmacy technician asks if she has received her flu shot yet. Lola says
she was planning to get it from her doctor's office. The pharmacy technician
informs Lisa that she can get her flu shot right away at the pharmacy. Lola
agrees to get the vaccine.Which product would you recommend that Lisa
receive at the pharmacy today? Correct Answer - The Fluarix
Quadrivalent single-dose prefilled syringe is the best choice for this patient.
Pharmacists should consider offer pregnant patients an inactivated
preservative free vaccine. Fluzone HD and Fluad would not be recommended
for this patient as these vaccine are for persons 65 years and older. Flumist is
live attenuated influenza vaccine and therefore might not be the best choice
for this patient. Remember, the most important thing is that pregnant patients
receive the flu vaccine to protect them and their baby against the flu virus.
Paul is 73-year-old male comes to the pharmacy asking for an influenza
vaccine. Which vaccination could provide a stronger immune response in an
elderly patient? Correct Answer - Quadrivalent inactive influenza
vaccine
Laura is a 35 year old patient at the in-window dropping off her prescription
for inhaled corticosteroid for her asthma management. The pharmacy
technician informs her that we are currently offering flu shots. She responds
by saying that he is not interested since she heard the flu shot can cause the
flu and she rarely get sick.What should you, as the pharmacist, do in this
situation? Correct Answer - Discuss with the patient the risks of the flu
for patients with asthma and the benefits of the influenza vaccine
Patients with asthma are at a greater risk for severe illness from influenza.
She is a person who can greatly benefit from vaccination. The pharmacist
should counsel this patient about her risk for complications from the flu such
as severe illness, exacerbations of her asthma and possible hospitalization.