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113 Cards in this Set

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ALL ORGANS AND SYSTEMS IN THE BODY ARE SUBJECT TO ANAPHALAXIS
TRUE
WHAT IS THE APPROPRIATE DOSAGE WHEN ADMINISTERING EPINEPRHEIN 1:2000 AQUEOUS INTRAMUSCULAR VIA EPIPEN JUNIOR?
0.15 ML
STIMULATION OF WHICH DIVISION OF THE AUTONOMIC NERVIOUS SYSTEM CAUSES THE RELASE OF EPINEPHRINE
SYMPATHETIC DIVISION
EPINEPHRINE IS REFERRED TO AS ADRENALINE AND CAUSES
VASOCONSTRICTION/BRONCHODILATION
WHAT EFFECT DOES EPINEPHRINE HAVE ON CARDIAC ACTIVITY?
EPINEPHRINE STIMULATES TEH RECEPTOR CELLS OF THE SMOOTH CARDIAC MUSCLE CAUSING THE HEART RATE AND BLODO PRESSURE TO INCREASE.
WHAT IS THE MOST DANGEROUS ASPECT OF A VASOVAGAL EPISODE?
INJURIES ABTAINED FROM THE FALL
THER ARE TWO TYPES OF SYRINGE TIPS, PLAIN AND LOCKING? t or f
TRUE
WHAT IS THE MOST COMMON TYPE OF SYTRINGE USED FOR ADMINISTRATION OF PARENTERAL INJECTIONS?
PLASTIC
SYRINGE SELECTION IS BASED ON
PURPOSE OF INJECTION, VOLUME OF VACCINE TO BE INJECTED, NEED FOR ACCURACY IN DOSAGE,
THE MOST ACCURATE SIZE SYRINGE IS THE
1ML
PREPACKAGED UNITES
GUARANTEE ACCURACY, ARE CONVENIENT FOR NORMAL USE, AND ARE EXPECIALLY CONVENIENT FOR EMERGENCY SITUATIONS.
THE GAUGE OF THE NEEDLE IS AN INVERSE MEASUREMENT OF THE IDAMETER. AS TEH DIAMETERE INCREASES THE GAUGE DECREASES?? T OR F?
TRUE
WHICH OF THE FOLLOWING SHOULD BE CONSIDERED WHEN SELECTING A NEEDLE FOR ADMINISTERING INJECTIONS?
SIZE OF THE MUSCLE, THICKNESS OF THE ADIPOSE TISSUE AT INJECTION SITE, VOLUME OF MATERIAL TO BE ADMINISTERED.
BEACUSE VACCINE ADMIINSITERED PARENTERALLY IS ALMOST TOTALLY ABSORBED RATHER THAN BEING PARTIALLY DESTROYED BY THE DIGESTIVE SYSTEM, A SMALLER DOSAGE WILL ACHIEVE THE SAME THERAPEUTIC EFFECT.
TRUE
ONLY THE PURPOSE AND CHARACTERISTICS OF THE VACCINE DETERMINE THE ROUTE OF ADMINISTRATION
FALSE
OF THE DIFFERENT SITES AVAILABLE FOR AN INTRAMUSCULAR INJECTION FOR AN ADULT, WHICH SITE HAS THE BEST BLOOD SUPPLY AND THE MOST RAPID RESPONSE?
DELTOID MUSCLE
WHAT STEPS CAN YOU TAKE TO PREVENT NOSOCOMIAL INFECTIONS AND ASSOCIATED COMPLICATIONS?
HAND WASHING, MAINTAIN STERILITY OF EQUIPMENT, CLEANING THE INJECTION SITE
WHEN PREPARING A SYRINGE FOR VACCINE ADMINISTRATION YOU NOTICE THE PACKAGE IS PARTIALLY OPEN. WHAT SHOULD YOU DO?
GET A NEW SYRINGE
THE PROPER PROCEDURE FOR DRAWING VACCINE FROM A VIAL IS
REMOVE THE PROTECTIVE CAP, DLEAN OFF THE DIAPHRAGM WITH ALCHOHOL SWAB, PULL BACK PLUNGER TO ASPIRATE THE NEEDED AMOUNT OF AIR AND INSTER THE NEEDLE IN TO THECNETER RUBBER DIAPHRAGM. INJECTED THE AIR AND ASPIRATE VACCINE
WHEN RECONSTITUINT A MULTI DOSE VACCINE YOU SHOULD
LABLEL THE VIAL WITH THE DATE AND TIME MIXED
WHAT STEPS SHOULD YOU TAKE BEFORE ADMINISTERING A VACCINE?
FOLLOW THE 6 RIGHTS OF MEDICATION ADMINISTRATION
WHAT IS THE MOST COMMONLY USED AREA FOR THE ADMINISTRATION OF INTRADERMAL INJECTIONS?
VENTRAL SURFACE OF FOREARMS
THE MOST COMMONE SITE FOR SUBUSTANEOUS INJECTIONS IS
THE TRICEPS
WHICH INTRAMUSCULAR INJECTION SITE PRESENTS THE MOST RISK BECAUSE OF PROXIMITY TO THE LARGE SCIATIC NERVE?
GLUTEAL SITES
CHOOSE THE CORRECT INTRAMUSCULAR INJECTION NEEDLE ANGLE WHEN ADMINISTERING AN INJECTION INTO THE DELTOID MUSCLE
90 DEGREES
VACCINES CAN BE GIVEN IN THE GLUTEAL AREA TO PEDIATIC PATIENTS?
FALSE
ACTIVE IMMUNITY IS
A REACTION THAT STIMULATES ANTIBODY PRODUCTION, APPEARS FOLLOWING EXPOSURE TO AN ANTIGEN, IS A DIRECT RESULT OF AN IMMUNE RESPONSE
ARTIFICIALLY ACQUIRED PASSIVE IMMUNITY RESULTS FROM THE ADMINISTRATION OF A SPECIFIC
ANTIBODY
THE PRESCRIBED DOSAGE AND ROUTE FOR ANTHRAX VACCINE IS _______ WITH A POSSIBLE MILED______REACTION
.5ML IM, LOCAL, SYSTEMIC
THE RECOMMENDED BOOSTER DOSE FOR THE ANTHRAX VACCINE IS
ANNUALLY IF CONTINUED IMMUNITY IS NEEDED
WHAT IS THE ROUTINE SCHEDULE FOR HEPATITIS B VACCINATION?
DAY 0, DAY 30, DAY 180
A PATIENT WITH A HISTORY OF AN ANAPHYLACTIC REACTION AFTER INGESTION OF EGGS SHOULD NOT RECEIVE A --------VACCINATION BEFORE THEY ARE SKIN TESTED
INFLUENZA
THE TD BOOSTER DOSE IS ADMINISTERED
EVERY 10 YEARS THROUGHOUT LIFETIME
WHAT IS THE DOSAGE REQUIREMENT FOR A CHILD FOR RECOMBIVAX ( HEP B) VACCINE?
.5 ML IM DELTOID MUSCLE (<20 YEARS OF AGE)
A 6 MONTH OLD HEALTHY CHILD PRESENTS FOR ROUTINE IMMUNIZATIONS. CHILD IS UP TO DATE THROUGH 4 MONTHS OF AGE, WHAT VACCINES ARE REQUIRED?
DTAP, HIB, PREVNAR, IPV
PRIMARY IMMUNIZATION SERIES FOR THE PEDIARIX VACCINE IS
2,4, AND 6
SMALLPOX VACCINE (ACAM2000) IS ADMINISTERED
PERCUTANEOUS ROUTE
HOQ MANY JABS DOES AN INDIVIDUAL RECEIVE IF RECEIVING THE SMALL POX VACCINE FOR THE FIRST TIME?
15
TB TEST ARE ADMINISTERED INTRADERMALLY ON THE VOLAR ASPECT OF EITHER FOREARM. ABOUT HOW FAR BELOW THE BED OF THE ELBOW SHOULD IT BE PLACED?
4 INCHES
INTERNATIONAL HEALTH THREAT ASSESSMENTS ARE CONDUCTED BY WHICH GOVERNING AGENCY?
DEFENSE INTELLIGENCE AGENCY ARMED FORCES MEDICAL INTELLIGENCE
AFJI 44-102 OUTLINES IMMUNIZATION GUIDELINES FOR ACTIVE DUTY PERSONNEL ON ALERT STATUS?
FALSE
CAN WAIVERS FOR RELIGIOUS REASONS BE REVOKED IF THE MISSION IS COMPROMISED?
YES
WHO HAS THE RESPONSIBILITY FOR ENSURING THAT MILITARY AND NONMILITARY PERSONNEL WHO ARE SUBJECT TO RAPID DEPLOYMENT, RECEIVE ALL REQUIRED IMMUNIZATIONS?
COMMANDER
WHICH OF THE FOLLOWING QUESTIONS SHOULD YOU ASK THE PATIENT PRIOR TO ADMINISTERING A MEDICATION OR VACCINE?
DO YOU HAVE ANY ALLERGIES? ARE YOU OR A FAMILY MEMBRE IMMUNOCOMPROMISED/DEFICIENT DUE TO MEDICATION TREATMENT OR DISEASE? ARE YOU PREGNANT OR HAVE THE INTENTION OF BECOMING PREGNANT IN THE NEXT THREE MONTHS?
WHEN ANNOTATING IMMUNIZATION RECORDS, USING A SIGNATURE STAMP IS AUTHORIZED
FALSE
WHEN TRANSCRIBING AN ADULTS IMMUNIZATION RECORD. ONLY TRANSCRIBE IMMUNIZATION THAT ARE
ONCE IN A LIFETIME, CURRENT, AND IN A SERIES
IAW WHO ARTICLE 80, WHAT DOCUMENT IS CONSIDERED ADEQUATE PROOF OF VACCINATION FOR ARMED FORCES PERSONNEL?
DD FORM 2766C, VACCINE ADMINISTRATION RECORD
A THE TIME OF INITIAL IMMUNIZATION OF AIR FORCE NON MILITARY PERSONNEL, A DD FORM 2766C IS ESTABLISHED, WHICH OTHER FORM CAN YOU USE TO DOCUMENT THE IMMUNIZATION?
INTERNATINOAL CERTIFCATE OF VACCINATION OR PROPHYLAXIS
ACTIVE IMMUNITY IS
LONG LASTING IMMUNITY THAT IS ACQUIRED THROUGH PRODUCTION OF ANTIBODIES WITHIN THE ORGANISM IN RESPONSE TO AN ANTIGEN
ANTIGEN
SUBSTANCE CAPABLE OF INDUCING FORMATION OF ANTIBODIES
ANTI-TOXIN
SOLUTION OF ANTIBODIE PREPARED FROM SERUM OF ANIMALS IMMUNIZED WITH SPECIFIC ANTIGENS AND USED TO ACHIEVE SHORT TERM PASSIVE IMMUNITY IN HUMANS WHO MAY LACK PROTECTIVE ANTIBODIES
conjugate
JOINED TOGETHER EXPECIALLY IN PAIRS
IMMUNE GLOBULIN
IMMUNE SERUM GLOBULIN IS A STERILE SOLUTION THAT CONTAINS ANTIBODIES THAT WERE OBTAINED FROM LARGE POOLS OF HUMAN BLOOD
IMMUNOGLOBULINS
ALL SERUM GLOBULINS WITH ANTIBODY ACTIVITY ARE REFERRED TO AS IMMUNOGLOBULINS
MORBIDITY
OF RELATING TO , OR CHARACTERISTIC OF DISEASE
PARAENTERAL
PIERCING THE MUCOUS MEMBRANE OR SKIN THROUGH NEEDLE STICKS, HUMAN BITES, CUTS, AND ABRASIONS. INJECTION THROUGH SOME ROUTE SUCH AS SUBCUTANEOUS AND INTRAMUSCULAR
POLYSACCHARIDE
A CARBOHYDRATE THAT CAN BE DECOMPOSED BY HYDROLYSIS INTO TWO OR MORE MOLECULES OF MONOSACCHARIDES, ESPECIALLY ANY OF THE MORE COMPLEX CARBOHYDRATES
TOXOID
A TOZIN OF PATHOGENIC ORGANISM TREATED TO DESTROY ITS TOXICITY BUT LEAVE IT CAPABLE OF INDUCING THE FORMATION OF ANTIBODIES ON INJECTION
VACCINE
A PREPARATION OF KILLED MICROORGANISMS, LIVING ATTENUATED ORGANISMS, OR LIVING FULLY VIRULENT ORGANISM THAT IS ADMINNSITERED TO PRODUCE OR ARTIFICIALLY INCREASE IMMUNITY TO A PARTICULAR DISEASE
WHAT IS THE INITIAL TREATMENT OF ANAPHYLAXIS?
EPINEPHRINE, AIRWAY, BREATHING, CIRCULATION, ACTIVATE THE BODE BLUE
WHAT IS THE EPI DOSAGES FOR AN ADULT AND A PED?
FOR ADULT IS 1:1000 W/V DILUTION .3 ML TO .5 ML IM INTO ANTEROLATERAL THIGH OR DELTOID OR USE AUTO INJECTABLE EPINEPHRINE--FOR PEDS USE .01 MG/KG IM OR A MAXIMUM .3 ML
WHAT IS EPINEPHRINE?
EPINEPHRINE IS ADRENALINE CAUSING BOTH VASOCONSTRICTION AND BRONCHODIALIATION
WHAT IS THE MOST COMMON POST INJECTION ADVERSE EVENT?
VASOVAGAL REACTION
WHAT KIND OF EVENTS SHOULD YOU REPORT TO VAERS?
ANY EVENT LISTED BY THE VACCINE MANUFACTURE AS A CONTRAINDICATION TO SUBSEQUENT DOSES OF THE VACCINE, ANY EVENT LISTED IN THE REPORTABLE EVENT TABLE
HOW MUCH SHOULD INTRADERMAL INJECTION CONTAIN?WHAT SIZE OF SYRINGE? WHAT TYPE OF NEEDLE?
26G OR 27G, 3/8 INCH, 5/8 '' NEEDLE, USING A 1ML, OR INSULIN SYRINGE, NO MORE THAN .1 ML FLUID
SQ-HOW LONG OF A NEEDLE FOR SUBCUTANEOUS INJECTIONS? WHAT GAUGE?
AVG LENGTH IS 5/8, DEPENDING ON PT "PADDING." SIZE SHOULD BE 23-25 G
INTRA MUSCULAR CAN BE UP TO -------ML OF FLUID? WHAT SIZE OF NEEDLE?
UP TO 5 ML OF FLUID, 1-1.5 '' IN LENGTH, 22-25 G NEEDLE. NEEDLE IS DETERMINED BY THICKNESS OF FLUID.
WHAT IS THE BEST SITE FOR INTRAMUSCULAR INJECTION AND WHY?
THE DELTOID MUSCLE BECAUSE IT HAS THE BEST BLOOD SUPPLY AND THE MOST RAPID ABSORPTION
WHAT ARE THE PATIENT'S 6 RIGHTS?
RIGHT PERSON, RIGHT TIME/SCHEDULE,RIGHT VACCINE, RIGHT ROUTE, RIGHT DOSAGE, RIGHT DOCUMENTATION
AT WHAT ANGLE SHOULD YOU PLACE NEEDLE WHEN COMPLETINNG ID INJECTION?
15 DEGREES
WHAT ANGLE SHOULD YOU PLACE NEEDLE FOR SUBCUTANEOUS INJECTION?
45 DEGREE ANGLE, BEVEL UP
WHAT IS THE COMMON INJECTION SITE FOR PEDS?
VASTUS LATERALIS ( MID LATERAL THIGH)
HOW IS THE SMALL POX VACCINE ADMINSTERED?
PERCUTANEOUS ROUTE-USING A BIFURCATED NEEDLE, RAPIDLY MAKING 15 JABS WITHIN 5 MM DIAMETER.
WHAT IS NATURALLY ACQUIRED ACTIVE IMMUNITY?
OCCURS WHEN PERSON IS EXPOSED TO LIVE PATHOGEN, DEVELOPS DISEASE, BECOMES IMMUNE BECAUSE OF PRIMARY IMMUNE REPONSE.
ARTIFICIALLY ACQUIRED ACTIVE IMMUNITY?
OCCURS THROUGH ADMINISTRATION OF VACCINE THAT CONTAINS AN ANTIGEN. NO SYMPTOMS.
NATURALLY ACQUIRED PASSIVE IMMUNITY OCCURS?
DURING PREGNANCY, IN WHICH CERTAIN ANTIBODIES PASS THROUGH THE PLACENTA FROM THE MATERNAL INTO THE FETAL BLOOD STREAM
ARTIFICIALLY ACQUIRED PASSIVE IMMUNITY
SHORT TERM IMMUNITY OCCURING THROUGH THE ADMINISTRAATINO TYPICALLY BY INJECTION OR IV, OF ANTIBODIES NOT PRODUCED BY BODY.
GIVE EXAMPLES OF LIVE VIRUS VACCINES
YELLOW FEVER, MEASLES MUMPS, RUBELLA, MMR, ORAL POLIO
LIVE BACTERIA VIRUSES
ORAL TYPOID, BACILLUS CALMETTE GUERINE
NON LIVE OR KILLED VIRUS VACCINES?
INFLUENZA, RABIES, HEPATITS A, INJECTABLE POLIO, INJECTABLE TYPOID, DIPHTHERIA, TETANUS, PERTUSSIS, PLAGUE, ANTHRAX
WHAT ARE POLYSACCHARIDE VACCINES?
LONG CHAINS OF SUGAR MOLECULES THA TMAKE UP THE SURFACE OF BACTERIA
WHAT ARE ADJUVANTS?
USED TO ASSIST THE VACCINE TO STIMULATE THE PRODUCTION OF ANTIBODIES.
STABILIZERS
HELP THE VACCINE RETAIN POTENCY EVEN WHEN SUBJECTED TO UNFAVORABLE CONDITIONS SUCH AS HEAT,LIGHT,ACIDITY,VIBRATION,AND HUMIDITY
NAME THE THREE TYPE OF PRESERVATIVES
ANTIBIOTICS,FORMALDEHYDE, THIMEROSAL, PHENOL AN POLYMYXIN B
DETERGENTS
ADDED TO PREVENT ADHESION OF THE VACCINE MOLEULES TO THE GLASS OF THE VACCINE VIAL
EXCIPIENTS
INERT SUBSTANCES THAT ACT AS DILUENMTS OR VEHICLE SFOR A DRUG OR VACCINE
ANTHRAX OR BIOTHRAX IS FOR
ACTIV IMMUNIZATION FOR 18-65 Y/O, SERIES OF 5 .5 ML, INTRAMUSCULAR DOSES, ADMINISTER 1 DOSE AT 0,4,6,12 AND 18 MONTHS
ADENOVIRUS
17-50 Y/O, ORALLY, SINGLE DOSE OF TWO TABLETS, TYPE FOUR (WHITE) TYPE 7 (PEACH) DO NOT CHEW!!!
HEPATITIS A VACCINE
12 MOS AND OLDER, .5 ML FOR 18 Y/O AND YOUNGER, 1.0 ML 19 YEARS AND OLDER, IM, DELTOID--SINGLE DOSE FOLLOWED BY BOOSTER6-12 FOR HAVRIX, 6-18 FOR VAQTA
HEPATITIS B VACCINE
.5 ML FOR 19 YO AND YOUNGER, 1.0 ML FOR 20 YO AND OLDER, 3 DOSES, 1 AT ELECTED DATE, 1 A MONTH LATER, 1 6 MONTHS LATER
HUMAN PAPILLOMAVIRUS
GARDASIL, 9-26 YO. PREVERNTS CERVICAL CANCER/GENTIAL WARTS-.5 ML IM-FIRST DOSE AT ELECTED DATE, SECOND- 1 MONTH, 3RD-6 MONTHS--NO BOOSTER-
CERVARIX
10-25 YO FEMALES-.5 ML, IM, ELECTED DATE+1MONTH+6MONTHS
INFLUENZA
.5ML,IM,YEARLY
INFLUENZA, INTRANASAL
.2ML-ANNUALLY, CONTRAINDICATED IN AGES 2-17 YO..OR PT'S ON ASPRIN THERAPY
JAPANESE ENCEPHALITIS IXIARO
.5ML, IM, 17 YEARS AND OLDER, THREE DOSES GIVEN ON DAYS 0 AND 28. TRANSMITTED BY MOSQUITOS
MEASLES,MUMPS,RUBELLA (M-M-RII)
12 MOS AND OLDER, .5ML SQ, OUT ASPECT OF UPPER ARM,4 WEEKS BETWEEN 1ST AND 2ND SHOT
MENINGOCOOCAL POLYSACCHARIDE VACCINE A,C, Y AND W-135
AGES 11-18 YRS-1 DOSE AT AGE 11 OR 12. NO BOOSTER NEEDED IF PRIMARY DOSE IS ON OR AFTER 16 YEARS.
INACTIVATED POLIO VACCINE
.5 ML SQ/IM, TWO DOSES 4-8 WKS APART, THIRD DOSE AT 6-12 MONTHS AFTER INITIAL,
PNEUMOCOCCAL VACCINE
2 YRS AND OLDER, .5 ML SQ, USED FOR PEOPLE OLDER THAN 50
RABIES IMOVAX, OR RABVERT
3 DOSES ON 0,7,21,28. 1.0 ML DELTOID AREA.
SHINGLES-ZOSTAVAX
SINGLE DOSE .65ML, SQ
SMALL POX
PERCUTANEOUS ROUTE 15 JABS, REVACCINATE EVERY 3 YEARS
TETANUS/DIPTHERIA (TD)
7 YRS AND OLDER--BOOSTER UPON MILITARY ENTRY--.5 ML IM--MANDITORY FOR MILITARY-REPEAT EVERY 10 YRS
TDAP (ADACEL)
TETANUS,DIPHTHERIA,PERUSSIS-ADACEL .5ML IM
TDAP-BOOSTRIX
.5ML, IM, 10-64
TWINRIX-
HEP A, INACTIVATED HEP B RECOMBINANT VACCINE--FOR LIVER PX PATIENTS-1 ML AT 0,1 MONTH AND 6 MONTH
TYPHOID VACCINE
4 CAPSULES ORALLY, ONE EVERY OTHER DAY, BEORE MEALS WITH LUKE WARM WATER, NO ANTIBIOTICS FOR 7-10 DAYS, THREE HOURS AFTER PRIOR MEAL
TYPHOID VACCINE-TYPHIM VI
ACTIVE IMMUNITY AGAINST TYPHOID FEVER .5ML IM,
VARICELLA VIRUS VACCCINE
CHICKENPOX-VARIVAX-.5ML SQ
YELLOW FEVER VACCINE
.5ML SQ, ONE DOES, RENEW EVERY 10 YEARS
COMVAX
HIB AND HEP B COMB. ADMIN AT 2-4-12-15 MONTHS OF AGE---.5 ML IM--
DT
DIPHTHERIA AND TETANUS IN CHILDEREN WHO CANNOT GET PERTUSSIS VACCINE. MONTHS-2-4-6 ---15 THRU 18, 4-6 YEARS OLD
DTaP/DTP
MONTHS 2,4,6 15-18, 4-6 YEARS OLD, .50 ML IM