If the measles, mumps, rubella, and varicella (MMRV) combined vaccine is ordered to be given as the first MMR and varicella dose to a child the CDC recommends:
1. Parents be informed of the increased risk of fever and febrile seizures over the MMR plus varicella two-shot regimen.
2. Patients must also receive MMRV as the second dose of MMR and varicella in order to build adequate immunity.
3. Patients be premedicated with acetaminophen 15 minutes before the vaccine is given.
4. Patients should not be around pregnant women for the first 48 hours after the vaccine is given.
Question 2
Zoster vaccine (Zostavax) is:
1. A live varicella zoster vaccine from the same strain used to develop the varicella vaccine
2. Effective in preventing varicella zoster in patients of all ages
3. Recommended for patients age 40 to 80 who have had chickenpox
4. Administered at the same time as other live vaccines, as long as they are given the same day
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Measles. A photograph of a child stricken with measles, showing the tell-tale sign of the skin rash.
Vaccine Types
Koplik spots in the mouth of a patient with measles.
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Covishield vaccine.