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immunization schedule

Infant immunisations 
2 months
5-in-1 DTaP/IPV/Hib – diptheria, tetanus, pertussis, polio, Hib – dose 1.
Pneumococcal conjugate vaccine (PCV) dose 1.
Rotavirus dose 1. Live, oral virus.
MenB dose 1.
3 months
5-in-1 dose 2.
MenC dose 1.
Rotavirus dose 2.
4 months
5-in-1 dose 3.
PCV dose 2.
MenB dose 2.
12 months
MMR dose 1.
MenC dose 2 + Hib dose 4 (combined).
MenB dose 3.
PCV dose 3.
Hepatitis B if they have risk factors.
Toddler immunisations
Flu vaccine
Annual, live attenuated nasal spray flu vaccine in September/October at age 2-7.
Kids with asthma and other chronic diseases like CF will continue to get this through childhood and beyond.
Contraindicated in severe egg allergy, immunosuppression (inc. steroids in past 2 weeks), and severe asthma or active wheeze. Alternative form can be given.
Postpone in those with heavy nasal congestion.
3.5 years
4-in-1 DTaP/IPV: dip, tet, pertussis, polio pre-school boost.
MMR dose 2.
Teenager immunisations
12 years
HPV:

Girls only. Parental consent needed.
2 doses, 6-24 months apart.
Gardasil vaccine covers the HPV types which most commonly cause cervical cancer (16 and 18) and genital warts (6 and 11).
13-18 years
3-in-1 Td/IPV booster: tetanus, diptheria, polio.
MenC booster. Likely to be replaced by MenACWY.
Contraindications to immunisation
In general, there are very few true contraindications to receiving vaccines. The following are NOT contraindications, but are commonly thought to be:

Family history of an adverse reaction
Premature baby.
Over the recommended age.
On antibiotics (except if still febrile, see below) or steroids (except for live vaccines, see below).
Atopy
The following ARE true contraindications:

Acute fever.
Severe local or generalised reaction to previous dose of same vaccine. Can be given as an inpatient under monitoring.
Severe egg allergy for influenza vaccine. Alternative egg-free influenza vaccine should be given. However, MMR is fine in egg allergy as it uses chick embryos, not egg yolk or white.
History of intussusception for rotavirus vaccine, as the vaccine increases the risk of recurrence.
Contraindications to live vaccines (MMR, BCG, oral vaccines, intranasal flu, yellow fever):

Pregnancy
Immunosuppression, including recent oral steroids (for most vaccines, defined as ≥1 week in the last 3 months). There may be some exceptions to this under specialist guidance.
Adverse effects of immunisation
Common:

Swelling and discomfort at injection site.
Mild fever and malaise.
Mild form of disease after MMR.
Rare but severe:

Anaphylaxis
Encephalopathy after pertussis vaccine (<1/100,000).
Labels: health tips, disease condition

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If u have any doubt let me know.

DISEASE CONDITIONS LIST THAT IMPROVED KNOWLEDGE.

Newborn Baby Assessment

Baby check at birth and 6 weeks  Check notes and get equipment ready:   Measuring tape. Ophthalmoscope Sats probe. In notes, look at full details of pregnancy and birth, including Apgar scores at 1 and 5 minutes. Observation: Colour: pink/red, pale, jaundiced. Any rash? Erythema toxicum is a self-limiting rash of red papules and vesicles, surrounded by red blotches which sometimes give a halo appearance. Usually occurs between 2 days and 2 weeks. Behaviour and mood. Movements. Face: dysmorphism? Head: Feel fontanelle (bulging? sunken?) and sutures. Note that posterior fontanelle closes at 1-2 months, and anterior at 7-19 months. Measure circumference at widest point; take the highest of 3 measurements. Looking for hydrocephalus and microcephaly. Eyes: check red reflex with ophthalmoscope. Feel inside top of mouth with little finger for cleft palate. Also gives you the sucking reflex. Inspect ears to see if they are low-set (below eye level), have any tags or lumps, and check behind the
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Hypertension (HTN)

Background     Causes Primary causes: Essential HTN (i.e. idiopathic). Commonest cause. Non-pathologically raised during pain or anxiety (including white coat HTN). However, this may suggest underlying problem so consider following up. Kidney diseases (80% of secondary HTN): Chronic kidney disease. Renal artery stenosis: due to atherosclerosis or fibromuscular dysplasia. Latter most commonly occurs in young women, but even then essential HTN is still commoner. Endocrine: Conn's Cushing's Pheochromocytoma Acromegaly Hyperparathyroidism Other: Obstructive sleep apnoea Pregnancy or pre-eclampsia. Coarctation of the aorta. Medication: CE-LESS ('see less'): C yclosporin E strogen (OCP) L iquorice E PO S teroids S ympathomimetics: α-agonists, dopamine agonists, cocaine, amphetamines, and nasal decongestants such as ephedrine. Signs and symptoms Symptoms of HTN itself are rare, and occur only in severe disease. They include heada
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