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which vaccines must be administered in separate anatomical sites according to the cdc

by Eino Schaden Published 2 years ago Updated 2 years ago

If a vaccine and an immune globulin preparation are administered simultaneously (e.g., Td/Tdap and tetanus immune globulin [TIG], hepatitis B and hepatitis B immunoglobulin [HBIG]), separate limbs should be used for each injection (29-30).

Which vaccines should not be given together?

Nonsimultaneous Administration of Live Vaccines If any combination of live, injected vaccines (MMR-II, ProQuad, Varivax) or live, attenuated influenza vaccine (LAIV [FluMist]) is not administered simultaneously, the vaccine doses should be separated by at least 4 weeks.

When administering more than one vaccine to the same limb the injections should be?

When multiple vaccines are administered, separate sites should ordinarily be used if possible. When necessary, two vaccines may be given in the same limb at a single visit. The thigh is the preferred site for infants and smaller children for two simultaneous IM injections because of its greater muscle mass.

Which vaccines can be given together?

Combination vaccines have been in use in the United States since the mid-1940s. Examples of combination vaccines are: DTap (diphtheria-tetanus-pertussis), trivalent IPV (three strains of inactivated polio vaccine), MMR (measles-mumps-rubella), DTap-Hib, and Hib-Hep B.

Should rabies shot be given separately?

Rabies vaccines should be given alone, separated from all other vaccinations by at least two weeks. Because rabies is the only vaccine required by law, I recommend that it be the only repetitive vaccine you give your pet. You can titer for all other diseases.

Can you give vaccines in the same arm?

▸If administration in separate limbs is not feasible or desired, administra- tion in the same limb, separated by at least 1" (inch), is appropriate.

When multiple injections are needed how far apart should the injection sites be if possible );?

Needle insertion Use a needle long enough to reach deep into the muscle. Insert needle at a 90° angle to the skin with a quick thrust. Multiple injections given in the same extremity should be separated by a minimum of 1", if possible.

Can two live vaccines be given together?

Two or more injectable or nasally administered live vaccines not administered on the same day should be separated by at least 4 weeks (Table 3-4), to minimize the potential risk for interference.

Can varicella and meningitis vaccine be given together?

As part of national immunization programs, meningococcal vaccines may be administered around the same time as other vaccines, including yearly influenza; human papilloma virus (HPV); tetanus, diphtheria, and/or acellular pertussis (Tdap); hepatitis; and varicella vaccines.

What happens if MMR vaccine is administered intramuscularly?

All live injected vaccines (MMR, varicella, and yellow fever) are recommended to be given subcutaneously. However, intramuscular administration of any of these vaccines is not likely to decrease immunogenicity, and doses given IM do not need to be repeated.

Can rabies and Bordetella be given together?

Giving a rabies vaccine and Bordetella as well as a combo could mean as many as 9 shots in one day. Some dogs don't survive this. If your dog has a reaction to the combo shot, there's no way to determine which antigen caused the reaction.

Can MMR and varicella be given together?

Unless the parent or caregiver expresses a preference for MMRV vaccine, CDC recommends that MMR vaccine and varicella vaccine should be administered as separate injections for the first dose in children 12-47 months of age.

Can you get tetanus and flu shot at same time?

Influenza vaccine and Td (or Tdap) may be given at the same time or at any time before or after a dose of pneumococcal polysaccharide vaccine. The only time you have to wait is when two LIVE vaccines are not given at the same visit; then you need to wait at least 4 weeks to give the second live vaccine.

Can you get two injections one arm?

If multiple vaccines are administered at a single visit, administer each injection in a different injection site. For infants and younger children receiving more than two injections in a single limb, the thigh is the preferred site because of the greater muscle mass.

Can you give 2 Live vaccines together?

Two or more injectable or nasally administered live vaccines not administered on the same day should be separated by at least 4 weeks (Table 3-4), to minimize the potential risk for interference.

How do you give an intramuscular injection in the arm?

To locate this site, feel for the bone (acromion process) that's located at the top of your upper arm. The correct area to give the injection is two finger widths below the acromion process. At the bottom of the two fingers will be an upside-down triangle. Give the injection in the center of the triangle.

Where do you Inject a shot in the arm?

The recommended injection site is the deltoid (upper arm).

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Url:https://www.cdc.gov/vaccines/hcp/admin/administer-vaccines.html

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