Ivan W.is a 65-year-old man who is new to your practice.He has a history of COPD,CAD,hypertension,and type 2 diabetes mellitus.He has had no immunizations since his discharge from the military at age 25.Childhood diseases included chickenpox,measles,mumps,and "German measles." He presents for a disease management visit.Which of the following immunizations would you recommend for Ivan?

Question

Quizplus · Accepted Answer

Ivan should receive the following immunizations:
1. Tdap: Tetanus, diphtheria, and pertussis vaccine, as adults should receive a booster every 10 years.
2. Pneumococcal vaccine: Individuals with COPD and diabetes Mellitus are at higher risk of developing pneumococcal infections.
3. Influenza vaccine: Recommended for adults above 50 years of age, especially with chronic medical conditions such as CAD, hypertension, type 2 diabetes Mellitus, and COPD.
4. Zostavax: He can receive this vaccine if he has a history of varicella (chickenpox), but it is not a necessary vaccine. Therefore, the answer is (C) Tdap, pneumococcal, influenza, and Zostavax.

Ivan WIs a 65-Year-Old Man Who Is New to Your Practice