Ch 46 (test 12) Flashcards
serum sickness
Massive immune reaction that occurs when the patient develops antibodies against the injected circulating antibodies.
S&S: fever, arthritis pain, myalgia, and arthralgia.
contraindications for vaccines
immune deficiency or cancer
pregnancy
allergies to vaccine parts (eggs/ gelatin)
blood transfusion/immune globulin (3 mo)
advanced HIV
acute infection, fever or history of febrile convulsions
for severe anaphylaxis related to immunizations keep
epinephrine
to attend school children must have vaccinations for
- Hepatitis B
- DPT
- Heamophillus Influenza b/HIB
- Poliovirus (IPV)
- MMR
- Varicella
- Meningococcal
- Pneumococcal
- Influenza
- Hepatitis A
- HPV
Hepatitis B schedule
Birth, 1-2 mo, 6-18 mo
DPT (diptheria, pertusus, tetanus) schedule
2,4,6,15-18 mo, 4-6 yr
Heamophillus influenza b/HIB
2,4,6,15-18 mo
Poliovirus (IPV)
2,4,6-18 mo, 4-6 yr (TOPV is oral)
MMR (measles, mumps, rubella)
12-18 mo, 4-6 yr
Varicella
12-18 mo (one dose)
meningococcal
11-12 yr
pneumococcal
2,4,6,12-15 mo
influenza
after 6 mo, then yearly (oct-nov)
Hepatitis A
after 12 mo (2 doses)
HPV
age 9 (rec for 11-26yo) 3 doses at 0, 2, 6 mo.
tetanus given every
10 years
pneumonia dose
1st dose between 19-65 then booster after 65.
people at increased risk for pneumonia
asthma
copd
smokers
chronic diseases
vaccine for shingles
zostavax
Immune gobulin
passive immunity through IgG gamma globulin antibodies. (no live vaccines for 3 mo)
Rho Gam
immune globulin for Rh - mothers delivering an Rh positive baby (especially the 2nd one)
Antivenin
venom neutralizing antibodies (passive)
treatment for anthrax
cipro
