Immunization lecture flu/covid part 2

Question 1

SIRVA (____________)

Answer 1

Shoulder injury related to vaccine administration

Question 2

Where is SIRVA happening?

Answer 2

Community pharmacies

Question 3

In the picture you can see an inverted green triangle and that’s where the deltoid muscle is and you are to be vaccinating the lower two-thirds of that triangle for immunizations

Making sure we have the proper needle size is also important

Question 4

Tips to avoid SIRVA ____________and NOT eyeball so even though you have been vaccinating for 18 years you use your same exact technique with two fingers down, swing down to a C and go in the lower __________ of that C area to make sure your not too high ever

Answer 4

landmark

two-thirds

Question 5

If someone has arm resting on an open window you cannot tell the anatomy of an arm when its lying on the open window in a car so often you have to ask them to open the door and have their arm hanging down by their side do your landmarking and go ahead and vaccinate

Question 6

Don’t give a vaccine to someone who has their arm stretched in a car window ever or parallel to the ground instead of perpendicular to the ground…you want the arm down at their side

Question 7

With SIRVA a person would experience pain, a decreased risk of _____, decreased _______ of life sometimes pt might need surgery, pt might retire from their jobs because they can’t do their jobs anymore

Answer 7

motion, quality

Question 8

Make sure pharmacist is checking your process of giving shots

Question 9

Some pain is expected with a vaccination…muscle pain or soreness for a day or two is common but anything beyond that is unusual for a patient

Question 10

Proper administration technique: inject into lower __________ of that deltoid…note that giving injections in the upper two thirds of the deltoid can cause inordinate pain,muscle damage

Take a minute to palpate deltoid muscle

Answer 10

two thirds

Question 11

Annie is a 32 year old female who presents to your immunization clinic 3 months pregnant. She is requesting an influenza vaccination because her OB told her she must get one. She is hestiant and wants the preservative free one or the that goes up your nose. What do you tell Annie?

Flu mist or intranasal is NOT for _________ women…it’s a live vaccine and we ARE NOT GIVING IT TO PREGNANT WOMAN

Answer 11

pregnant

Question 12

Flu mist is given to pts 2 to 49 years of age without any contraindications to it…so if someone has chronic obstructive lung disease, asthma they would not be eligible for flu mist vaccine

Question 13

We do tell Annie yes you need one! and for anyone who lives in the household who will be in contact with the baby needs an influenza vaccine since baby will not receive one until their _______of age and it doesn’t have to be preservative free…but it cannot be the intranasal one…______ or ________trimester is ideal but that depends on the flu season and when it is and when you expect to have incidence of flu

Answer 13

6 months

first or second

Question 14

RNA is protected in virus envelope that’s the black outer ring until a potential host cell is found. The envelope is made up of several proteins including envelope protein blue spikes

Spike glycoprotein which is going to be your red image helps the virus latch on and gain entry into the host cell so the virus can infect the cell this is what we get with COVID which is spike protein

Question 15

Pt says I got the covid vaccine but I still got covid? This can absolutely happens…

this vaccine helps protect from _______ disease,________ covid,hospitalization, and death

Answer 15

severe disease

long covid

Question 16

If someone does get covid vaccine and then gets covid pt should have less severe disease than if they had not been vaccinated

Question 17

Some people feel slightly sick from having messenger RNA vaccine from whats going on in our body fighting it so we tell pts its not a bad thing that you didn’t feel great for a day or so

Question 18

These antibodies produced protects us in the future which can be done by either the Pfizer or Novavax vaccine

Question 19

Ages 12 and older and they are unvaccinated and walk into the pharmacy I have Pfizer in stock they need 1 dose .3ml and there is no interval btwn doses because they needed one of those

Question 20

We have PCV 15, PCV20, and PCV21 (new one for this year :) )

Question 21

Pneumococcal vaccine helps prevent pneumococcal disease which is not just pneumonia…we are trying to prevent invasive pneumococcal disease which is IPD as well as pneumonia caused by streptococcus pneumonia bacteria

Question 22

IPD can lead to very significant hospitalization and disease associated with it…trying to prevent invasive pneumococcal disease as well as pneumonia

Question 23

Risk conditions diabetes,renal disorders,chronic heart disease,chronic liver disease,chronic lung disease including asthma,smoking, even alcoholism
Doesn’t include high blood pressure who are otherwise healthy do not fall into this category

Pt who has not received PCV13, PCV15 or PCV20/21 or whose previous vaccination history is unknown must have 1 dose of PCV15, PCV20, or PCV21