Immunizations: Names/Diseases, Common SE (reactions), Contraindications Flashcards
Chickenpox vaccine is what
varicella
4 live vaccines given to children
Influenza vaccine LAIV4
MMR
Rotavirus
Varicella
Diphtheria vaccine name
DTap
Hepatitis A & Hepatitis B
Hep A immune globulin, Hep B immune globulin
Haemophilus influenzae type b
Hib
Human Papillomavirus
HPV
measles
MMR, MMRV
Meningococcal
MenACWY-CRM, MenACWY-D, MenACWY-TT
Mumps
MMR; MMRV
Pneumococcal
Pneumococcal conjugate PCV (PCV13, PCV15, PCV20)
Pneumococcal polysaccharide PPSV (PPSV23)
Poliomyelitis
inactivated polio vaccine (IPV)
Rotavirus
RV5, RV1
Rubella
MMR; MMRV
Shingles
RVZ
Tetanus
Dtap, Tdap, DT
Whooping Cough (pertussis)
Dtap, Tdap
As part of patient education, a nurse is teaching a group of mothers of infants about the benefits of immunizations. The nurse will explain that the life-threatening disease, epiglottitis, can be prevented by immunization against: haemophilus influenza type B
MMR
Hib
Hep B
Polio
Hib
A provider has ordered Gardasil to be given to a prepubertal 9-year-old female. The parent asks the nurse if this vaccine can be postponed until the child is in high school. Which of the following would the nurse likely respond with?
- Gardasil is more effective if given before sexual activity begins
- Gardasil is less effective in older adolescents
- Gardasil is more effective if given prior to the hormonal changes of puberty
- Gardasil is not effective if given after the onset of menses
Gardasil is more effective if given before sexual activity begins
The parent of a 12-month-old child who recently received the MMR, Varivax, and Hepatitis A vaccines calls the clinic to report redness and swelling at the injection sites as well as a temperature of 100.3F. Which of the following actions would the nurse perform?
- Recommend aspirin or an NSAID for pain and fever
- Recommend acetaminophen and a cold compress
- Report the adverse effects to the Vaccine Adverse Event Reporting System (VAERS)
- Schedule an appointment in the clinic so that the provider can evaluate the child
Recommend acetaminophen and a cold compress
Colleges often require incoming freshmen who will be living on campus to receive which vaccination?
Men B/MenACWY (meningococcal vaccine)
chicken pox
- varicella virus
- rash starts on body then face, fever
- Wash cloth- Cool cloth/soaks, Oatmeal/baking soda bath Antipyretic, Anti-itch cream, Antihistamine
- teaching Cannot return to school until all lesions are crusted over and dry usually 5-7 days.
- respirator, gown, gloves
Roseola
- human herpes/6th disease virus
- 3 day HIGH fever, rosy rash neck/chest/body
- tx antipyretic, water
- can return to school after fever free 24 hr
- pad bed rails–> seizures
- gown, gloves
rubella
- german measles (rubeola) virus
- rash fro face to body, lethargy, low fever, muscle/joint pain
- return to school 7 days post rash disappear
- gown, gloves
measles
- rubeola virus
- koplik spots, cough, runny nose, conjunctivitis (not itchy)
- no school etc until 4 days post rash disappear
- gown, gloves, respirator
fifth disease
- Erythema infectiosum AKA Slapped Cheek Syndrome virus
- fever, runny nose, headache, lacy rash, slapped red cheeks
- tx cool cloth, antipyretics
- return when comfy to school
- joint/muscle pain post
- gown, gloves
scarlet fever
- scarlatina BACTERIAL
- sore throat, fever, sandpaper rash in groin/armpits, neck, torso
- tx cool cloth, oatmeal/baking soda bath, antipyretics, antihistamine/cream
- return after 24-48 hr antibiotics
- strep test
- gown gloves mask
mumps
- parotitis
- swelling, joint pain, high temp, headache
- tx cool cloth, antipyretic
- return 5 days post swelling onset
- gown, gloves
hand, foot, mouth disease
- coxsackie virus
- fever, palms, hands, soles of feet sores/blisters
- tx cool cloth, oatmeal/baking soda soaks, antipyretic
- return after fever gone & blisters dry
- gown, gloves
whooping cough
- bordella pertussis BACTERIAL
- runny nose, low fever, cough
- cool cloth, antipyretics
- return 24-48 hr after antibiotics
- monitor for respiratory function
- gown, gloves, mask
mononucleosis
- epstein-barr virus (EBV)
- fever, sore throat, lethargy, swollen lymph glands
- tx time, cool cloth, antipyretic
- return after fever gone, weeks to regain strength
- joint pain after
- gown, gloves
diphtheria
- corynebacterium diphtheria BACTERIA
- white/gray tonsils, bull’s neck rash, low fever
- tx = equine antitoxin, penicillin
- myocarditis complication
- contact precautions
scarlet fever
- strep throat–Group A beta hemolytic streptococci BACTERIA
- bright red rash body, stomach hurts in kids, throats in older
- tx = penicillin, antipyretics, analgesics
- droplet, contact, secretions
influenza
- orthomyxovirus A, B,C
- respiratory mild, mod, severe, cough, chills, fever
- tx time, fluids, acetamin, ibu, tamaflu
- gown, gloves, droplet
pneumococcal disease (pneumonia)
- S. pneumonia BACTERIA
- high fever, resp probs, rhonchi/crackles infiltrates, abd pain in children
- tx amoxicillin for less than 5yr, erthromycin for older
giardiasis
- protozoan diardia intestinalis
- malodorous, watery, pale, greasy stools
- tx metronidazole
- giardia resistent to chlorine
- lysol kills it
pinworms
- Enterobius vermicularis, nematode/roundworm
- fecal-oral route
- dx tape test
- tx antiminth
- treat ALL household, repeat 2 weeks later for eggs
bed bugs
- Cimex lectularius
- can cause infection, cellulitis, urticaria
- bites on legs/arms/trunk
- tx topical steroids, antihistamines, exterminators
5 situations for contraindication to vaccination
- allergy to any part of the vaccination
- severe immunosuppression (live attenuated virus vaccines contraindicated)
- intussusception (rotavirus contraindicated)
- encephalopathy (pertussis vaccine contraindicated)
- pregnancy (live attenuated virus vaccines contraindicated)
