Vaccines Flashcards
Natural Active Immunization
Person acquires immunity by surviving the disease
itself and producing antibodies to the disease causing organism
Artificial Active Immunization
The immune system is stimulated and
“remembers” this antigen if subsequent
exposures occur
Does not cause
a full-blown infection
Active Immunizing Drugs: Examples
BCG vaccine (tuberculosis), Hepatitis A and B virus vaccines
Active Immunizing Drugs: Examples (I actively have pneumonia)
Pneumococcal bacterial vaccines, Human papilloma virus vaccine (Gardasil®), Rabies virus vaccine. Measles, mumps, and rubella virus vaccine, live - several forms. Poliovirus vaccine; several forms
Passive Immunization - long or short lived?
more short-lived than other immunizations
Passive Immunization
The substances needed to fight off invading
microorganisms are given directly to a person
The immune system is bypassed
Naturally acquired passive immunity
From mother to fetus through the placenta
Artificially acquired passive immunity (vaccines are passive)
Acquired from an external source (vaccine), such as injection of
antibodies or immunoglobulins
Passive Immunizing Drugs: Examples (rhogaine is passive)
Rho (D) immune globulin (RhoGAM) - RhoGAM is used for women who are RH negative that have an RH positive baby.
RhoGAM given when? (Rhouge at 28 weeks)
28 weeks -IV, and 2nd dose no later than 72 hrs after delivery
adverse affect - immunization - serious (serum is serious)
Serum sickness - usually w/ anti-toxins. its a rash about 5 - 10 days after vaccination. can only treat the symptoms.
to treat mild symptoms of immunization reactions, use
tylenol, not NSAIDs.
Toxoids - ex. (T for toxoids, T for TDAP)
Artificial active immune response. Stimulate one’s immune system. ex. TDAP.
Vaccinations with live bacteria or virus provide
lifelong immunity
Vaccinations with killed bacteria or virus provide
partial immunity, and booster shots are needed
periodically
A physically and medically neglected 15-month-old child has been placed
in foster care. The foster parents come in with the child today for
immunization updates. They have no idea what, if any, vaccines the child
has previously received. Today, the nurse would most likely consider
which of the following?
DTaP, Hib, hepatitis B, MMR, IPV, PCV, and varicella
Parents of a client tell the nurse that they want their child
to receive scheduled vaccines, but that they are concerned
because their friends say that children are always very
irritable after they receive vaccines. The nurse teaches the
parents to
Provide acetaminophen (Tylenol) before and every 4 hours after vaccination as needed.
before you travel, how long to get immunization?
at least 2 months
At birth, the nurse prepares to administer which
immunization to the neonate?
Hep B
Nursing Implications
pregnancy status, immunosuppression, Do not give aspirin to children
early signs of transplant rejection
tired, achy, fever
immunosupressants ex. (suppress this vicious cycle)
cyclosporine (Sandimmune®) azathioprine (Imuran®) muromonab-CD3 (Orthoclone®)
tacrolimus (Prograf®)
corticosteroids
orthoclone (Muromonab-CD3) (clone my organ rejection)
is the only drug indicated for reversal of organ rejection once rejection of a transplanted organ has started.