Vaccines and Immune Sera

Question 1

Drug Names for Vaccines

Answer 1

Hep A
Hep B
Chicken pox
Poliovirus
Meningitis
MMR
Rotavirus
Diphtheria
Pertusis
Tetanus
Heamophilus B

Question 2

Indication?

why would you get vaccines?

Answer 2

stimulate active immunity in people who are at risk

vaccines needed depend on exposure the person will have to the pathogens

provide life long immunity

Question 3

Adverse effects for Vaccines

Answer 3

fever, chills
malaise, fretfulness, drowsiness, irritability
anorexia, vomiting
rash
pain, redness, swelling at injection site

Question 4

Contraindications for Vaccines

Answer 4

presence of immune defficiency
pregnancy
known allergy to any component of the vaccine
pt receiving immune globulin or blood or blood products in the last 3 months

Question 5

Cautions for Vaccines

Answer 5

hx of febrile convulsions or cerebral injury
hx conditions in which increase fever is dangerous
hx of acute infection

Question 6

drug/drug for Vaccines

Answer 6

immunosuppressants

Question 7

nursing diagnosis for Vaccines

Answer 7

acute pain r/t injection, GI, flulike effects
ineffective tissue perfusion of severe reaction
deficient knowledge

Question 8

Assessment for Vaccines

Answer 8

contrindications
skin, temp, VS, LS
CNS
ROMif extremity used
assess tissue

Question 9

Implementation for Vaccines

Answer 9

do not use to tx acute infection or if showing signs of acute infection or immune deficiency
do not use on pt w/ immune globulin or blood products in last 3 months
proper admin (time/dose)
emergency equipment (epinephrine)
no aspirin to children for tx of discomfort r/t immunization

Question 10

evaluation for Vaccines

Answer 10

prevention of disease, appropriate antibody titer levels

Question 11

Immune Sera definition:

Answer 11

sera that contains antibodies to specific bacteria or viruses

Question 12

Actions for Immune sera

Answer 12

provide passive immunity to a specific antigen or disease

Question 13

indication?

why would you use immune sera?

Answer 13

used as prophylaxis against specific disease after exposure

may lessen severity of disease

Question 14

adverse effects for Immune sera

Answer 14

rash, N/V fever, chills
allergic reaction
chest tightness
low BP
difficulty breathing

local reaction- swelling tenderness, pain, muscle stiffness at injection site

Question 15

contraindications for Immune sera

Answer 15

hx of severe reaction to any immune sera

Question 16

caution for Immune sera

Answer 16

preganancy
coagulation defects
previous exposure to the immune sera

Question 17

drug/drug for Immune sera

Answer 17

immunosuppressant

Question 18

nursing diagnosis for Immune sera

Answer 18

acute pain r/t local, GI, flu-like effects
ineffective tissue perfusion r/t possible severe reaction
deficient knowledge

Question 19

assessment for Immune sera

Answer 19

cautions, contraindications 
thrombocytopenia, or coagulation disorders
immunization hx
inspect sin, temp, LS, VS
CNS

Question 20

Implementation for Immune sera

Answer 20

do not use w/ hx of sever reaction to immune globulins or drug components
admin as indicated
monitor for severe reaction, emergency equipment

Question 21

evaluation for Immune sera

Answer 21

improvement in s/sx of disease
prevention of disease

monitor ADE
flu-like sx
gi upset
local inflammation
pain