UNIT 8 TEST2 PEDS NUR 263

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jillmwashington
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266011
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UNIT 8 TEST2 PEDS NUR 263
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2014-03-11 16:11:24
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UNIT8 TEST2 PEDS NUR263 IMMUNIZATIONS VACCINATIONS
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Pediatric Immunizations
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  1. Dtap
    Diphtheria and tetanus toxoids and acellular pertussis vaccine
  2. Hib
    Haemophilus influenzae type b
  3. Hep B
    Hepatitis B Vaccine
  4. IPV
    Inactivated Poliovirus Vaccine
  5. MMR
    Measles, Mumps, and Rubella Vaccine
  6. HPV
    Human Papilloma Virus vaccine
  7. a condition in a recipient that increases the risk for a serious reaction. a vaccine will not be administered when this is present
    contraindication
  8. a condition in a recipient that might increase the risk for a serious adverse reaction or that might compromise the ability of the vaccine to produce immunity. under usual circumstances, vaccination might be indicated because benefits outweigh risks.
    precaution
  9. most common cause of diarrhea in children less than 5yrs; infants 6-12mos most vulnerable
    watery diarrhea, vomiting, fever, passed through oral-fecal route, indirect contact, doesn't wash hands after changing diapers.

    Tx: flavored oral rehydration or IV fluids.
    Rotavirus
  10. Rotavirus vaccine administration
    • po admin.
    • do not re-administer dose to infant that regurgitates, spits out, vomits during admin of vaccine.
    • continue with recommended schedule
    • administer even if infant has had previous rotavirus
    • ok to administer to infants who live in household with a pregnant woman or person with impaired immunne status
    • all household members should employ good hand hygiene measure after each diaper changes
  11. caused by the bacterium Corynebacterium diptheriae which produces systemic toxin which damages the tissues of the heart and cns.
    diphtheria
  12. caused by a toxin produced by Clostridium tetani, a bacteria that cannot grow in the presence of oxygen.
    produce spores found in soil, intestines, feces of many household and farm animal and humans, bacteria usually enters the human body through puncture wound.
    there is no cure once a person develops symptoms.
    Tetanus
  13. a cough illness lasting at least 2 weeks with one of the ff:
    paroxysms of coughing
    inspiratory whoop
    posttussive vomiting
    caused by bacterial microorganism called Bordetella pertussis
    Pertussis
  14. vaccine for children less than 6 yrs of age
    DTap Diphtheria, Tetanus, and acellular pertussis
  15. vaccine for adolescents and adults
    licensed 2005
    now recommended to be administered with each pregnancy
    Tdap Tetanus, diphtheria and acellular pertussis
  16. caused by a bacterium Haemophilus influenzae type b.
    type b account for 95% of all strains that cause invasive disease.
    spread by direct contact or respiratory droplets.
    the most common type of invasive Hib disease is meningitis.
    Haemophilus influenzae type b (Hib)
  17. infections that are caused by the bacteria Streptococcus pneumoniae, also known as pneumococcus.
    most common infections: middle ear infections, pneumonia, bacteremia, sinus infections, and meningitis.
    children at risk: under 2 yrs, children in group child care, children who have certain illnesses (sickle cell disease, HIV, chronic heart or lung conditions)
    Pneumococcal disease
  18. a virus spread via fecal-oral route
    no cure.

    vaccine: IPV
    Polio
  19. its vaccine is recommended for all people aged 6 months and older.
    one dose annually, two doses recommended 4 weeks apart for children less then 9 yrs who are receiving the vaccine for the first time.
    Influenza
  20. a virus which is spread through the air by droplets and is highly contagious.

    complications: diarrhea, ear infections, pneumonia, acute encephalitis.
    during pregnancy, increase risk of premature labor, miscarriage, and lbw infants.
    measles
  21. red spots on the roof of the mouth when someone have measles
    koplik spots
  22. an airborne virus less contagious than measles or varicella.
    bullneck.
    complications: meningitis
    mumps
  23. an airborne virus
    complications: encephalitis, low platelet levels, Congenital Rubella Syndrome - rubella attacks a developing fetus during first trimester and will cause serious birth defects, premature delivery, or fetal death.
    Rubella
  24. live, attenuated virus vaccine
    minimum age of vaccination: 12 months
    MMR Measles, Mumps, Rubella vaccine
  25. caused by varicella-zoster virus, highly contagious, spread by direct contact, through the air by coughing or sneezing.
    continue to be contagious until all the blisters have crusted over (6-8 days)

    complications: bacterial infection of skin, bones, lungs, joints and blood. can also lead to pneumonia and meningitis.
    Varicell
  26. live, attenuated virus vaccine.
    all susceptible person should receive 2 doses of vaccine.
    2nd dose catch up recommended for children, adolescents, adults who previously received 1 dose.
    during outbreak, person who receive 1 dose of vaccine should receive a second dose
    varicella vaccine (VAR)
  27. Contraindicatoins to MMR and Varicell Vaccines
    • allergy to neomycin, gelatin.
    • pregnancy.
    • immunosuppression.
    • recent receipt of blood products.

    may be administered on same day as varicella, or 4 weeks apart.
  28. caused by the bacterium Neisseria meningitidis, spread to person to person through exchange of repsiratory and throat secretions (kissing, coughing, sharing eating utensils)
    can infect the blood (septicemia), fluid of the spinal cord and brain (meningitis).
    Meningococcal Disease
  29. causes cancer, including cervical, vulvar, vaginal, penile, anal, and oropharyngeal cancers.
    certain types cause most cases of genital warts in men and women.
    commonn virus that is easily spread from skin to skin contact during sexual activity with another person.
    Human Papilloma Virus (HPV)
  30. a strong weapon in prevention, these safe and effective vaccines are available to protect females and males against some of the most common HPV types and the health problems that the virus can cause.
    this vaccine is not recommended for use in pregnancy.
    HPV vaccine (Human Papilloma Virus vaccine)
  31. contraindication of HPV vaccine
    contraindicated to people with a history of immediate hypersensitivity to any vaccine component
  32. precautions and adverse reactions to HPV vaccine
    • precautions:
    • minor acute illness such as diarrhea, or mild URI, with or without fever.
    • vaccination should be deferred until after the illness improves.
    • cervarix vaccine contain dry natural latex rubber that may cause allergic reactions in latex sensitive individuals.


    • adverse reactions:
    • most common local reactions is pain, redness, and swelling at the injection site.
    • others: fatigue, headache, myalgia, GI symptoms, arthralgia
    • syncope- fainting or passing out.

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