1. Live Virus Vaccines
    • Rubella
    • Flu Shots
    • Polio/Smallpox
    • MMR
    • Varicella (Chickenpox)
    • Varicella Zoster (Shingles)
    • Nursing Implications:
    • Live virus vaccines should not be given to immunocompromised/immunosuppressed patients (Prednisone), or Pregnant women
  2. Hepatitis B Vaccine
    • Class: Viral Vaccination
    • Action: Produces Active Immunity by inducing antibody production
    • Indications: To prevent infection & used simultaneously with Hep-B Immunoglobulin (HBIG) for post exposure prophylaxis
    • Adverse Reactions: Mild local tenderness at injection site, local inflammatory reaction (Several Other Side Effects)
    • Nursing Implications:
    • Pregnancy/Lactation Safety has not been established.
    • Use cautiously if patient has a compromised cardiopulmonary status, serious active infection, fever, thrombocytopenia/bleeding disorders
    • Administer in the deltoid muscle in adults, vastus lateralis in neonates.
    • Careful Aspiration should be used to assure that med avoids blood vessels
    • Shake vial well before administering
    • Monitor Temperature after administration (Some people develop a low grade fever that may last 1-2 days)
    • Epinephrine should be readily available to treat possible anaphylaxis
    • Store unopened vials at 36-46oF
    • Avoid freezing(Destroys potency)
  3. Rubella Vaccine
    • Live Virus Vaccine
    • Injected SubQ in the upper outer aspect of arm
    • Causes Active Immunity (Not communicable) through the formation of antibodies by the immune system
    • Mothers may lose their immunity during pregnancy (Additional shot may be required to prevent rubella in mother and future babies) 
    • Adverse Reactions: lymphadenopathy, rash, urticaria, fever, malaise, sore throat, H/A, dizziness, nausea, vomiting, arthralgia, arthritis
    • Contraindications: Immunocompromised individuals (Especially current respiratory or febrile infection) or individuals recieving immunosuppressive therapy such as Prednisone)
    • Pregnancy
    • Neomycin/Egg Allergies
    • Nursing Implications:
    • Travels through breast milk, but will not negatively effect the newborn (it will actually help them gain antibodies)
    • Avoid pregnancy for 3 months after vaccination (Fetus may be affected by the live virus vaccine)
    • Ask them if they are allergic to eggs or immunocompromised prior to administering
  4. Phytonadione (Vitamin K) Neonatal
    • Initial dose given within 1 hour of birth to develop clotting factor
    • Additional dose may be given if mother took anticonvulsives during pregnancy or if newborn shows bleeding tendencies
    • Action: Promotes clotting factors 2(Prothrombin), 7, 9, & 10 by the liver. Provides vitamin K which is not synthesized in newborns intestine until 5-8 days after birth
    • Indications: Prevention/Treatment of hemorrhagic disease of the newborn
    • Adverse Reactions: Pain/Edema at injection site. Hemolysis or hyperbilirubinemia (especially in preterm infants or when large doses are used)
    • Nursing Implications:
    • Don't give to infants with severe liver disease
    • Protect the drug from light until just before injection (Light makes it less potent)
    • Apply gentle pressure after injection
    • Assess newborn for vitamin K deficiency (Eccymoses or bleeding from any site)
    • Give IM in Vastus Lateralis of the newborn
  5. Herd Effect
    • Radicalization of communicable diseases due to a mass increase in Immunizations (Examples: Epiglottitis & Polio)
    • A Negative herd effect can take place if masses of people stop getting vaccinations due to rumors, ect. The disease may come back strong, with an increase in incidents.
Card Set
Diagnostic Tests, Medication Information, Immunizations, & Other Therapy for NURS 155 OB Exam #3