Immunizing

Question 1

Immunizing Drugs MOA

Answer 1

Introduces inactive cells; initiates B cell response (antibodies) & destruction of pathogen if exposed

Question 2

Immunizing Drugs Indications

Answer 2

Disease prevention

Question 3

Immunizing Drugs Drug/Drug

Answer 3

Immunosuppressant drugs including corticosteroids

Question 4

Immunizing Drugs AEs

Answer 4

Common: redness & discomfort at injection site, fever, minor aches, arthralgia
Rare: anaphylactic reaction

Question 5

Vaccine Contraindications

Answer 5

• Moderate to severe acute illness w/ or w/out fevere
• Severe allergic reaction to vaccine or component
  > flu (IM); eggs
• Immunosuppression
  > MMR & varicella (live, attenuated)
• Hx of Guillain-Barre Syndrome following vaccination
  > flu, tdap, td
• Pregnancy
  > flu (nasal), MMR, varicella, Men B

Question 6

Immunizing Drugs Assessment

Answer 6

• Hx/Examination
  > actual disease & vaccination hx
  > previous allergic responses, allergies to components (eggs)
  > contraindications
  > physical assessment w/ VS to determine baseline status (free of infection)
  > Evaluate ROM of extremity
  > Med contra: immunosuppressants

Question 7

Immunizing Drugs Interventions

Answer 7

• Do not admin if S/S of illness
• Arrange for proper preparation & admin; varies
• Emergency equipment standby
• Written record of immunization
  > timing of boosters

Question 8

Immunizing Drugs Evaluation

Answer 8

Serum titers reflecting immunization

Question 9

Immunizing Drugs Teaching

Answer 9

• Importance of compliance w/ schedule
• Common AE & symp care (no Aspirin)
• Warning signs of problems: tachy, muscle weakness, rashes, dyspnea, LOC