Term
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Definition
| the body recognizes a foreign protein and begins producing antibodies to react with it. |
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Term
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Definition
| occurs when preformed antibodies are injected into the system and react with a specific antigen |
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Term
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Definition
They stimulate active immunity in people who are at high risk for development of a particular disease.
-The vaccine depends on patient's exposure to that pathogen. (determined by where they live, travel plans, family environment) Vaccines are thought to provide lifelong immunity to the disease against which the patient is being immunized. |
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Term
| Vaccines contraindications |
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Definition
-presence of immune deficiency (body would not respond as anticipated)
-during pregnancy
-allergies (some including eggs)
-Patients who are recieving immune globulin or have recieved blood or blood products within the last three months (Serious immune reaction could occur)
-Caution be used in...
Children with a history of febrile convulsions or cerebral injury, or any condition where possible fever could be dangerous.
Caution also used in the presence of any acute infection. |
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Term
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Definition
-immune or inflammatory reaction that is being stimulated: fever, rash, malaise, cills, fretfulness, drowsiness, anorexia, vomiting. and irritability.
Pain, redness, swelling, and even nodule formation at the injection site
In rare cases-severe hypersensitivity reactions have been reported. |
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Term
| Subcutaneous injection technique |
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Definition
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Term
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Definition
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Term
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Definition
| Stimulate active immunity in people who are at risk |
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Term
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Definition
Sera that contain anitibodies to specific bacteria or viruses.
(ex. venom from snakes or spiders!) |
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Term
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Definition
| Effect on immune system (rash, nausea, vomiting, chills, fever) or to allergic reactions (chest tightness, falling blood pressure, difficulty breathing). Local reactions, such as swelling, tenderness, pain, or muscle stiffness at the injection site, are very common. |
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Term
what serum sickness (massive immune reaction) is and when it can
occur |
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Definition
| A massive immune reaction manifested by fever, arthritis, flank pain(Abdominal pain related to kidneys), myalgia, and arthralgia. It's when the host human responds to the ciculating injected antibodies, which are foreign proteins to the host's body, by producing its own antibodies to the injected antibodies. |
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Term
Lifespan considerations
Children |
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Definition
Immunization has become standard
Ssensitive children may receive divided doeses of their immunizations in order to prevent adverse effects
-simple comfort measures (warm soaks at the injection site, acetaminophen to reduce fever aches or pains, and comfort from guardian)
-Parent education is important (safety of immunizations arise)
-Immune sera are used for specific exposures. Botulism immune globin is specific for treatment of infants younger than 1 year of age with botulism. |
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Term
| Lifespan considerations for Adults |
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Definition
Adults who travel to high risk areas or may not have been previously exposed to certain diseases
-Advised to be immunized yearly with influenze vaccine and once with pneumococcal pnemonia vaccine. these provide prevention for people with chronic lung, cardiovasuclar, or endocrine disorders. Tetanus are also recommended for every adult 10 years or with any injury that potentially could precipitate a tetanus infection and is currently given with a pertussis booster to protect children from exposure. Immune sera are used for specific exposures! |
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Term
| Lifespan considerations for older adults |
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Definition
greater risk for severe illness from influexnza and pneumococcal infections. (Yearly vaccinations)
-tetanus booster every 10 years
-ask about adverse reaction to tetanus before adminstration
-travels to a place that has an epidemic
-immune sera used for specific exposure
-and carefully monitor older patients for adverse effects |
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Term
| Nursing Assessment Vaccines |
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Definition
-allergies
pregnancy status
-recent admin of blood products or immune globulin
-history of immune dificiency
-evidence of acute infection
-physical assessment (baseline)
-Skin lesions
-temp
-pulse, resps, blood pressure, ausculatate lungs for adventitious sounds
-orientation
-Evaluate ROM
-Asses tissue perfusion to establish a baseline |
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Term
| Nursing Implementation for Vaccines |
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Definition
Do not use to treat acute infections
Do no administer if patient exhibits signs of acute infection or immune deficiency
Do no administer if the patient has received blood or immune globulin within last 3 months
-Arrange for proper preparation and administration of the vaccine; check on the timing and dose of each injection
-Maintain emergency equipment on standby, including epinephrine
-arrange for supportive care and comfort measures for flu-like symptoms (rest, environmental control, acetaminohen) and for injection discomfort (local heat application, anti-inflammatories, resting arm) to promote patient comfort.
Do not administer aspirin to children for treatment of discomforts associated with the immunization (Reye's syndrome).
Patient teaching
Provide written documentation of immuniation |
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Term
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Definition
Monitor patient's response to the drug (prevention of disease, appropriate antibody titer levels)
Monitor for adverse effects (Flue like symptoms, GI upset, local pain, swelling, nodule formation at injection site)
Evaluate effectiveness of the teaching plan
Monitor the effectiveness of comfort measures and adherence to the regimen. |
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Term
| Immune Sera Nursing Assessment |
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Definition
Allergies
Current status related to pregnancy
previous exposure to the serum being used
thrombocytopenia or coagulation disorders
immunization history
-physical assessment-baseline |
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Term
| Immune Sera Nursing Implementation |
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Definition
Do not administer to any patient with a history of severe reaction to immune globulins or to the components of the drug being used
-Administer the drug as indicated
-Monitor for severe reactions and have emergency equipment
-Arrange supportive care and comfort measures for flu-like symptoms (rest, environmental control, acetaminophen) and for the local reaction (heat to injection site, anti-inflammatories)
-Provide patient teaching
-Provide written documentation! |
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Term
| Immune Sera Nursing Evaluation |
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Definition
Monitor the patient's response to the drug (improvement in disease signs and symptoms, prevention of severe disease)
-monitor for adverse effects (flu-like symptoms, GI upset, local inflammatino, and pain)
-Evaluate the effectiveness of the teaching plan (patient can name drug, dosage, adverse effects, and specific measures to avoid adverse effects and acknowledgment they need to retain documentation)
-Monitor the effectiveness of comfort measures and compliance with the regimen |
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