Disease Processes
What can you tell me about the very first Polio vaccine route and outcome, compared to todays vaccine.
The very first vaccine was oral route & live, but had a huge death rate. Now it is not a live vaccine.
What should we educate the parent on to help prevent the spread of infections?
Good hygiene for the patient and the parents. Washing hand frequently. Before and after bottle cleaning and diaper changing.
At what age should the nurse recommend the child receive the Tdap?
7 years old or older
One of the live vaccines, that we would not recommend for children because it makes them very ill.
Flu Mist
Treatment- Antifungal ointment (Thrush frequently).
Fungal infection
This illness has a 14-21 day incubation period
Chicken pox
What should we teach the parents of an admitted infant to do with the dirty diapers?
Put them in a specific place in the bathroom so that it is all contained in the same area.
This immunization is given in three separate doses and begins in the adolescent years.
(HPV) Human Papillomavirus Vaccine.
Who would we hold or avoid giving a live vaccine to?
Anybody that's immunocompromised/ Anybody that has a weakened or less immune system, anybody that's living with someone that has a weakened or less immune system, normal common cold is not a reason to withhold vaccines.
Treatment with an antibiotic (Oral or topical).
Bacteria infection
Spread fecal/orally, also causes severe diarrhea.
Rotavirus
What is one thing to consider when going into a infant or Childs room with full PPE?
The patient may be scared and need a little more patience/ time to trust you.
This is the very first vaccine the child would receive at birth.
Hepatitis B vaccine
We want to give these after the child turns 1 year old
MMR, Varicella, Hep A
Treatment with Tylenol/ Ibuprofen- Fever management.
Fifth Disease (Red cheeks; “Slapped cheeks”)
This illness can cause severe rectal itching, bedwetting, and poor sleeping.
Pinworms
What precautions would the child with RSV be in?
Droplet precautions. (Gown, Gloves, Surgical Mask). Door precaution signs.
This immunization should be given anytime before the child turns 7 years old
DTap
This vaccine can be given as an oral drink.
Rotavirus
This is mainly seen in school-age children and requires manual removal & education to prevent transmission.
PEDICULUS HUMANUS CAPITIS- Head Lice
Rubella and Tetanus can both cause fever and rash, but tell me the main side effect of Tetanus that differs from other vaccines.
Causes stiffness.
These two diseases call for airborne precautions. (PAPR, N95 mask, Gown, Gloves, Door precaution sign). (Not all are included, these two were just mentioned in class.)
Tuberculosis and chicken pox (Varicella)
We recommend the mother receives this vaccine while she is pregnant 27-36 weeks along, to help the baby.
DTap
We can start this vaccine around the preteen age
Areas affected by head lice?
Itching to occiput, behind ears, nape of the neck.