Ati Immune System Meds (Immunizations)

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DTaP

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administer doses at 2,4,6, 15 to 18 months, and at 4-6 years

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Tdap

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administer one dose at 11-12 years

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Td booster

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administer one dose every 10 years following DTaP

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haemophilus influenza Type B (Hib)

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2,4,6, and 12-15 months

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rotavirus vaccine

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RV-5 vaccine- (Rotateq) should be administered at a three-dose series at ages 2,4, 6 to 18 months and 4 to 6 years
Rv-1- (Rotarix) should be administered as two-dose series at 2 and 4 months
all doses should be completed by age 8 months

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inactivated poliovirus vaccine

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2,4, and 6-18 months and 4-6 years

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MMR

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12-15 months, 4-6 years

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varicella

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12-15 months and 4-6 or 2 doses adminstered 4 weeks apart if adminsterd after age 13

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PCV (pneumonal conjugate vaccine)

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2.4.6, and 12-15 months

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hepatitis A

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administer 2 doses after age 12 months. Administer second dose 6-18 months after the first

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hepatitis B

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administer 12 hours after birth- administer second dose 6-18 months

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MCV4

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administer one dose at age 11-12 years

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HPV2 or HPV4

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3 doses over a 6 month period for males and females 9-12 years

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immunizations MOA

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produce antibiotics that provide active immunity

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immunization use

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eradication of infectious diseases
prevention of childhood and adult infectious diseases and their complications (measles, diptheria, mumps, rubella, tetanus, H. influezae)

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immunization contraindications

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anaphylactic reaction to a vaccine or any components is a contraindication for further doses of that vaccine
moderate to severe illness with or without fever are contraindications
immunocompromised individuals

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DTaP adverse

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local reaction
fever and irritability
crying that cannot be consoled, lasting up to 3 hours
seizures
rare: acute encephalopathy
contrainidcations: occurence of encephalopathy 7 days after admin of DTaP
seizures within 3 days
history of uncontrollable crying or temp of 105 degrees

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heamophilus influenze type b

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mild local reactions
low grade fever
temp greater than 38.5 degrees celcius
contraindications: less than 6 weeks of age

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rotavirus adverse

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irritability
mild, temporary nausea
contraindications: infants who have severe combined immunodeficiency
caution in infants who are immunocompromised from HIV infection or med admin or who have chronic GI disorders

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IPV adverse

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local reaction at injection site
rare: vaccine-associated paralytic poliomyelitis
contraindications: pregnancy
confirmed allergy to streptomycin, neomycin, or polymyxin B

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MMR adverse

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local reaction at injection site
rash, fever, swollen glands
possibility of joint pain lasting for days to weeks
risk for anaphylaxis and thrombocytopenia

contraindications: pregnancy
immunocompromised
recent transfusion
thrombocytopenia
tuberculosis skin test and MMR are both needed but not administered on same day, delay TST for 4-6 weeks after MMR

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Varicella adverse

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varicella- like rash, local or generalized such as vesicles on the body

contraindications: pregnancy, cancers of blood and lymphatic system
allergy to gelatin and neomycin
immunocompromised individuals
recent transfusion with blood products

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PCV adn PPV adverse

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mild local reactions, fever, no serious adverse effects

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hep a and b vaccine adverse

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local reaction, mild fever, anaphylaxis

contraidications: hep a- pregnan
hep b- allergy to baker's yeast

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flu vaccine adverse

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rare risk for Guillian Barre syndrome manifested by ascending paralysis beginning with weakness of

contraindications: LAIV administered as nasal spray: contraindicated in adults over 50 years, children under 2 years, and adults and children under 2 years
adults and children who are immunocompromised, have a chronic disease or are receiving certain antiviral vaccines
pregnant women should not receive the live vaccine
history of Guillian Barre syndrome

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MCV4 adverse

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mild local reaction
risk of allergic response

contraindications: Guillian Barre syndrome

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HPV2 or HPV4 vaccine

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mild local reaction and fever
fainting shortly after receiving vaccine
rare risk for Guillian Barre syndrome

contraindications: pregnancy
allergy to baker's yeast

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Herpes zoster adverse

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mild local reaction at injection site

contraindications: clients who are immunocompromised