: Previous vaccination with pneumococcal vaccine, within 10 days of immunosuppressive therapy Side effects : Suspected adverse events after administration of any vaccine may be reported to Vaccine Adverse Events Reporting System Nursing implications : Monitor for allergic reactions/anaphylaxis. Dosage : Single Dosage - Administer a single 0.5-mL dose of PNEUMOVAX 23 using a sterile needle and syringe. Interactions : Belimumab, zoster vaccine live
Trade Name: Influenza Vaccine Classification : Influenza Vaccines Uses : Used to confer immunity against 3 (2 type A and 1 type B) or 4 (2 type A and 2 type B) strains likely to circulate during annual flu season Action : nactivated influenza vaccine (IIV) Contraindications : Fever, respiratory infection, Egg hypersensitivity, kanamycin hypersensitivity, latex hypersensitivity, neomycin hypersensitivity Side effects : bronchospasm, anaphylactic shock, seizures, erythema, migraine, wheezing, & pain at injection site. Nursing implications : Dosage: Intramuscular dosage - Children 3 to 8 years - 0.5 mL IM. For children who have not received at least 2 doses of trivalent or quadrivalent influenza vaccine before July 1, 2018, administer a second dose of 0.5 mL IM at least 4 weeks after the initial dose. Interactions : Ocrelizumab
Trade Name: Dulcolax Classification: stimulant laxatives Uses : Treatment of constipation. Action : Stimulates peristalsis. Alters fluid and electrolyte transport, producing fluid accumulation in the colon. Contraindications : Hypersensitivity; Abdominal pain; Obstruction; Nausea or vomiting (especially with fever or other signs of an acute abdomen). Side effects: abdominal cramps, nausea, diarrhea, rectal burning Nursing implications : Assess patient for abdominal distention, presence of bowel sounds, and usual pattern of bowel function. Dosage : PO: (Adults and Children ≥12 yr): 5–15 mg/day (up to 30 mg/day) as a single dose. PO: (Children 3–11 yr): 5–10 mg/day (0.3 mg/kg) as a single dose. Interactions: Antacids, histamine H2 -receptor antagonists , and gastric acid–pump inhibitors may remove enteric coating of tablets resulting in gastric irritation/dyspepsia.
Trade Name: MOM Classification : mineral and electrolyte replacements/supplements laxatives Uses : Treatment/prevention of hypomagnesemia. As a: Laxative, Bowel evacuant in preparation for surgical/radiographic procedures. Action : Essential for the activity of many enzymes. Contraindications : OB: Unless used for preterm labor, use during active labor or within 2 hr of delivery may ↑ potential for magnesium toxicity in newborn. Side effects : diarrhea Nursing implications : Laxative: Assess patient for abdominal distention, presence of bowel sounds, and usual pattern of bowel function. Antacid: Assess for heartburn and indigestion as well as location, duration, character, and precipitating factors of gastric pain. Dosage : Prevention of Deficiency (in mg of Magnesium) PO: (Adults and Children >10 yr): Adolescent and adult men– 270–400 mg/day Interactions : Potentiates neuromuscular blocking agents .
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- Fall '19