injection site reactions pain swelling and redness mild fever shivering fatigue

Injection site reactions pain swelling and redness

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injection site reactions (pain, swelling and redness) mild fever. shivering. fatigue. headache. muscle and joint pain. screening all vaccine recipients for contraindications and precautions prior to administering immunizations. A history of anaphylactic reaction to a previous vaccine, HIV infection, Guillain-Barré syndrome, or a hematopoietic stem cell transplant are some of the circumstances that might contraindicate certain vaccines. A history of an allergy to eggs -any allergic rxns Hepatitis B To prevent HBV transmitted sexually, injections -anaphylaxis -fever Immune Globulin Preparations -for Rh negative pts exposed to Rh positive blood Prevent production of anti-Rh antibodies, ↑platelet counts in ITP pts -disseminated intravascular coagulation -intravascular hemolysis -anemia -to prevent future Rh positive infants -assess VS -monitor for hemolysis (back pain, shaking, chills, fever) Immunostimulant s stimulate the immune system by inducing activation or increasing activity of any of its components -necessary for organ transplants activation of specific white blood cells that produce proteins of inflammation called cytokines -infections -uncontrolled bleeding -report any fevers, chills, back pain, and fatigue -avoid sharp objects -frequent handwashing
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Ibuprofen (Advil) -Primary drugs to treat mild to moderate inflammation -COX 1 inhibitor -analgesic; Inhibits prostaglandin synthesis -primary use for musculoskeletal disorders, mild to moderate pain, reduction of fever, primary dysmenorrheal pain -RF, GI bleeding, anaphylaxis, metabolic acidosis, hepatic impairment, nausea, heartburn, epigastric pain, dizziness -take with food -ETOH increases stomach irritation -may cause drowsiness/dizzi ness -report black-red odorous stools -Monitor VS and pain level -Monitor BUN, serum creatinine, CBC w/ differential, electrolytes, bleeding time, and LFT periodically Prednisone corticosteroids -suppress histamine & prostaglandins -can inhibit immune system (lymphocytes/phagocy tes) to reduce inflammation -suppression of adrenal gland -metabolized to an active form of glucocorticoid -hyperglycemia, mood changes, cataracts, peptic ulcers, electrolyte imbalance, osteoporosis -Cushing’s -do not stop abruptly -discontinue gradually -keep low dose -use alternate day dosing Acetaminophen (Tylenol) To relieve pain and reduce fever, no anti- inflammatory actions To reduce fever by direct action at level of hypothalamus and dilation of peripheral blood vessels (enables sweating and dissipation of heat) -possible liver damage , causes less GI irritation than aspirin, does not affect blood coagulation -report s/s anemia -affects liver long term
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