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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 rxnsHepatitis BTo prevent HBV transmitted sexually, injections-anaphylaxis-feverImmune 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)Immunostimulantsstimulate the immune system by inducing activation or increasing activity of any of its components-necessary for organ transplantsactivation 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
Ibuprofen (Advil)-Primary drugs to treatmild 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, metabolicacidosis, hepatic impairment, nausea, heartburn, epigastric pain, dizziness-take with food-ETOH increases stomach irritation-may cause drowsiness/dizziness-report black-redodorous 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/phagocytes) 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 dosingAcetaminophen (Tylenol)To relieve pain and reduce fever, no anti-inflammatory actionsTo 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