Class notes
NRN 22 Week 3 Peds Notes
- Course
- NRN 22
- Institution
- Riverside City College
Detailed and comprehensive Week 3 Peds Notes for YOU!!
[Show more]
Content preview
Week 3 Peds NotesImmunizations & Communicable Diseases,Cardiac Anomalies & Dysfunction, & Illness &
Hospitalization
● Immunizations:
- Always refer to the CDC for updated information and to provide education to patients
and their families
- Vaccines have same antigen as disease, but it’s weaker or killed
- Memory cells help to protect from future exposure
- Active immunity
- Antibody production stimulated by vaccine antigens without causing clinical disease
- Passive immunity
- Antibodies produced in another host (human or animal) given when child needs
antibodies faster than the body can make them
- Includes immune globulins
- Does not confer lasting immunity
- Children will need vaccines in future
● Complications, Contraindications/Precautions
- If anaphylactic reaction, no more doses of the specific vaccine and any vaccine
containing the causing agent
- Contraindicated if causing severe allergies
- Hold vaccines if the patient is febrile, or has a moderate to severe illness until symptoms
resolve
- Other causes determined by HCP and risk vs benefit in case-to-case circumstances
● Nursing Administration Considerations
- Obtain consent
- Document date, route, site of immunization, lot number, expiration date
- Provide atraumatic care, and age appropriate play/distractions, topical anesthetic
- Be prepared for emergencies
- Provide documentation/record for parents
, - Education on what to watch for after administration, avoid aspirin use (why?)
- Report adverse reactions to Vaccine Adverse Event Reporting System (VAERS)
● Communicable Diseases
- Transmitted contact, droplet, airborne
- Can be prevented with immunizations
- And PPE in in-patient settings!
- Risk factors
- Immunocompromised, poor nutrition, circulation
- Environmental
- Chronic illness
- Recent exposure
- Not immunized or UTD
● Nursing Care and Management
- Isolate (prevent spread)
- Antipyretics, analgesics
- Skin care if applicable
- Play, rest, ambient environment
- Medications (ensure compliance!)
- Antihistamines
- Antibiotics, antivirals
- NSAIDs or acetaminophen
- Education on preventing the spread of infection, red flags, and documentation on when to
return to normal activity/school
● COVID-19 in Children
- COVID-19 is a new disease caused by a novel human coronavirus that has not been
previously seen in humans
- Symptoms ranged from asymptomatic to critical
- The emergence of a life-threatening multisystem inflammatory syndrome (MIS-C) across
the United States is seen in children and causes damage to multiple organ systems.
- Supportive care measures
- VACCINATE
● Sepsis and Septic Shock
- Sepsis or systemic inflammatory response syndrome (SIRS)
- Infection in the bloodstream
- Group B strep
- E. coli
- Staph
- H. influenzae
● At risk
- Burns
- Multiple surgeries
- Invasive catheters
- Compromised immune system
- Long-term antibiotics
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller anyiamgeorge19. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $11.99. You're not tied to anything after your purchase.
Can Stuvia be trusted?
4.6 stars on Google & Trustpilot (+1000 reviews)
53340 documents were sold in the last 30 days
Founded in 2010, the go-to place to buy study notes for 14 years now