Pediatric Immunizations Childhood Infections Safety Child Abuse Whaley

Pediatric - Immunizations, Childhood Infections, Safety, Child Abuse Whaley and Wong Chapters 12 and 16

Objectives z. At the conclusion of this lecture, the student will be able to: ydefine terms associated with immunizations ylist the diseases and their schedule for immunization ydescribe the general side effects, adverse reactions and contraindications for each immunization ydifferentiate among the communicable childhood diseases

Objectives- continued z Describe nursing interventions related to the following goals for a child with a communicable disease: y prevention of the spread of infection y prevention of complications y provision of comfort y support of child and family z Outline a plan of nursing care for a child who is maltreated z Outline a plan of care to prevent common injuries in the pediatric population

Immunizations z. Know the definitions of the following terms: y. Immunization y. Immunity xnatural xacquired • passive • active y. Vaccines xattenuated

Immunizations- terms cont. z. Toxoid z. Antibody Antigen z. Immune Globulin

Immunizations z. Premature infants z. Hep. B z. Diptheria, Tetanus, Pertussis z. Polio

Immunizations- continued z. Measles, Mumps, Rubella z. Hi. B z. Varicella

Immunizations- Side Effects z. Hep. B y 3 injections, well tolerated, low incidence of side effects z. DPT yfever (may be as high as 40. 5 degrees C) ysoreness and redness at injection site y. Malaise y. Adverse reactions: xurticaria, convulsions, anaphylaxis

Immunizations- Side Effects z Polio yno side effects y. Adverse effects- paralysis (very rare) z MMR ysame as the side effects of DPT, in addition mild rash and arthralgia- these may occur up to 10 days post immunization y. Adverse effects--encephalitis z Varivax ysame as DPT but also may develop a maculopapular rash

Immunizations- Nursing Interventions z. Contraindications z. Storage z. Administration z. Teaching

Childhood Communicable Diseases z Know the definition of the following terms: y. Epidemic, endemic, pandemic y. Reservoir z Apply the following terms to each communicable disease listed: y. Infectious Agent y. Source y. Mode of transmission y. Periods xincubation, communicability, prodromal

Childhood Communicable Diseases z Chicken. Pox y. Signs and Symptoms y. Specific Management y. Supportive management y. Complications y. Nursing Interventions

Childhood Communicable Diseases z Fifth’s Disease y. Signs and Symptoms y. Specific Management y. Supportive management y. Complications y. Nursing Interventions

Childhood Communicable Diseases z Roseola y. Signs and Symptoms y. Specific Management y. Supportive management y. Complications y. Nursing Interventions

Childhood Communicable Diseases z Rubeola y. Signs and Symptoms y. Specific Management y. Supportive management y. Complications y. Nursing Interventions

Childhood Communicable Diseases z Rubella y. Signs and Symptoms y. Specific Management y. Supportive management y. Complications y. Nursing Interventions

Childhood Communicable Diseases z Mumps y. Signs and Symptoms y. Specific Management y. Supportive management y. Complications y. Nursing Interventions

Childhood Communicable Diseases z Scarlet Fever y. Signs and Symptoms y. Specific Management y. Supportive management y. Complications y. Nursing Interventions