Pediatrics Lec 3

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Questions and Answers

What is the administration site for the vaccines in Case 1?

Deltoid

Abdominal

Vastus lateralis (correct)

Gluteal

What is the volume of each vaccine in Case 1?

0.5mL (correct)

0.75mL

0.25mL

1mL

What is one method of minimizing pain in Case 1?

Sucrose 30 minutes prior to administration

Swaddling (correct)

EMLA cream application 1 hour prior to administration

Acetaminophen prior to administration

What is the type of vaccine administered in Case 1?

All of the above Signup and view all the answers

What is the consideration for administration in Case 2?

Age of patient Signup and view all the answers

What is the recommended administration site for the 4-year-old boy's vaccine?

Deltoid Signup and view all the answers

What is the volume of each vaccine administered to the 4-year-old boy?

0.5mL Signup and view all the answers

Which of the following is a distraction method used to minimize pain during vaccine administration?

Toys and music Signup and view all the answers

What is the recommended waiting time before vaccine administration after applying EMLA cream?

30 minutes Signup and view all the answers

What is the purpose of asking the mother about the pharmacy where she fills her child's medications?

To obtain a complete medication history Signup and view all the answers

What is the recommended medication dosage for the 18-month-old boy's GERD medication?

1.5mL three times daily Signup and view all the answers

What is the primary reason for obtaining a medication history from the mother of the 18-month-old boy?

To identify potential medication interactions Signup and view all the answers

What is the primary function of vaccines in the body?

To promote the body's immune system to make antibodies, T-cells, and memory cells against bacterial and viral pathogens Signup and view all the answers

What type of vaccine contains altered microorganisms?

Live (attenuated) vaccines Signup and view all the answers

What is the purpose of immunizations in pediatric care?

To provide long-term prevention of infection, disease, or illness Signup and view all the answers

What type of vaccine is administered to a 2-month-old baby girl in the clinic?

DTaP-IVP-Hib Signup and view all the answers

Why is the nurse seeking guidance on vaccine administration?

To receive guidance on minimizing pain during vaccine administration Signup and view all the answers

What is the benefit of providing immunizations to children at a young age?

It helps to promote child development and prevents infection Signup and view all the answers

What is the primary goal of pain management in pediatric vaccine administration?

To minimize pain during vaccine administration Signup and view all the answers

What is the first step in obtaining a medication history from a patient?

Ask the patient if they are taking any medications Signup and view all the answers

What is the purpose of asking the patient to describe their medication?

To identify the dosage form, shape, and color of the medication Signup and view all the answers

Why is it important to ask the patient if they have changed the dose or stopped any of their medications recently?

To monitor the patient's medication adherence Signup and view all the answers

What is the purpose of asking the patient about any side effects they are experiencing?

To assess the patient's risk of medication adverse effects Signup and view all the answers

What is the medication that the patient is taking for GERD?

Lansoprazole ODT 7.5mg po daily Signup and view all the answers

Why is it important to optimize the dose of the patient's reflux medications?

To adjust for the patient's weight change Signup and view all the answers

What is the medication that the medical team wants to start the patient on?

Fluticasone Signup and view all the answers

What is the reason for starting the patient on fluticasone?

Due to the patient's worsening respiratory symptoms Signup and view all the answers

What is the importance of medication counseling in the patient's discharge process?

To educate the patient on medication administration Signup and view all the answers

Study Notes

Vaccinations

Influenzae type B: vaccine
Varicella: vaccine
PneuC-13: pneumococcal conjugate (13 valent) vaccine
MMRV: measles, mumps, rubella, varicella vaccine
Men-C-C: meningococcal conjugate (type C) vaccine
Men-C-ACYW: meningococcal conjugate (A,C,Y,W-135) vaccine
MMR: measles, mumps, rubella vaccine
HB: hepatitis B vaccine
HPV-4: quadrivalent human papilloma virus vaccine
Tdap: diphtheria, tetanus, acellular pertussis vaccine
Inf: influenza vaccine
Rot-1: rotavirus oral vaccine

Case 1: Vaccinations

2-month-old baby girl received 2 IM vaccines (Pediacel, Prevnar-13) and 1 oral vaccine (RotaTeq)
Administration site: vastus lateralis
Volume of vaccines: 0.5mL each
Minimizing pain techniques: swaddling, giving pacifier, EMLA cream application 30 minutes prior to administration, sucrose prior to administration, acetaminophen post immunization if baby continues to show signs of pain/irritability

Case 2: Vaccinations

4-year-old boy received 2 IM vaccines (DTaP, MMRV)
Administration site: deltoid
Volume of vaccines: 0.5mL each
Minimizing pain techniques: distractions (toys, movies, music, bubbles), EMLA cream application 30 minutes prior to administration, acetaminophen post vaccine administration if pain/fever

Medication History

Importance of obtaining accurate medication history from patients or caregivers
Questions to ask when taking medication history:
- Do you have a list of medications your child is currently taking?
- Do you have your child’s medications with you?
- What does your medication look like? (dosage form, shape, color)
- Are the pills in the bottle the same as what is on the label?
- Did the doctor change the dose or stop any of your medication recently?
- Have you changed the dose or stopped any of your medications recently?
- Have any of the medications been causing side effects?
- When you feel better, do you sometimes stop taking your medicine?
- Sometimes if you feel worse when you take your medicine, do you stop taking it?

Case 3: Medication History

18-month-old boy with reactive airway disease and GERD
Medications: Lansoprazole ODT 7.5mg po daily, Domperidone 7.5mg po TID, Salbutamol MDI 2puffs inhaled Q6H PRN
Importance of accurate medication history and communication with caregivers and pharmacies

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Description

This quiz covers various types of vaccines, their names and abbreviations. It includes vaccines for diseases such as influenza, measles, and hepatitis.