NSG 363 Lecture Notes - Lecture 4: Epiglottitis, Gangrene, Measles
Document Summary
Not being tested on what they get a certain months (change too often), know what vaccines are for and why given. Parents may refuse: for now, can go to school without vaccines, may change. Get hepatitis from body fluids: give vaccine in deltoid if child is older or if really big, skinny kid=leg (own judgement), no gluteus, series of 3 shots. Rotovirus caused by an organism/bacteria: not attributed to gi bleeds, diarrhea/vom/fever = dehydration, give iv to replace body fluids, is vaccine available. Measles, mumps, rubella (mmr: subq, ask parents about if they"ve had reactions to eggs or neomycin, live vaccine. Congenital rubella syndrome: fetal infection with the virus (1st trimester, intrauterine growth restriction (iugr, very small child, lead to cataracts. Polio: vaccine discovered in cincinnati, vaccine used to be a sugar cube, polio can lead to paralysis needed iron lung machines, oral polio vaccine preferred, polio lead to deformities.
