1st dose: 12 months

2nd dose: 4-6 years

1st dose: 2 months

2nd: 4 months

3rd: 6 months

4th 12-15 months

A. Acquired immunity q person makes or receive adaptive respond to invasion of foreign protein naturally or artificially

B. Passive immunity occurs when antibodies against a specific antigen in a person's body made in the body of another person or around and transferred to another body.

1. Measure serum lvls(peak and trough)

2. Too high-toxicity

c. too low trough- not working-more meds

d. Ask pt. s/s

Syringe 1-3 mL

Dosage given 0.s-1.5 mL

When is the Hep B vaccine given? Discuss if a pregnant mother is HbsAG positive what intervention will be carried out for the infant.

Dosage. 1. birth, 2: 1-2 months, 3rd: 6-8 months

Follow the 3 dose series and test and 9 years old.

Assess pt. Renal lvls

• Urine output
• Serum creatine lvls
• BUN

Inhibit bacterial synthesis of folic acid essential for bacterial growth, does not affect normal cells. Use for fighting gram negative bacteria such as E.coli, porteus, and chlaymdia.

Serum creatinine, Asparate, aminotranstrase, alanine aminotransferase, alkaline phosphatase, bilirubin.

2 doses series on a schedule of 0-12 months to all adolescents starting at 9 years of age, after 15, the recommended immuinization schedule is 3 doses HPV vaccine from 0-6 months. Follow recommended schedule or additional vaccinations may be needed. Can be given during pregnancy. Immunocompromised pt. will receive 3 doses regardless of age. 

What lab values should be monitored c aminoglycosides?

Bun, serum creatine, alkalin, phosphate, amino aminotransferase, asparat amino transferase, bilirubin, serum electrolytes, serum K, and mag lvls.

Metronidazole acts by impairing DNA function of susceptible bacterial to tx disorders associated c the GI tract. Tell pt. alcohol interacts c the drug 48 hours after tx. 

Probenecid, which Is a uricsuric and taken c colcicne, makes the drug last longer to fight STDs. 

Generic name is official non-proprietary name, not owned by drug co universally accepted. Trade name is proprietary name and chosen by drug co and is registered trade mark and owned by co. 

Start at 6 months and annually throughout life.

take z 12-24 hours as it is ordered.

Mild/Moderate symptoms: nausea, vomiting, diarrhea, stomatis, cryasturia 

Severe: agranuloctrase effect c warfarin, increase K c ECE inhibitors and K sparing diuretics, increase hypoglycemic effect c oral hypoglycemic

Labs: may increase Bun, serum creatine, AST, ALT, ALP

Used to tx mild to moderate infection of respitiory tract, sinuses, GI tract, skin and soft tissues, dispuria, impetigo, contagiosa and STIs. 

What are the averse effects of erythromycin?

Ototoxcity, GI distress, superinfection, hepatoxicity

Tdap is given to lder children and adults. It contains tentasnus, diphtheria, toxioids, and acellular pertussis. It differs from the DTap because it has lower levls of acellular pertussis and diphtheria. The DTap is also given to yoyunger children. Tdap can be given to pregnant women and postpartum. 

Smallpox vaccine is a live vaccine3 preparation administered using a bifurcated needle into the epidermis. Skin reactions occur 3-5 days at site, leaves a scar. Booster q 10 years. 

Color coded organge syringe

measured in units

3/8, 1/2,5/8 needle

23,25,26 gauge

inject air into long acting then short acting baswed on ne3eded dose

draw up short acing first then long acting

Syringes have three parts: tip, barrel, plunger

Needle sizes are composed of 2 components: guage and length

Longer the guage # small the lumen. Smaller the guage #, the larger the lumen. Size range from 18-26.

1. Intradermal gauge: 25,26 length: 1/8,1/2,3/8
2. Sub Q: guage 23,25,26 Length: 3/8,1/2, 5/8
3. IM: guage: 19-22 Length: 1, 1 1/2, and 2

Broad spectrum antiobiotic effective against gram positive/negative bacteria. Tetracycline act by inhibiting bacteria synthesis and have bacterstatic effect. Tetracyclines should not be taken c magnesium and aluminum and anatacids preparations, milk, and products containing calcium or iron tetracycline and prevent absorption of the drug.

Digioxin absorption is increased leading to toxicity. 

1. It is a urinary analgesia. Used to relieven pain, burning sensation, and frequent urgency urination that symptomatic of lower UTIs. 
2. Teaching: will make urine reddish orange from dye. Can alter urine glucose test; therefore, blood should be used to monitor glucose lvls.

Vericella infection cause fetal harm, the possible effects of the vaccine on fetal development is contraindicated during pregnancy. Pregnancy should also be avoided for at least one month after each dose of vaccine. 

Discuss the antiviral medication-zidovudine

One of the 1st retroviral medications approved that inhibits the action of viral revere transcription preventing the  synthesis of DNA and allow T lymphocytes to increase initially. 

1. Given oral, IM
2. Inhibits bacterial cell wall synthesis
3. SE GI distress, constipation, blurred vision, tinnitus, dizziness, hepatoxicity
4. Take Vitamin B6
5. Take on hr ac or 2 hr pc
6. Take precaustion in contact c the sun and avoid antacids
7. Report numbness, tingling, burning 

Antibiotic resistance is occurring because of repeated exposure of an antibiotic to a bacteria, which casues the bacteria to mutate and survive the effects of the drug. The nurse should educate the pt about the importance of taking the entire prescription and in female pts, advice to use additional forms of birth control while taking antibitoics. 

Booster shot q 10 years.

need shot if get cut from rusty metal. 

1. Hypersenstivity to drug mild reactions: rash, pruritus and hives
2. severe: annaphlatic shock
3. superinfection: 2 infection occurs when normal mibrobial flora of body disturbed by antibiotic therapy
4. organ toxicity: damage to live and kidney to drug metabolize and excretion. 

1. Nausea, voming, diarrhea, increased bleeding, toxicity to kidney, seizures
2. related structurally: 10 % chance of allergic reaction