00:01
I bet you won't forget that picture
of the patient receiving the
LAIV4 up their nose.
00:08
Well, because it's a
special administration dose.
00:10
I wanted to stand out in your mind and
that's why I wanted you to see a picture
because there's also some
special contraindications
or certain patients
that shouldn't receive
this form of the vaccine.
00:22
If they have a history of
allergies to the flu vaccine
or any component of the vaccine.
00:27
If they're young children,
particularly age 2 to 4,
and they've had a diagnosis
of respiratory problems
wheezing or asthma they
should not get this vaccine.
00:37
If the patient is
immunocompromised
or the person is around people
who are immunocompromised.
00:44
This is not a good choice.
00:45
So if the immunosuppression
comes from medications
or comes from a disease
process, it's the same result.
00:52
These patients should not
take this form of the vaccine
if I'm a caregiver
or a family member
somebody who's in close contact
with somebody immunosuppressed
you do not want this option.
01:04
Now the last one seems like
why are we looking at this?
Well, I want you to keep
in mind the seems like
nobody would do this, right?
You would think no
one would do this,
but sometimes it happens
if you've already
gotten the flu vaccine
within the last 48 hours,
then you don't want this option.
01:23
Now I do have one more category
and it's pretty unusual,
but I wanted to leave it for
the very bottom of the slide.
01:30
So we've talked about
people who have allergies or
allergic reactions to the vaccine.
01:36
Little guys too who have a respiratory
diagnosis of asthma or wheezing,
immunosuppressed people or people that
are around the immunosuppressed people
crazy people that walk in
and want another flu vaccine
and the last category
is pregnancy.
01:51
Okay.
So there you have a full list
and a way to kind of
chunk this information.
01:56
I've got extra words
on the slide for you,
but if you listen to those main categories
were walking through this together
that will help it stick.
02:04
So if you heard
about the connection
between eggs in the flu vaccine.
02:08
Well historically,
flu vaccines were required
by the FDA to be
grown in chicken eggs.
02:15
Now the FDA allows viruses
to be grown in cells too.
02:19
So the viruses are then
killed, right there deactivated
their purified before
becoming part of the vaccine.
02:26
So the injectable flu
vaccine cannot cause the flu.
02:30
Got it?
This is how you can explain it
and I don't have to worry
about an egg allergy anymore
because they're no longer
forced to be created in eggs.
02:39
So let's talk about that
connection one more time.
02:43
Used to have to grow flu
vaccines in chicken eggs.
02:46
Now you do not have
to do that anymore.
02:49
Once the virus has grown its
killed, its deactivated.
02:54
That's why it cannot
give someone the flu.
02:57
So it's not the vaccine that
gave the patient the flu.
03:00
It was some type of
contact, right?
Some type of droplet involvement
that cause that
patient to get the flu
before the antibodies
or the right antibodies
could be developed
by their body.
03:13
So before if a patient
had a severe egg allergy,
they thought it could trigger an
allergic reaction to the flu vaccine.
03:20
Now, we know we don't
have to worry about that
and research really
did not support that.
03:25
So only 10 people out of
7.4 million vaccine cases
had anaphylaxis,
and most of those didn't
even have an egg allergy.
03:36
So you may have been taught
that in nursing school.
03:38
That is no longer current.
03:40
So you don't have to ask if the
patient has an egg allergy anymore.
03:44
That's not a contraindication
for receiving the flu vaccine.
03:48
Now in 2016 the CDC eliminated
the special requirements
for patients with egg allergies,
including those with a history
of anaphylactic reaction to eggs.
03:57
So this has been a
done deal since 2016.