Live Attentuated Influenza Virus (LAIV4): Contraindications (Nursing)

by Rhonda Lawes, PhD, RN

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    00:01 Now who should not get live attenuated virus.

    00:05 Well, someone has a history of severe allergic reaction to any vaccine component before after the previous dose of influenza vaccine.

    00:12 They shouldn't receive it.

    00:14 So just like any medication.

    00:16 This doesn't really require you to memorize something important.

    00:20 But every medication says if you have any history of severe allergic reaction to any part of this medication, don't take it again.

    00:27 Same thing with influenza virus.

    00:30 Now children or adolescents who are getting aspirin or salicylate containing therapy should not take the live attenuated virus.

    00:39 Children aged 2 to 4 years who have received a diagnosis of asthma or wheezing in the last 12 months also should not take this.

    00:48 So there's the first three before we move on to the second half of the columns.

    00:53 I want you to just pause look at those three and see what are some quick notes you need to jot for yourself to kind of chunk this together so you remember it quickly when you're reviewing your notes later.

    01:09 Okay, good work.

    01:12 I'm glad you're doing the work of engaging the content now and taking the time to write down some notes on the side that will really help you with retention.

    01:21 Now, I want to talk about someone who's immuno compromised both the individual that's in you'll compromised for any reason.

    01:28 Whether they have immunosuppression caused by medication.

    01:31 Like they could be on significant corticosteroids.

    01:34 It could be on chemotherapy or they have something like HIV infection.

    01:39 Those are examples of patients that are immunocompromised their immune systems are not able to function at their normal levels and the people that come into close contact with patients who are immunocompromised.

    01:52 So even if the individual has a very healthy immune system, but they spend time with, and they have close contact with someone who is immunocompromised these groups of patients should not receive live attenuated virus vaccines.

    02:07 Okay, so if I was taking notes and you so don't have to do it the way I would do it, but I would just kind of connect those two with a line.

    02:15 So a big curve C there to connect those two and I would write immuno compromised so that way I know the patients and those near them shouldn't have this live virus for obvious reasons.

    02:27 So also patients who received medication, if they've got neuraminidise inhibitor, an NI, that's an influenza medication that you receive either for treatment of flu or for prophylacticly because you've been exposed to it.

    02:42 They should not get the vaccine this live attenuated vaccine for 48 hours.

    02:48 Okay, let me give you some tips If you haven't been introduced to those medications.

    02:52 If someone has the flu, like we've diagnosed them they've shown the symptoms, they have the flu if they can get medication or treatment within 12 hours.

    03:02 They cut the most time off of their misery, but up to 48 hours of the onset of symptoms.

    03:08 They can receive that Ocean and it's still going to be less severe and little bit shorter than it would have been if they hadn't got the medication.

    03:16 Now if you're somebody who lives or as close contact with somebody that had the flu you can take the medication also.

    03:23 These are neuraminidise inhibitors, might just want to write, NI, it's a lot shorter to write it.

    03:29 So even if they haven't developed the flu they can take this.

    03:32 But then they might be thinking you know what, I'm going to get the flu vaccine.

    03:35 I've seen what so-and-so is gone through with influenza.

    03:39 I don't want it.

    03:40 So I want to get the vaccine.

    03:42 Well, they're going to have to wait 48 hours after their last dote of neuraminidise inhibitor before they get the vaccine in order for it to be effective.

    03:52 So like even if you just like trying to sneak in there early, you're not doing yourself any favors because you want to make sure that your body's ready to take it and make it work for them.

    04:02 Okay. So now you've got these six boxes.

    04:04 We have one more category.

    04:06 But before we go on to the last one, do you have some notes written there to remind you that work specifically for your brain.

    04:14 Don't just rewrite what we have there try and give yourself short single one and two word sentences to help you remember.

    04:21 Now the last category is pregnancy.

    04:25 So pregnant women should not get the live attenuated virus vaccine.

    04:30 Okay, so not just six but seven categories of patients that should not receive this type of vaccine.

    04:39 Were we have lots of other options they could try.

    About the Lecture

    The lecture Live Attentuated Influenza Virus (LAIV4): Contraindications (Nursing) by Rhonda Lawes, PhD, RN is from the course Antiviral Medications (Nursing).

    Included Quiz Questions

    1. "Friends and family who are in close contact with you should not receive the LAIVA vaccine."
    2. "Like everyone else, receiving the LAIVA vaccine will prevent you from getting influenza."
    3. "You cannot receive the LAIVA vaccine, but your close contacts can."
    4. "You can receive the LAIVA vaccine at a smaller dose because you're immunocompromised."
    1. "Does your child take medications like aspirin regularly?"
    2. "Does your child take any antiemetic medications?"
    3. "Has your child had a urinary tract infection within the last 12 months?"
    4. "Has your child had an ear infection in the last 12 months?"
    1. "The vaccine will only be effective if you do not take Tamiflu for 48 hours."
    2. "The vaccine can be administered once you finish your prescription of Tamiflu."
    3. "The vaccine will never be effective now that you have received a dose of Tamiflu."
    4. "The vaccine will be effective 24 hours from now."

    Author of lecture Live Attentuated Influenza Virus (LAIV4): Contraindications (Nursing)

     Rhonda Lawes, PhD, RN

    Rhonda Lawes, PhD, RN

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