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.