Types and Administration of Influenza Vaccines (Nursing)

00:00 Now look at influenza A, B and C.

00:05 Type A is usually the most serious.

00:07 It's most likely to mutate into a new version and people are not going to be resistant to it.

00:13 So many flu pandemics in the past have been from the type A string.

00:17 Example H1N1 or the swine flu.

00:21 That was our last flu pandemic.

00:23 Now type B usually causes less severe illness than type A, and it mainly affects young children.

00:29 Types C, usually cause a mild illness similar to like the common cold.

00:34 It's not even included in the influenza vaccines.

00:38 Now, we've got a lot of abbreviations there and I'm not going to go through those for you because that would bore you to tears if I did that.

00:45 But look at some key points, we've got IIV that means inactivated influenza vaccine.

00:52 Look right down there.

00:54 Quadrivalent Yeah. That's what I was talking to you about.

00:58 The difference between trivalent and quadrivalent.

01:01 If you're going to get the vaccine, that's what I want to know.

01:05 I want to know that you're looking at four strands, quad, instead of three, but see the next one, inactivated, right/ that is another key point.

01:16 Now, let's talk about specific vaccines and how we give them and what they're used for.

01:21 So you've got your chart there.

01:22 So when you hear me using things like IIVs and RIV4, you'll know what that is, use that as your key.

01:29 So if we're going to give IIVs and RIV4 let's talk about adults and older children first.

01:34 These are administered intramuscularly and the preferred site is the deltoid or the arm.

01:41 Now in infants and younger children are IIVS only, in the preferred site is anterolateral thigh.

01:48 They're not going to be super happy with you.

01:49 But if you're a pediatric nurse, you know how to distract children, make it fun and then they're less traumatized by the event.

01:59 You might be wondering what is going on in this picture.

02:01 Why does she have a syringe in her nose? Well, there's no needle on that syringe.

02:07 This is live attenuated virus or LAIV4.

02:11 Now this is administered intranasally.

02:13 That's why you see the applicator in her nasal passage, right? It's a supplied prefilled single-use sprayer.

02:22 So we're not calling it a syringe even though that's essentially what it is.

02:25 Now it has a very small amount.

02:27 It's got 0.2 milliliters of the vaccine.

02:31 Now when you're administering this to a patient half of the total sprayer contents is sprayed into the first nostril while the recipient is sitting upright.

02:39 Okay, you don't want them laying down, you want them sitting in an upright position.

02:43 Now, there's usually an attached divider clip that helps you make sure you only give half of the dose in the first nostril, you remove that and then the second half of the dose is administered into the other nostril.

02:56 Now keep in mind if the vaccine recipients sneezes immediately after administration, the dose should not be repeated.

03:03 No way to really make that accurate adjustment.

03:07 So if they sneeze right away, you cannot repeat another dose.

03:12 Now if nasal congestion impedes the delivery of the vaccine if you're trying to get that in the nasal pharyngeal mucosa, the patient should probably wait or look for another age appropriate source for the vaccine to be administered.

03:24 We need this membrane ready to be received the vaccine in order for it to be effective.

03:30 If they're in congested, there's lots of swelling it may not be effective.