Influenza Vaccines: Types (Nursing)

by Rhonda Lawes, PhD, RN

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      Slides Nursing Pharmacology Antiviral Medications Influenza Vaccine.pdf
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      Review Sheet Adult Only Vaccines Nursing.pdf
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    00:01 Now there's three types of influenza A, B and C.

    00:06 Not really that bothered with C, but we'll talk about it in just a minute.

    00:09 A. That's usually the most serious.

    00:13 Now these viruses can mutate and change all different kinds of ways.

    00:17 But as a general rule A is usually the most serious it's most likely to mutate into a new version that people are not resistant to because they don't have antibodies to it yet and many of the flu pandemics in the past have been And some string that was type A like H1N1.

    00:34 So if you're not old enough or remember the swine flu, this was a really scary time when this flu went through the world.

    00:42 Now type B usually causes less severe illness than type A and mainly affects young children.

    00:48 So type A is the one that has the most serious impact meaning it probably has even more complications after influenza because it is the most serious.

    00:59 Now I told you they were three.

    01:00 What do you think we call the third one? Yeah, I know.

    01:03 We're super clever type C.

    01:05 Okay, so it's just a mild illness similar to a common cold.

    01:09 It doesn't even get included in the influenza vaccines.

    01:12 Just the strains of type A and type B that have been identified in determined by Healthcare officials that these are going to be the most likely strains to be in your area.

    01:22 Now, look at all the abbreviations.

    01:26 We've got a page full of them there.

    01:29 Here's what I'd like you to pay attention.

    01:31 See how it says on some quadrivalent quadrivalent quadrivalent to.

    01:36 What does that mean? Well quadrivalent means four, right? That's what we're looking for.

    01:42 Trivalent see that in the second one, trivalent.

    01:46 That means three.

    01:49 So when I'm looking for a flu vaccine, I'm always looking for Quad.

    01:54 I want the one with four strains, if I'm going to get a vaccine.

    01:58 I'm going to get the most of the guests that are out there and get the quadrivalent one.

    02:03 So what you want to ask sometimes schools or employers provide the flu vaccine ask them if it's trivalent or quadrivalent look back at this reference.

    02:12 This isn't worth your time to really memorize all these but kind of take a feel for it some is inactivated influenza.

    02:19 We've also got some so cultures you see all the differences in there but most important thing I want you to pick up on is quadrivalent or trivalent.

    02:27 Save the rest of those in the future when you're looking at compairing vaccines that are available.

    02:32 So let's break some of them down most important ones.

    02:36 Inactivated influenza vaccine IIVs and recombinant influenza vaccines RIV4s.

    02:44 Those are quadrivalents and trivalents.

    02:47 So we've got them listed there for you just to have an idea of what's likely most commonly available.

    02:54 Okay now that picture gets my attention, but I just want to let you know, there's no needle on the end of that.

    03:00 So when you give live attenuated virus if you're already familiar that we give it in kind of an unusual spot, right? We give it intranasally and again, there's no needle on there.

    03:11 So use the supplied prefilled single-use sprayer syringe, it contains about 0.2 milliliters of vaccine.

    03:20 So it's going to be given intranasally half of the total sprayer contents is sprayed into the first nostril while you've got them kind of in an upright position kind of in the sniff position.

    03:31 Then you've got a clip you take that off and the second half of the dose is administered into the other nostril.

    03:39 So for live attenuated virus, it's given intranasally that's a little different than giving to it deltoid or anterolateral fi.

    03:47 Hey while you're still hanging with us, what's the difference between the type of vaccine that we would give to an adult or older child or a younger child.

    03:57 Try and answer it without looking at your notes then go back and check your answer.

    04:02 Okay so we've got what's different about this is you give it in your nose, you give half and one nostril the other half of the dose in the other nostril.

    04:11 Now what happens if someone sneezes a few mess with my nose, I would be likely to sneeze.

    04:17 But if the person receiving the vaccine sneezes immediately after you give it but dough should not be repeated.

    04:24 Okay, so you don't have to wonder the recommendation is if you're giving the vaccine and they immediately sneeze That's it you don't repeat the dose right there.

    04:33 Now be aware of the patients like really congested in their nose because if it's their congested enough that it kind of impedes the delivery of the vaccine to that mucosa, then you should consider waiting until that swelling goes down or just use another age-appropriate vaccine.

    04:50 So if they sneeze, you don't re-administer it right then but if their nasal congestion is pretty intense, you might not consider giving them this medication you might consider another option for the patient.

    About the Lecture

    The lecture Influenza Vaccines: Types (Nursing) by Rhonda Lawes, PhD, RN is from the course Antiviral Medications (Nursing).

    Included Quiz Questions

    1. It causes mild illness like the common cold
    2. It mainly affects young children
    3. It was the strain that caused the H1N1 pandemic
    4. It is most likely to mutate
    1. Half the dose in each nostril intranasally
    2. Full dose intranasally in one nostril
    3. Full dose subcutaneously
    4. Half the dose in two different sites intramuscularly
    1. If nasal congestion is impeding the delivery of the vaccine, do not administer it.
    2. If the vaccine recipient sneezes, repeat the dose immediately in the same way as previously.
    3. If nasal congestion is present, administer the vaccine in only one nostril.
    4. If the vaccine recipient sneezes, repeat the dose in 5 minutes with the client lying flat.

    Author of lecture Influenza Vaccines: Types (Nursing)

     Rhonda Lawes, PhD, RN

    Rhonda Lawes, PhD, RN

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