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.