Pediatric - Immunizations,
Childhood Infections,
Safety, Child Abuse
Whaley and Wong
Chapters 12 and 16
Objectives
At the conclusion of this lecture, the
student will be able to:
define terms associated with immunizations
list the diseases and their schedule for immunization
describe the general side effects, adverse reactions
and contraindications for each immunization
differentiate among the communicable childhood
diseases
Objectives- continued
 Describe nursing interventions related to the following
goals for a child with a communicable disease:
prevention of the spread of infection
prevention of complications
provision of comfort
support of child and family
 Outline a plan of nursing care for a child who is
maltreated
 Outline a plan of care to prevent common injuries in the
pediatric population
Immunizations
Know the definitions of the following
terms:
Immunization
Immunity
natural
acquired
• passive
• active
Vaccines
attenuated
Immunizations- terms
cont.
Toxoid
Antibody Antigen
Immune Globulin
Immunizations
Premature infants
HepB
Diptheria, Tetanus, Pertussis
Polio
Immunizations- continued
Measles, Mumps, Rubella
HiB
Varicella
Immunizations- Side Effects
HepB
3 injections, well tolerated, low incidence of
side effects
DPT
fever (may be as high as 40.5 degrees C)
soreness and redness at injection site
Malaise
Adverse reactions:
urticaria, convulsions, anaphylaxis
Immunizations- Side Effects
 Polio
no side effects
Adverse effects- paralysis (very rare)
 MMR
same as the side effects of DPT, in addition mild rash
and arthralgia- these may occur up to 10 days post
immunization
Adverse effects--encephalitis
 Varivax
same as DPT but also may develop a maculopapular
rash
Immunizations- Nursing
Interventions
Contraindications
Storage
Administration
Teaching
Childhood Communicable
Diseases
Know the definition of the following terms:
Epidemic, endemic, pandemic
Reservoir
Apply the following terms to each communicable
disease listed:
Infectious Agent
Source
Mode of transmission
Periods
incubation, communicability, prodromal
Childhood Communicable
Diseases
ChickenPox
Signs and Symptoms
Specific Management
Supportive management
Complications
Nursing Interventions
Childhood Communicable
Diseases
Fifth’s Disease
Signs and Symptoms
Specific Management
Supportive management
Complications
Nursing Interventions
Childhood Communicable
Diseases
Roseola
Signs and Symptoms
Specific Management
Supportive management
Complications
Nursing Interventions
Childhood Communicable
Diseases
Rubeola
Signs and Symptoms
Specific Management
Supportive management
Complications
Nursing Interventions
Childhood Communicable
Diseases
Rubella
Signs and Symptoms
Specific Management
Supportive management
Complications
Nursing Interventions
Childhood Communicable
Diseases
Mumps
Signs and Symptoms
Specific Management
Supportive management
Complications
Nursing Interventions
Childhood Communicable
Diseases
Scarlet Fever
Signs and Symptoms
Specific Management
Supportive management
Complications
Nursing Interventions