Antimicrobial Vaccinations

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Outline

Overview

  1. Pathogenic Microbes in Humans
    1. Viruses- non-living, species-specific requires a host cell to replicate.
      1. Hepatitis, chickenpox, whooping cough
    2. Bacteria- single-celled organisms, divide quickly, w and /out cell wall
      1. Tetanus, pneumococcus
    3. Fungi- single-celled and multicellular, chitin cell walls,
      1. Athlete’s foot, yeast infections
    4. Protists- Protozoan organisms usually single-celled with a nucleus.
      1. Malaria, amoebic dysentery, Giardiasis, African Sleeping Sickness
  2. Role of vaccinations – expose the immune system to antigens from pathogens in order to produce a faster and stronger immune response.
    1. How immunization from vaccines works- inject a dead/attenuated version of the pathogen’s antigens. This triggers memory cell and antibody production through an acquired immune response.
  3. Examples of antiviral (killed vs live)
    1. Polio, Chicken Pox
  4. Examples of antibacterial
    1. Tetanus, Hib
  5. Importance of herd immunity- the more individuals vaccinated the less likely there will be an outbreak. Protects the weak.
  6. Common Childhood Vaccinations in the United States
    1. Hepatitis B
      1. Disease transmitted through blood, semen, and other body fluids.
      2. Prevents disease causes infection of the liver which can have lasting effects like liver failure, liver cancer, and cirrhosis
      3. Vaccine is given in a series usually completed by 6 mos of age.
    2. Rotavirus
      1. Disease transmitted by the fecal-oral route
      2. Prevents disease that causes vomiting, watery diarrhea, abdominal pain, and life-threatening dehydration
      3. Vaccine is given in a series usually completed by 6 mos of age.
    3. Diphtheria
      1. Disease transmitted via airborne droplets and contaminated items.
      2. Vaccine prevents a disease that causes swollen glands, sore throat, difficulty breathing, fever, chills, and malaise.
      3. Vaccine is given is series by age 7.
    4. Tetanus
      1. Bacterial disease transmitted via spores in soil and animal excrement into a wound.
      2. Vaccine prevents disease that causes lockjaw, involuntary muscle stiffness, trouble swallowing, seizures, headache, fever, death.
      3. Vaccine is given is series by age 7.
    5. Pertussis (whooping cough)
      1. Acute viral disease transmitted via air droplets from coughing and sneezing.
      2. Vaccine prevents fever, severe coughing that makes a whooping sound, runny nose, fatigue.
      3. Vaccine is given is series by age 7.
    6. Measles
      1. Disease transmitted via highly contagious airborne droplets.
      2. Vaccine prevents high fever, malaise, cough, coryza, conjunctivitis, maculopapular rash 14 days later
      3. Vaccine doses are usually given from 12 mos -12 years of age.
    7. Mumps
      1. Disease is an airborne virus spread from coughing and sneezing.
      2. Vaccine prevents fever, headache, swollen salivary glands, muscle aches, fatigue.
      3. Vaccine doses are usually given from 12 mos -12 years of age.
    8. Rubella (German Measles)
      1. Viral disease that is spread through coughing and sneezing.
      2. Vaccine prevents causes fever, headache, pink eye, enlarged lymph nodes, cough, runny nose. Can cause stillbirth or birth defects if infected during pregnancy.
      3. Vaccine doses are usually given from 12 mos -12 years of age.
    9. Chicken Pox Varicella
      1. Viral disease that is contracted through air droplets or direct contact with rash.
      2. Vaccine prevents itchy rash, fever, tiredness, headache, or shingles in adults.
      3. Vaccine doses usually between 12 months and 6 years of age.
    10. Hepatitis A
      1. Viral disease spread through contaminated objects, food, drinks, feces, close contact.
      2. Vaccine prevents fever, fatigue, nausea, vomiting, abdominal pain, dark urine, diarrhea, joint pain, jaundice of skin, and eyes.
      3. Vaccine administered at 1 year old.
    11. Meningococcus
      1. Bacterial disease that is spread through saliva, coughing, or kissing.
      2. Vaccine prevents fever, headache, stiff neck, vomiting, photophobia, an altered mental status due to meningitis, sepsis.
      3. Vaccine administered to preteens at 11/12 years old and all teens 16 years of age.
    12. Pneumococcus
      1. Bacterial disease that is spread through respiratory secretions.
      2. Vaccine prevents fever, chills, cough, breathing difficulty, chest pain, meningitis, sepsis.
      3. Vaccine administered in series to infants, children and adults 65 years of age and older.
    13. Haemophilus influenza (Hib)
      1. Bacterial disease that is spread through respiratory droplets.
      2. Vaccine prevents ear infections, sinusitis, epiglottitis, pneumonia, and sepsis.
    14. Seasonal Influenza
      1. Viral disease that is spread through respiratory droplets.
      2. Vaccine prevents fever, cough, sore throat, body aches, headache, fatigue, pneumonia.
      3. Vaccine administered to everyone 6 months of age and older.

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Transcript

Today we’re going to be talking about Antimicrobial vaccinations.

 

In this lesson on antimicrobial vaccinations we will discuss pathogenic microbes in humans, the role of vaccines, examples of vaccinations and lastly the concept of herd immunity.

 

There are four main categories of microbes that are pathogenic to humans. Viruses, which are non-living, species specific, that require a host cell in order to replicate. Some common examples of viruses pathogenic to humans are hepatitis, chicken pox and whooping cough. Next up are bacteria, which are single-celled organisms that divide quickly, there are types with and without cell walls. Examples include tetanus (lock jaw)  and pneumococcus. Then we have the group of microbes that call fungi

 

These organisms are single-celled and multicellular. Their cell walls are made of chitin. Examples include athlete’s foot and yeast infections. And lastly there are the protists, These organisms can be single or multicellular and have a nucleus Examples of protists that are pathogenic are malaria, African sleeping sickness, amoebic dysentery and Giardiasis.

 

So in light of the idea that there are many microbes that can make humans sick, vaccinations came about to help prevent illness. Vaccines work through the  injection of a dead/attenuated version of the pathogen’s antigens. This triggers the immune system to create memory cells and begin antibody production through acquired immune response. Thus the primary role of vaccinations- is to expose immune system to antigens from pathogens in order to produce a faster and stronger immune response. This graph her shows the rate of antibody production after the initial exposure and then after the body’s secondary expose. You can see the rate of increase for the secondary exposure is faster and much stronger. SInce the immune system had intel on what the “bad guy” looked like the response time was much faster and much. much more powerful.  Consider the primary response is what occurs when a vaccine is administered in hopes for the body to be prepared should it ever be exposed to the real thing .

And lastly We are going to discuss the idea of herd immunity.  And this graphic does a nice job of visualizing vaccinations make a difference. So the top row shows a population in purple that are not immunized but are healthy, and with a few infected it spreads throughout the entire population over time ( the people in red). So the fewer people vaccinated the more people are likely to get sick. In the next row we have a population that only as a few immunized and the disease still spread the majority of the population. The last row has an initial population that is primarily vaccinated and overtime most of the disease is contained. This concept  helps protect those that are weak , vulnerable from being exposed in the first place.

So in review, vaccines are designed to prevent individuals from contracting a pathogenic microbe whether it is viral or bacterial. There are many examples of childhood vaccinations designed to keep us safe, from protecting us against viruses such as polio and chicken pox and bacterial infections like tetanus and pneumococcus. And lastly herd immunity means the more individuals that are vaccinated in a given population the safer our most vulnerable individuals are.

 

 

 

 

 

 

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Concepts Covered:

  • Documentation and Communication
  • Legal and Ethical Issues
  • Perioperative Nursing Roles
  • Cardiac Disorders
  • Emergency Care of the Cardiac Patient
  • Intraoperative Nursing
  • Microbiology
  • Communication
  • Fundamentals of Emergency Nursing
  • Preoperative Nursing
  • Basics of NCLEX
  • Medication Administration
  • Vascular Disorders
  • Upper GI Disorders
  • Urinary Disorders
  • Renal Disorders
  • Central Nervous System Disorders – Brain
  • Studying
  • Emergency Care of the Neurological Patient
  • Postpartum Complications
  • Liver & Gallbladder Disorders
  • Factors Influencing Community Health
  • Community Health Overview
  • Immunological Disorders
  • Integumentary Disorders
  • Male Reproductive Disorders
  • Pregnancy Risks
  • Prioritization
  • Childhood Growth and Development
  • Musculoskeletal Trauma
  • Terminology
  • Respiratory Disorders
  • Cognitive Disorders
  • Adulthood Growth and Development
  • EENT Disorders
  • Concepts of Population Health
  • Basic
  • Disorders of the Adrenal Gland
  • Disorders of the Thyroid & Parathyroid Glands
  • Tissues and Glands
  • Emergency Care of the Trauma Patient
  • Cardiovascular
  • Lower GI Disorders
  • Circulatory System

Study Plan Lessons

The Top 5 Things You Need To Know About Documentation 2 – Live Tutoring Archive
Ethical and Professional Standards for Certified Perioperative Nurse (CNOR)
Ventricular Dysrhythmias for Progressive Care Certified Nurse (PCCN)
Atrial Dysrhythmias for Progressive Care Certified Nurse (PCCN)
Hazardous Material Handling and Disposition (Chemo, Radioactive) for Certified Perioperative Nurse (CNOR)
Biohazard Material Handling and Disposition (Blood, Microbiology, Creutzfeldt-Jakob Disease) for Certified Perioperative Nurse (CNOR)
Function Within Scope of Practice for Certified Perioperative Nurse (CNOR)
Patient Communication Techniques for Certified Perioperative Nurse (CNOR)
Patient Confidentiality for Certified Perioperative Nurse (CNOR)
Patient Status Communication for Certified Perioperative Nurse (CNOR)
Conflict Management (Patient, Perioperative Team, Family) for Certified Perioperative Nurse (CNOR)
Patient Rights Advocacy for Certified Perioperative Nurse (CNOR)
Advanced Directive and DNR Status Confirmation for Certified Perioperative Nurse (CNOR)
Patient Privacy and Dignity Maintenance for Certified Perioperative Nurse (CNOR)
Caring Practices for Progressive Care Certified Nurse (PCCN)
Cardiac Labs – What and When to Use Them 2 – Live Tutoring Archive
02.08 Cardiac Catheterization & Acute Coronary Syndrome for CCRN Review
Nursing Care and Pathophysiology of Coronary Artery Disease (CAD)
Atenolol (Tenormin) Nursing Considerations
Metoclopramide (Reglan) Nursing Considerations
Atrial Fibrillation (A Fib)
Interventional Radiology
Nursing Care and Pathophysiology of Renal Calculi (Kidney Stones)
Renal Calculi for Certified Emergency Nursing (CEN)
Seizure Causes Nursing Mnemonic (VITAMIN)
Seizure Assessment
Medications to Prevent Seizures Nursing Mnemonic (Pretty Little Liars Forever)
Nursing Care Plan (NCP) for Postpartum Hemorrhage (PPH)
Meds for Postpartum Hemorrhage (PPH)
Postpartum Hemorrhage (PPH)
Restraints
Sexual Assault and Battery for Certified Emergency Nursing (CEN)
Forensic Nurse
Antimicrobial Vaccinations
Hb (Hepatitis) Vaccine
Sucralfate (Carafate) Nursing Considerations
Nursing Care and Pathophysiology for Peptic Ulcer Disease (PUD)
Gastrointestinal (GI) Bleed Concept Map
Oral Medications
Intubation in the OR
Access to Care
Community Health Nursing Theories
Health Promotion Model
Hypertension – Nursing care Nursing Mnemonic (DIURETIC)
Hypertension for Certified Emergency Nursing (CEN)
Hypertension (Uncontrolled) and Hypertensive Crisis for Progressive Care Certified Nurse (PCCN)
AIDS Case Study (45 min)
Nursing Care Plan (NCP) for Acquired Immune Deficiency Syndrome (AIDS)
Bed Bath
Nursing Care Plan for Testicular Torsion
Nursing Care and Pathophysiology for Testicular Torsion
Preeclampsia: Signs, Symptoms, Nursing Care, and Magnesium Sulfate
Protein (PROT) Lab Values
Magnesium Sulfate
Safety Checks
Legalities of Charting
Nursing Skills (Clinical) Safety Video
Prioritization
Patient Consent for Treatment for Certified Emergency Nursing (CEN)
Advance Directives
Mechanisms of Antimicrobial Agents
Healthcare-Acquired Infections: Central-Line-Associated Infections (CLABSI) for Progressive Care Certified Nurse (PCCN)
Cefdinir (Omnicef) Nursing Considerations
Growth & Development – Infants
Nursing Care Plan for Amputation
Amputation
Amputation for Certified Emergency Nursing (CEN)
Healthcare-Acquired Infections: Catheter-Associated Bloodstream Infections (CAUTI) for Progressive Care Certified Nurse (PCCN)
Nursing Care Plan (NCP) for Urinary Tract Infection (UTI)
Urinary Retention for Certified Emergency Nursing (CEN)
Causes of Anaphylaxis Nursing Mnemonic (Many Boys Love Food)
Anaphylaxis Nursing Interventions for Certified Perioperative Nurse (CNOR)
Hypoxia – Signs and Symptoms Nursing Mnemonic (RAT BED)
Radiation Safety for Nurses
Legal Considerations
Fall and Injury Prevention
Diagnostics Terminology
Procedural Terminology
Diagnostic Testing Course Introduction
Hydrochlorothiazide (Hydrodiuril) Nursing Considerations
Cardiac (Heart) Disease in Pregnancy
Needle Safety
Nursing Care Plan (NCP) for Incompetent Cervix
Incompetent Cervix
Pediatric Bronchiolitis Labs
Bronchiolitis and Respiratory Syncytial Virus (RSV)
Nursing Care Plan (NCP) for Bronchiolitis / Respiratory Syncytial Virus (RSV)
Risk Factors for Cholelithiasis Nursing Mnemonic (5-F’s)
Nursing Care and Pathophysiology for Cholecystitis
Altered Mental Status- Delirium and Dementia for Progressive Care Certified Nurse (PCCN)
Nursing Care Plan (NCP) for Dementia
Dementia and Alzheimers
Pain Management for the Older Adult – Live Tutoring Archive
Growth & Development – Late Adulthood
Geriatric: IV Insertion
Cataracts
Communicable Diseases
CPR-BLS (Basic Life Support)
Brief CPR (Cardiopulmonary Resuscitation) Overview
Adrenal and Thyroid Disorder Emergencies for Certified Emergency Nursing (CEN)
Addisons Assessment Nursing Mnemonic (STEROID)
Addisons Disease
The Customer Voice
Patient Education
Advocating For Your Patient
IV Infusions (Solutions)
Tips & Advice for Pediatric IV
Tattoos IV Insertion
Trauma Survey
Head Trauma & Traumatic Brain Injury
Nursing Case Study for Head Injury
Myocardial Infarction Nursing Mnemonic (MONATAS)
Streptokinase (Streptase) Nursing Considerations
02.13 Myocardial Infarction – Anterior Septal Wall for CCRN Review
GI Infections (C. difficile) for Progressive Care Certified Nurse (PCCN)
C. Difficile for Certified Emergency Nursing (CEN)
Nursing Care and Pathophysiology for Inflammatory Bowel Disease (IBD)
Urinary Tract Infection Case Study (45 min)
Phenazopyridine (Pyridium) Nursing Considerations
Common Pathogens for UTI Nursing Mnemonic (KEEPS)
Drawing Blood
Order of Lab Draws
Drawing Blood from the IV