Immunization Cases A mother brings her 1-year-old
Immunization Cases A mother brings her 1-year-old into the clinic. The mother states the child has been cranky and teething, with a slight runny nose and a temp of 99.9. The child has received all required immunizations to date. Should the Nurse Practitioner give immunizations today? If not explain why, if yes what immunizations are due today? A mother brings her 6-month-old in for a routine visit. The child just finished a 10-day course of Amoxicillin for otitis media. On today’s exam, the ear is slightly injected with a normal light reflex and landmarks are visible. How should the NP proceed with this visit? If the NP is to give immunizations, what immunizations should be given? A father brings his 11-year-old son in for a primary care visit. The child has asthma and has his last attack 2 weeks ago, where here received a 5 day course of Prednisone 2 mg/kg/day. Currently he feels well and has no cough or wheezing. What vaccines, if any are due today? Should the NP give vaccines today, why o0r why not? Joseph is a 16 month old boy (DOB 6/15/2021) whose mother brings him for an initial well child visit. Per Joseph’s mother, his immunization record is not complete due to financial problems and he has no known allergies or history of previous adverse reactions to any vaccines. Provide a schedule for bringing Joseph up to date with his immunizations. State the date of first visit, which you can assume is October 7, 2022. State vaccines you would administer and all information required for the vaccines for the first visit. Then state the dates of any other visits required to update his immunization status and which vaccines you would administer for each visit. It is useful to label the number of vaccine when there is a series, such as Recombivax #2, and Recombivax # 3. Include major contraindications for each vaccine as you review the schedules. To date, there is documentation of: Recombivax HB: 6/15/2021 Pentacel, #1: 8/15/2021 #2: 11/7/2021 Date of visit Name of each vaccine to be administered Route and site of administration Amount to administer Major Contraindications For each of the following patients, identify the recommended immunizations in chart form. provide a brief list of travel advice too, which should include other medications that should be prescribed. Annie is a 41 year old woman who works for a nonprofit agency and will be traveling to Kenya in November 2022. She plans to stay for two months. Her travel will include a stop in Nairobi for several days and visits to multiple rural areas of the country. When she entered college in 1999, she was up to date on all required immunizations, including hepatitis B, tetanus, polio, MMRVZ. She has not had any immunizations since entering college. She is not pregnant. Include recommended immunizations for Annie and outline travel advice, including any medications she should be prescribed prior to her departure on November 29, 2020: Visit date Vaccine name Amount to be administered Site/route Specific contraindications Andy is a 56 year old male about to retire from investment banking. He has been looking forward to travelling after he retires and China is his first travel destination. He will tour much of the country during his two-month trip and will be staying with his business partner’s family for several nights in a more rural area. He plans to leave in early January 2023. Develop a plan to bring Andy “up to date” on immunizations in anticipation of his planned travel and include travel advice for his destination. Include any medications that should be prescribed prior to his departure. His last Td was in 2002. He completed the oral polio series in childhood. He had chicken pox at age 8 years and had measles, mumps, and rubella while growing up. He has had no hepatitis vaccines. Visit date Vaccine name Amount to be administered Site/route Specific contraindications
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