Tetanus Toxoid: CNS: Slight Fever Headache, Seizures

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Alam, Farhana S.

BSN III A
Tetanus Toxoid
Classification Dose/Frequency/Route Side Effects/ Adverse Reaction Nursing Responsibilities

 0.5 ml (adsorbed) IM 4-8 weeks apart for 2


doses; then give third dose 6-12 months
after second. Or, 0.5 ml (fluid) IM or SC 4-8 CNS: slight fever; headache, seizures,  Obtain history of allergies and
Vaccines and Toxoids
weeks apart for 3 doses; then give fourth malaise, encephalopathy reaction to immunization.
dose of 0.5 ml 6-12 months after third  Determine date of last tetanus
dose. CV: tachycardia, hypotension, flushing immunization.
 Keep epinephrine 1:1,000 available to
Brand/Generic Name Indications Musculoskeletal: aches, pains treat anaphylaxis
 Adsorbed form produces longer
Skin: erythema, induration, nodule at immunity. Fluid form provides quicker
injection site, urticaria, pruritus booster effect in patients actively
Tetanus toxoid, adsorbed
 Primary immunization to prevent tetanus immunized previously.
 Booster dose to prevent tetanus Other: chills, anaphylaxis  Document manufacturer, lot number,
Tetanus toxoid, fluid
 Postexposure prevention of tetanus date, and name, address and title of
person giving dose on patient record
or log.
 Alert: Don’t confuse drug with
Mechanism of Action Contraindications
tetanus immune globulin, human.
Both drug may be given in some
 Contraindicated in immunosuppressed situations.
Provides immunity to tetanus by
patients, in those with immunoglobulin
inducing antitoxin production.
abnormalities, and in those with severe PATIENT TEACHING
hypersensitivity or neurologic reactions to  Advise patient to avoid using hot or
toxoid or its ingredients. Contraindicated cold compresses at injection site; this
in patients with thrombocytopenia or may increase severity of local
other coagulation disorders that would reaction.
contraindicate I.M. injection unless  Instruct patient to report persistent or
benefits outweigh risks. severe adverse reactions.
 Use adsorbed form cautiously in infants or - Nursing 2006 Drug Handbook.  Advise patient of proper fever-
children with cerebral damage, neurologic 26th Edition, pp. 1067-1068 - reducing drug dose for fever reaction.
disorders or history of febrile seizures.  Tell patient that nodule at injection
 Postpone vaccination in patients with site may be present for a few weeks.
acute illness and during polio outbreaks,
except in emergencies.
Drug Study

Trade Name Dose/Frequency/Route Side Effects/ Adverse Reaction Nursing Responsibilities

Generic Name Indications

Classification Contraindications

Mechanism of Action
1. Tramadol 50mg amp 1am IVTT now then q8° with Tramadol
2. Ketorolac 30mg IVT
3. ATS 3000 (-)ANST
4. TT 0.5 mL (wag mo na to gwin.pero kung may time ka, gawan mo nlng ba. 2006 p kc ung drughandbuk gmit ko dti.pero ok lng tlagapag d ka na ngpalit.yan na un format.ung trade,
generic, classification.un second page.not un s tetanus.sample ko lng yan. Un case pres ko dti.)
5. Cefazolin gm now then 500mg IVT q8° (-)ANST
6. Mupirocin Ointment BID to affected area (abrasions)
7. Metoclopramide 10mg slow IV on call to OR
8. Nalbuphine 10mg slow IV on call to OR

Post-op meds

9. Aceclofenac? 100mg 1tab BID, PRN for pain


10. Paracetamol 500g
11. Metronidazole 500mg 1tab TID PO for 1week
12. Buscopan 10mg 1tab PRN PO
13. Cefalexine 500mg 1cap TID PO

Home Meds

14. Mefenamic Acid

Thank you!pag lhat mgawa mo, 100% pasado ka sa board.pag lesser, meaning mhihirapan ka konti.hehehe. LOL!thank you ulit! 

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