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TYPE 3: IMMUNE COMPLEX (lungs (systemic corticosteroids, systemic…

- - - - pt has to be one year old to get vaccines
  - - - child benefits from mother's previous exposure
      - only lasts for a short period
      - baby doesnt produce B cells from past exposure
        
        still have to get vaccine for exposure
  - - - fight the pathogen while body is producing B cells
- - - - hepatitis B
  - - - tetnus
        
        once every 10 years unless hurt in 5 years
  - - - checks for immuntiy
        
        pregnancy
        
        german measles
  - - - HIV
    - - if they dont seroconvert, they are not safe from the disease. vaccine will be given again
- - - - influenza
  - - - correct ages
      - risks
  - - - where injection was given
      - can occur inup to 50% of pts
    - - fever in children
      - anorexia
      - rash
      - joint pain
      - fussiness (children)
    - - very rare - 1 in 10,000 pts
      - first exposure is mild rash
      - each exposure increases the symptoms toward anaphylaxis
- - - - look at WBC and differential
      - increased eosinophils (1-3%)
    - - (39-100 iu/mL
      - not allergen specific
      - can indicate if allergic response occured in body
    - - prick
      - intraderrnal
      - no lotion, no allergy meds prior to testing (2 weeks prior)
    - - bigger risk for systemic issue
      - pt will be instructed to keep food diary
      - pt has to stop eating selected food for 7-10 days
      - contraindicated if pt had anaphylactic response to a food
  - - - "allergy shots"
        
        continue for 5 yrs
      - body builds up immunity
      - THINGS THAT CANT BE AVOIDED
        
        pollen
        
        outdoors
- - - - head to toe assess pt
  - - - necrosis
- - - - exp date
        
        VIS date
        
        location given
        
        has to be documented
        
        are updated and you wanna have the most recent
        
        make sure vaccines are appropriate
- - - - commonly diagnosed in women ages 30-50 in non-ill population
        
        response may go away again
        
        may have allergy testing performed if symptoms are serious
      - perfumes
      - hair dyes