VI.

Medications GENERIC /TRADE NAME Anti-rabies vaccine ACTION Vaccination is the best way to protect against lifethreatening disease specifically rabies. Vaccines work by causing the body to produce its own protection (antibodies). INDICATION Rabies prophylaxis should be considered in clients who have been bitten by dogs, cats. CONTRAINDICATION Do not give repeated doses of rabies immunoglobulin once rabies vaccine is given as this may reduce the immunologic response to the vaccine. If IM injection is contra-indicated, injection may be given by SC with pressure and compress applied to site after injection. Tetanus toxoid This medication is given to provide protection (immunity) against tetanus (lockjaw) in adults and children 7 years or older. Vaccination is the best way to protect against lifethreatening disease specifically tetanus. Tetanus vaccine is usually used as a "booster" vaccine after the first series. Booster injections may be needed at the time of injury in older children and adults if it has been 5-10 years since the last tetanus vaccine was This medication should not be given to people who currently have an infection/illness. Mild fever, joint pain, muscle aches, nausea, tiredness, or pain/itching/sw elling/redness at the injection site may occur. Tingling of the hands/feet, hearing problems, SIDE EFFECTS Soreness at injection site, fever, chest or joint pain, dysphonia, tremor, dizziness, edema of the face, glossitis, buccal ulceration. NURSING INTERVENTION Get the vital signs Avoid IV administration, and IM injection into central region of gluteal area. Administer rabies immunoglobulin and vaccine in separate syringes and to different sites with different lymphatic drainage.

Get the vital signs Do not administer IV. Use subcutaneous route in bleeding disorders. Withhold vaccination in moderate or severe febrile illness and with the history of GuillianBarre syndrome.

Mefenamic acid

Vaccines work by causing the body to produce its own protection (antibodies). Analgesic

received. Booster injections should also be given every 10 years even if no injury has occurred Relief of moderate pain when therapy will not exceed 1 week.

trouble swallowing, muscle weakness, seizures. Contraindicated with hypersensitivity to mefenamic acid, aspirin allergy Headache, dizziness,insom nia, diarrhea, dyspnea, rash Advice client to take drug with food Advice client to take only the prescribed dosage and do not take the drug longer than 1 week.