DRUG NAME MECHANISM OF INDICATIONS CONTRAINDICATIONS ADVERSE EFFECTS NURSING CONSIDERATIONS

ACTION
Generic Name: Simultaneous  Hypersensitivity Body as a Whole BEFORE ADMINISTRATION:
The measles, vaccination against  Pregnancy Panniculitis; atypical -Assess for contraindications or cautions.
Measles, Mumps, mumps, and rubella measles, mumps,  Anaphylactic or measles; fever; syncope; -Perform physical assessment to determine
and Rubella Virus vaccine contains live and rubella in anaphylactoid reactions headache; dizziness; baseline status
Vaccine Live attenuated individuals 15 to neomycin malaise; irritability. -Evaluate the range of motion of the extremity
(weakened) forms of months of age or  Febrile respiratory illness Cardiovascular System to be used for vaccine administration
the measles, mumps, older. or other active febrile Vasculitis. -Assess tissue perfusion to establish baseline
Brand Name: and rubella viruses. Digestive System DURING ADMINISTRATION:
infection.
 M-M-R II The vaccine works Pancreatitis; diarrhea; -Do not use to treat acute infection
 Patients receiving
by stimulating our vomiting; parotitis; nausea. -Do not administer if the patient exhibits sign of
immunosuppressive
Available form: immune system to Endocrine System acute infection or immune deficiency
therapy
Single-dose vial produce antibodies Diabetes mellitus. -Do not administer if patient has received blood,
 Individuals with blood
containing at least (proteins which will Hemic and Lymphatic blood products or immune globulin within the
dyscrasias, leukemia,
1,000 tissue culture fight and kill the System last 3 months
lymphomas of any type,
infective doses viruses against the Thrombocytopenia -Arrange for proper preparation and
or other malignant
(TCID50), 20,000 measles, mumps, and purpura; regional administration of the vaccine; check on the
neoplasms affecting the
TCID50 of mumps rubella viruses). lymphadenopathy; timing and dose of each injection
bone marrow or
strain, and 1,000 leukocytosis -Maintain emergency equipment on standby
lymphatic systems.
TCID50 rubella virus Immune System including epinephrine
per 0.5-mL dose  Primary and acquired
Anaphylaxis and AFTER ADMINISTRATION:
immunodeficiency states,
anaphylactoid reactions -Arrange for supportive care and comfort
including patients who
Usual Dosage: such as angioneurotic measures for flu-like symptoms and for
are immunosuppressed in
edema bronchial spasm injection discomfort
0.5 mL subcutaneous association with AIDS or
Musculoskeletal System -Do not administer aspirin to children for the
other clinical Arthritis; arthralgia; myalgia treatments of discomforts associated with
manifestations of Nervous System immunizations
infection with human Encephalitis; -Provide thorough patient teaching, including
immunodeficiency encephalopathy; measles measures to avoid adverse effects, warning
viruses inclusion body signs of problem and need to keep record of
encephalitis. immunizations
subacute sclerosing -Provide a written record of immunization,
panencephalitis including the need to return for booster
Guillain-Barré Syndrome immunizations and timing of the boosters
acute disseminated -Monitor patient response to the drug
encephalomyelitis -Monitor for adverse effects
(ADEM); transverse -Evaluate the effectiveness of teaching plan
myelitis; febrile -Monitor the effectiveness of comfort measures
convulsions; afebrile and adherence to the regimen
convulsions or seizures;
ataxia; polyneuritis;
polyneuropathy; ocular
palsies; paresthesia
Respiratory System
Pneumonia; pneumonitis
sore throat; cough; rhinitis.
Skin
Stevens-Johnson
syndrome; erythema
multiforme; urticaria; rash;
measles-like rash; pruritis.
Local reactions including
burning/stinging at
injection site; wheal and
flare; redness (erythema);
swelling; induration;
tenderness; vesiculation at
injection site; Henoch-
Schönlein purpura; acute
hemorrhagic edema of
infancy
Special Senses — Ear
Nerve deafness; otitis
media. Special Senses —
Eye
Retinitis; optic neuritis;
papillitis; retrobulbar
neuritis; conjunctivitis.
Urogenital System
Epididymitis; orchitis
 DRUG NAME MECHANISM OF INDICATIONS CONTRAINDICATIONS ADVERSE EFFECTS NURSING CONSIDERATIONS
ACTION
Generic Name: Immunization  History of severe allergic  CNS: Headache, fever. BEFORE ADMINISTRATION:
A live attenuated against chicken reaction to any -Assess for contraindications or cautions.
varicella virus vaccine that acts pox infection in component of the vaccine  Hematologic: Mild -Perform physical assessment to determine
vaccine against both adults and children (including neomycin and thrombocytopenia. baseline status
chickenpox and ≥ 12 months of age gelatin) or to a previous -Evaluate the range of motion of the extremity
Brand Name: shingles, both of dose of varicella vaccine.  Skin: Redness, swelling, to be used for vaccine administration
Varivax which are caused by  Primary or acquired or rash at injection site. -Assess tissue perfusion to establish baseline
Varicella zoster immunodeficiency states. DURING ADMINISTRATION:
Available form: infection.  Any febrile illness or  Other: Herpes zoster -Do not use to treat acute infection
Suspension for active infection, infection (rare). -Do not administer if the patient exhibits sign of
injection including untreated acute infection or immune deficiency
(approximately 0.5- tuberculosis. -Do not administer if patient has received blood,
mL dose) supplied as  Pregnancy blood products or immune globulin within the
a lyophilized vaccine last 3 months
to be reconstituted -Arrange for proper preparation and
using the administration of the vaccine; check on the
accompanying sterile timing and dose of each injection
diluent. -Maintain emergency equipment on standby
including epinephrine
Usual Dosage: AFTER ADMINISTRATION:
-Arrange for supportive care and comfort
0.5 mL subcutaneous, measures for flu-like symptoms and for
followed by 0.5 mL injection discomfort
subcutaneous 4-8 wk -Do not administer aspirin to children for the
later treatments of discomforts associated with
immunizations
-Provide thorough patient teaching, including
measures to avoid adverse effects, warning
signs of problem and need to keep record of
immunizations
-Provide a written record of immunization,
including the need to return for booster
immunizations and timing of the boosters
-Monitor patient response to the drug
-Monitor for adverse effects
-Evaluate the effectiveness of teaching plan
-Monitor the effectiveness of comfort measures
and adherence to the regimen