OB POSTPARTUM CLINICAL

Generic Name Trade Name Classification Dose Route Time/frequency

adacel Tetanus/reduced vaccination 0.5ml IM offer
diphtheria toxoids and
acellular pertussis
vaccine (tdap)
Peak Onset Duration Normal dosage range
Unknown Unknown Unknown 0.5 ml IM x1

Why is your patient getting this medication For IV meds, compatibility with IV drips and/or
To protect the patient from possibly acquiring and solutions
passing on whooping cough to the infant. N/A

Mechanism of action and indications Nursing Implications (what to focus on)

(Why med ordered)
This vaccine increases a person's defenses against
pertussis infection and against the toxins produced
by tetanus and diphtheria bacteria. It works by
introducing very small amounts of bacterial and
toxin components into the bloodstream.
Contraindications/warnings/interactions
Monitor for signs of anaphalaxis.
Common side effects
Anaphylaxis, hypersensitivy rxn, brachial neuritis, gullain-
barre syndrome, CNS dz, demyelinating, mononeropathy
(peripheral & cranial) encephalopathy, pain at injection
site, headache, fatigue, muscle weakness, chills, arthralgia,
fever, nausea, rash.

Interactions with other patient drugs, OTC or Lab value alterations caused by medicine
herbal medicines (ask patient specifically) None known for this drug
None known for this patient

Be sure to teach the patient the following about this

medication
Client needs to be taught the signs of anaphylaxis, and
what to do in the even if they experience anaphylaxis.