Summary NR 603 week 3 case study.docx NR 602 Immunization Case Study Assignment NR 602 Immunization Case Study Assignment The purpose of this paper is to answer the questions for each case study scenario and to learn the recommended vaccination schedule, con

NR 602

Immunization Case Study Assignment



NR 602




Immunization Case Study
Assignment


The purpose of this paper is to answer the questions for each case study scenario and

to learn the recommended vaccination schedule, contraindications to vaccines, and how to

address aversion to vaccines.


Case
#1

Vaccine(s) due and
why

This newborn should receive the hepatitis B within 24 hours of birth. The

Advisory Committee on Immunization Practices (ACIP) recommends that all medically

stable infants weighing greater than 2,000 grams receive 0.5 ml the first dose of the

hepatitis B vaccine to prevent spread of Hepatitis B infection. (Center for Disease

Control and Prevention, 2020).

Mother Positive for
Hepatitis B

If the newborn’s mother tests positive for hepatitis B then the newborn should be

administered 0.5 ml of the first dose of the hepatitis B vaccine and 0.06ml/kg/dose of

hepatitis B immune globulin (HBIG) within 12 hours of birth. When the child is age 9 to 12-

months-old, they should be tested for hepatitis B antigens. If the hepatitis B series is delayed,

, then the child should be tested 1 to 2 months after final dose. (Center for Disease Control and

Prevention,

20
20)
.

Mother's Hepatitis B status
unknown

If the mother’s hepatitis B status is unknown, then the newborn should receive 0.5 ml of the

first dose of the hepatitis B vaccine within 12 hours of birth. Attempt to determine mother’s

hepatitis b antigen status as soon as possible. (Center for Disease Control and Prevention,

2020).



Case
#2

Vaccines due at this visit

This 2-month-old should receive 0.5 mL of the second dose of the hepatitis B vaccine, 1.0

ml of the first dose of the Rotarix rotavirus vaccine orally, 0.5 ml of the first dose of the

diphtheria, tetanus & acellular pertussis (DTaP) vaccine, 0.5 ml of the first dose of the

Hemophilus influenzae type b (Hib)vaccine, 0.5 ml of the first dose of the pneumococcal

conjugate (PCV13) vaccine, and 0.5 ml of the first dose of the inactivated polio virus (IPV)

vaccine. (Center for Disease Control and Prevention, 2020).

Return visit and vaccines due at next visit

This child should return in 2 months for 1.0 ml of the second dose of Rotavirus, 0.5 ml of the

second dose of DTaP, 0.5 ml of the second dose of Hib, 0.5 ml of the second dose of PCV13

and

0.5 ml of the second dose of IPV vaccines. (Center for Disease Control and Prevention, 2020).