A child previously developed anaphylaxis after receiving a dose of a specific vaccine. The child is now scheduled for the same vaccine again. What is the safest nursing action?
Correct answer: C. Withhold it and refer for clinical assessment
- A. Administer it with an antipyretic beforehand
- B. Give half the dose by a different route
- C. Withhold it and refer for clinical assessment
- D. Give it only when the child has a mild fever
Explanation
A previous anaphylactic reaction to a vaccine or one of its components is a true contraindication to repeating that vaccine without specialist assessment. Antipyretics, dose reduction and changing the route do not prevent a serious allergic reaction.
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About Immunisation and EPI
Immunisation covers active and passive immunity, vaccine types, routine childhood schedules under Pakistan’s Expanded Programme on Immunization, administration routes and age-based timing. It also includes cold-chain maintenance, contraindications, adverse events following immunisation, missed doses and the distinction between vaccine protection and treatment of an established infection.
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