Organization of the lymphatic system

Discuss organization of the lymphatic system as well as innate and specific body defenses. (*co 1 and 2)
Understand the pathophysiology of inflammation and fever and recommended pharmacotherapies. (*co 1, 2, and 3)
Apply principles of vaccine administration when educating patients about recommended immunization schedules. (*co 2, 3, 4, and 5)
*tied to course objective (co)

Instructor’s Commentary
Clinical Scenario: A 14 month old child presents to the emergency room with a history of fever for two days and generalized malaise, the child has had no vaccines. What should be done? It is easy to look an answer on the Centers for Disease Control and Prevention (CDC) website, but not so easy to be faced with this ethical and possible legal situation with parents and their children. Vaccines can be a lifesaving preventative measure, but despite this knowledge, some parents fear the administration of vaccines.

In 2015, an Ontario boy was diagnosed with a life-threatening tetanus infection because he was never vaccinated. In 2017, there have been numerous Mumps outbreaks on college campuses across the nation and in New York State (NYS). According to the Centers for Disease Control and Prevention (CDC) (2017) there have been over 3,100 reported mumps infections. Most recently, an individual in the capital region of NY was diagnosed with Measles. The list of reportable disease related conditions due to lack of vaccinations can go on and on. Please know that as a registered nurse, you can contact the CDC to obtain training information on how to talk to parents about the importance of vaccines, immunization schedules, and other information for healthcare providers.

Adams, M. P., Urban, C. Q., & Sutter, R. E. (2019). Pharmacology. Connections to nursing practice (4th ed.). Pearson.
Centers for Disease Control and Prevention. (2017, June 6). Mumps cases and outbreaks.
CTV News. (2017). Unvaccinated child in Ontario develops dangerous tetanus infection.

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