Cau 45: Lich tiem chung vaccin o nuoc ta.

a/Vaccin BCG fong lao( vaccin song): Lieu luong 0,1ml tiem trong da cho tre so sinh or bat ki luc nao sau do.

b/Vaccin Sabin fong bai liet( vaccin song): Uong 2 giot luc tre so sinh va luc 2,3,4 thang tuoi.

c/DPH fong bach hau (vaccin giai doc to), ho ga(bat hoat),uon van( giai doc to): Tiem bap 0,5 ml luc 2,3,4 thang tuoi.

d/ Soi ( vaccin song): Tiem duoi da 0,5ml luc 9 thang tuoi or som nhat sau do.

e/ Viem nao Nhat Ban(vaccin bat hoat): Tiem duoi da 0,5ml voi tre em 1-5 tuoi. Tiem duoi da 1ml voi tre em lon hon 5 tuoi.

f/ Viem gan B( Vaccin tinh che): Tiem bap or duoi da 0,5ml voi tre em. Ng lon tiem bap 1ml.

Cau 46: Huyet thanh: Nguyen li va nguyen tac su dug.

a/ Nguyen li:

- Su dug huyet thanh la dua vaolf co the 1 nguon KT co san cua ng or dong vat lam cho co the co KT dac hieu chong lai tac nhan gay benh

B? Nguyen tac su dug:

- Doi tuong chi su dug cho nhung b.nhan nhiem Vi sinh vat gay benh or nhiem doc cap tinh can dua ngay KT trung hoa tac nhan gay benh. Ngoai ra con duoc dug de dieu tri thieu hut mien dich, di ung va du phong benh tan mau so sinh.

- Lieu luong: Tuy doi tuong va the trong b.nhan, tiem bap tu 0,1-1ml/kg

- Dg dua huyet thanh vao co the: Tiem bap.

- De fong: p/u fu tai cho la dau, man do. Toan than. Sot, ret run, kho tho, dau cac khop, nhuc dau, non, soc fan ve.

- Tiem vaccin foi hop nham kich thich co the tao ra mien dich chu dong thay the thuoc mien dich thu dong do tiem huyet thanh het hieu luc.

Cau 47: Tai bien khi tiem vaccin va huyet thanh...

a/ Tai bien:

-*/ Vaccin: Soc fan ve nhung ti le thap

*/ Huyet thanh: Nguy hiem nhat la soc fan ve gay kho tho do fu ne dg ho hap tren va co that thuc quan, ngua toan than, noi me day va ban ran khap ng, sung mat, dau bung va bi tieu.

- Ng nhan: Do co the fa ung voi cac thanh fan KN la or do co the sx KT chong lai globulin mien dich.

- Ngoai ra con co cac tai bien nhu viem cau than, viem co tim, van tim, viem khop do fuc hop KN -KT dog lai trog cac tieu d.mach

b/De fong: Hoi b.nhan da tiem hthanh lan nao chua vi tiem hthanh lan 2 ti le pu cao hon nhieu so voi lan 1.

- Lam pu thoat man trc khi tiem neu b.nhan bi di ung ma bat buoc fai tiem hthanh thi fai chia nho lam nhieu lan cah nhau 20-30 phut.

- Trong qua trinh tiem huyet thanh fai lien tuc theo doi de xu li hop li, kip thoi chuan bi day du cac dieu kien de xu li soc fan ve.