(4) Observe the patient for progressive signs and symptoms of anaphylactic
shock. Immediately treat for anaphylactic shock if signs and symptoms indicate shock.
(a) Anaphylactic shock is an immediate emergency demanding
emergency intervention to prevent a patient's death.
(b) Anaphylactic shock is a life-threatening allergic reaction following
exposure to a substance to which the patient is allergic. Death may occur within
minutes to several hours due to respiratory failure brought on by edema or constriction
of the larynx and/or spasms of the bronchus, vascular collapse, and circulatory failure,
leading to coma and death.
(5) Observe for undesirable reactions. Whenever local or constitutional
reactions of unexpected severity or frequency, local infections, abscess formation that is
not traceable to errors in techniques of administration, or other significant
manifestations occur which may be due to the use of a biologic product, further
administration of the lot will be discontinued. Refer to your immediate supervisor.
l. Dispose of Equipment. Dispose of the needle and syringe in accordance
with local SOP. Most areas where immunizations are administered have special plastic
or cardboard devices for storing used needles and syringes. Place used needle and
syringe intact into the designated container.
m. Dispose of or Store Vial.
(1) Dispose of the vaccination vials in accordance with the clinic's SOP.
Containers of all living vaccines should be handled as infectious wastes. When these
items are discarded, they should be burned, boiled, or autoclaved.
(2) Store unused vaccine in accordance with the manufacturer's
instructions, clinic SOP, or regulations such as AR 40-562 or TB MED 114. If the vial
contains more than one dose, mark the date and time opened and your initials on the
label and place in refrigeration.
n. Perform a Patient Care Handwash. As always, perform a patient care
handwash after treating a patient.
o. Record Immunization.
(1) Record the date, dose, and immunization on the patient's Public Health
Service Form 731. Recording of this information should be done in accordance with AR