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Contraindications: Hypersensitivity, febrile illness and other acute infections, patient with
low immune response
Actual Dosage:
Adverse reactions: Local reactions (e.g., redness, swelling & pain with local
lymphadenopathy), tachycardia, hypotension, flushing, muscle pain, thrombocytopenia.
Nursing Responsilbilities:
• Observe the 12 rights in giving the medication.
• Monitor vital signs.
• Allow the patient to lie down to prevent vomiting.
• Educate the patient to increase fluid intake to prevent dehydration.
• Educate patient that pain and tenderness in the injection site may occur.
Actual Dosage:
Nursing Responsibilities:
• Observe 12 rights in giving the medication.
• Monitor vital signs.
• Monitor intake and output.
• Educate patient that pain and tenderness at injection site may occur.
• Educate patient to increase fluid intake.