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Case Study: Jeremy is an 18-month-old boy who had a splenectomy at age 12 months secondary to surgical removalof a ruptured spleen as a result of a fall down the stairs. He is currently in good health and has received allindicated childhood vaccines, including 4 doses of PCV13, the last given at age 15 months, 3 monthsafter his spleen was removed. Other family members are his mother, father, and a 4-year-old sister. Theparents plan to take their family to northern Nigeria for a 3 month stay to do missionary work. They areconcerned about appropriate vaccinations for the family prior to this trip.
Questions:
1. What advice would you give about vaccinating the family members against meningococcal disease?2. Do meningococcal vaccines potentially interfere with other vaccines?3. Meningococcal vaccination is indicated for travelers to which other countries?
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he technician estimates the next surgical procedure will take about 30 minutes. The patient will be on a 1L/min O2 flow. Should she change the tank? Why or why
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