Vaccine anaphylaxis and treatment protocol?

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Vaccine anaphylaxis and treatment protocol?

The moment I saw this silly guy I thought for sure it was an insect bite to the face.  

The moment I saw this silly guy I thought for sure it was an insect bite to the face.  

Alas, he was having a reaction to a new vaccine he had been given.  The treatment given was injectable Dex and Benadry and this poor boy recovered just fine.  My question is do any veterinarians pre-treat for vaccine reactions when using The moment I saw this silly guy I thought for sure it was an insect bite to the face.  Alas, he was having a reaction to a new vaccine he had been given.  The treatment given was injectable Dex and Benadry and this poor boy recovered just fine.  My question is do any veterinarians pre-treat for vaccine reactions when using a new vaccine? As in new to the market or your clinic? The technicians were in a big tizzy at my clinic when a new Lepto vaccine was introduced.  We of course thought everything; especially small dogs with scary microscopic tracheas would acutely blow up like balloons due to our unfamiliarity of the vaccine.  This of course did not occur with any more frequency than other vaccine given for the first time.  What do you do in your hospital?

Comments

Anonymous

We only pretreat if there is
We only pretreat if there is a prior history of a reaction like this. You can even instruct owners to give oral benadryl at home prior to coming the appointment.

As for new vaccines or multiple vaccines that are due in one visit, we will often separate them out by a couple of weeks (owners pay for exam and all vaccines at the first visit and then they pop the pet back in for the other vaccines – can be a tech appointment as long as it is not rabies). This has appeared to cut down the incidence of angioedema patients drastically in our hospital.

All clients also get a hand out regarding what a vaccine reaction looks like at each vaccine appointment so that they don’t get too freaked out and are prepared when they happen.

Anonymous

We only pretreat if there is
We only pretreat if there is a prior history of a reaction like this. You can even instruct owners to give oral benadryl at home prior to coming the appointment.

As for new vaccines or multiple vaccines that are due in one visit, we will often separate them out by a couple of weeks (owners pay for exam and all vaccines at the first visit and then they pop the pet back in for the other vaccines – can be a tech appointment as long as it is not rabies). This has appeared to cut down the incidence of angioedema patients drastically in our hospital.

All clients also get a hand out regarding what a vaccine reaction looks like at each vaccine appointment so that they don’t get too freaked out and are prepared when they happen.

Anonymous

What a good idea with the
What a good idea with the pretreat starting at home. We usually pretreat them in the office and then they have to wait 15 minutes before we give the vaccine. Thanks Pankatz, I will pass this along to my doctors. 🙂

Anonymous

What a good idea with the
What a good idea with the pretreat starting at home. We usually pretreat them in the office and then they have to wait 15 minutes before we give the vaccine. Thanks Pankatz, I will pass this along to my doctors. 🙂

Anonymous

I agree to only pretreat if
I agree to only pretreat if there is a prior history of reaction. If one pretreated before a new vaccine on every pet, that’s a lot of pretreatment and waiting around to take effect. And anyway, doesn’t a hypersensitivity reaction occur on the second introduction of a substance? So you’d have to wait until next year…. While we’re on this, let me get in my little soapbox about lepto vaccines. Some are fearful of it for any small breed, some for only particular breeds such as dachsunds, etc – but lepto does exist out there, and just to stop vaccinating for it without a sound reason is leaving pets open to a disease that we are trying to eradicate.

Anonymous

I agree to only pretreat if
I agree to only pretreat if there is a prior history of reaction. If one pretreated before a new vaccine on every pet, that’s a lot of pretreatment and waiting around to take effect. And anyway, doesn’t a hypersensitivity reaction occur on the second introduction of a substance? So you’d have to wait until next year…. While we’re on this, let me get in my little soapbox about lepto vaccines. Some are fearful of it for any small breed, some for only particular breeds such as dachsunds, etc – but lepto does exist out there, and just to stop vaccinating for it without a sound reason is leaving pets open to a disease that we are trying to eradicate.

Anonymous

We were just discussing how
We were just discussing how rampant lepto is around here. It never used to be, now it’s one of our top “rule outs”. Vaccinate!

Anonymous

We were just discussing how
We were just discussing how rampant lepto is around here. It never used to be, now it’s one of our top “rule outs”. Vaccinate!

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