My own personal opinion: When the denominator in the equation becomes "High Risk Area", that pretty well removes the options. (Even though they say the vaccine does not protect against all the different strains of Lepto...) I would premedicate before the vaccine is given, 20 minutes after premedication, give the vaccine and then hang out there for half an hour....anaphylactic reactions occur within minutes....now you may have site reactions later, or lethargy, or some nausea/diarrhea or whatever, within 36-48 hours...but the death inducing reactions will occur immediately, if they are going to happen, it will happen while you are in the office. |