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Injections
IM, ID, SC
| Question | Answer |
|---|---|
| Injection sites for subcutaneous | Back of arm, Abdomen, Upper back, Thigh |
| Injection sites for IM | Deltod, Ventrogluteal, Dorsogulteal, Vastus lateralis |
| Larger the gage # the... | smaller the needle |
| In ID the bevel should be | up |
| Inj on the abdomen should not be | within in 1 inch of the navel |
| Never touch pills you... | pour them into the bottle cap or med cup |
| IM inj in the deltoid is located | two fingerbreadths below the acromian process |
| Angles and needle sized for SC | pinch 2" 90*, pinch 1" 45*. 25-30g needle 5/16-1 inch needle |
| Angles and needle sized for ID | 15*, Bevel up, 25-27g needle, 1/4-1/2 inch needle |
| Angles and needle sized for IM | 90*, 21-23g needle, 1- (1 & 1/2) inch needle |
| Never aspirate with what two drugs | heparin & insulin |
| Remember for insulin only use what type of needle? | insulin |
| ID is commonly used for | TB & alergy testing |
| For deltoid never inj more than | 1cc, in all other sites 3 cc |
| In IM should you aspirate? | Yes..you must |
| If the solutin is irritating to the skin what method should you use? | Z track method for chemo drugs and iron |
| the line on the med cup is called what? | meniscus |
| Parts of a needle | Plunger, Barrel, Needle hilt, Needle, Bevel, Lumen, Shaft |
| After drawing meds from multi use vials what should you do? | change the needle |
| When reconstituting what steps should you do? | Recheck the order, is the drug in the correct form? Check directions for reconstitution on the drug label (choose the smallest volume), Five rights, When reconstituting drugs use correct diluent and correct strength. |
| Why is the Z-track or zigzaging used? | to administer meds that are irritating to subcutaneous tissue. |
| What is the perfered IM site? | Ventrogluteal |
| What is the most common IM injection? | Dorsogluteal |
| What is the perfered site for children? | Vastus lateralis |
| When are your 3 checks for medication? | -Check label when removing drug from drawer -Check drug when removing from container -Check label after medication is dispensed |
| Five Rights? | -Right drug -Right dose -Right client -Right route -Right time |
| Two ways to Identify client | Armband, state name, state birthdate |
| After administering all medicaitons: | wash hands, never recap dirty needles, document administration appropriately, evaluate response/document |
| Before administering ALL meds: | Check MAR against doctor orders, check for drug allergies, check for inconsistencies, calculate dose, assess vital signs, gather all equipment, wash hands, Identify clinet, explain procedure, wear gloves |
| Parts of a medication order: | Client full name, date & time taken, name of drug, dosage of drug, route of drug, frequency, signature of person writting the order |
| Standing orders or routine orders are carried out untill? | a prescriber cancels it. |
| Routes of medication Oral: | oral, sublingual (SL), buccal & enteral |
| Routes of medication Parenteral | Subcutaneous (SQ), Intramuscular (IM), Intravenous (IV), Intradermal (ID), epidural |
| Enteral means | directly into the stomach by way of a tube |
| Parenteral means | going outside of digestive tract |
| Routes of medication Topical or Mucus membrane | Skin, eye, ear, nose, throat, rectal, vaginal, |
Created by:
jessinms
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