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Injectables- moore
Question | Answer |
---|---|
must be balanced with food intake; check cap. blood sugar levels; when will pt. eat? Check for high and low glucose levels; different rates of absorption, peak, and duration with different types. | insulin |
anticoagulant, major side effect=BLEEDING; check lab values for partial thromboplastin time (PTT). Symptoms of bleeding gums, IV sites, urine and stool. | Heparin |
True or False you can handle the hub of a needle | true |
recommended when drawing medication from ampule | filter needle |
recommended dosage for subcutaneous injection | 0.5 to 1 ml |
is absorded the slowest | subcutaneous injection |
rate of absorption is influenced by various factors | age, medication, condition of site, etc |
recommended gauge: 25- 30 recommended length:3/8-5/8preferred needle length is 1/2 the width of the skin fold.( obese pt. might use 1 inch) | subcutaneous needle |
common SC drugs | insulin, heparin,allergy medication, calciman/forteo, lovenox, procrit |
deposits medication into deep muscle tissue | IM injection |
rapid drug absorption due to vascularity of muscle | IM injection |
absorbs within 10-30 min | IM injection |
able to administer up to 3-4 ml of medication into the well developed muscles. Children <2 years old- no more than 1 ml | IM injection |
longer and heavier gauge to penetrate deep muscle tissue average adult: 20-25 gauge (usual 21-23 gauge)viscous medication- 20 gauge | IM injection |
recommended when administering intramuscular injections | Z track |
reduce leakage of medication into the subcutaneous tissue | Z track |
to minimize pain/irritation by sealing medication in muscle tissue. | Z track |
what is the preferred IM site for adults and children over 7 months of age but safe for all | ventrogluteal |
preferred IM site for infants under 7 months | vastus lateralis |
what is the only site that is allow for Hep B vaccine? | deltoid |
was once the site of choice for IM injections in the past is not preferred now | dorsogluteal |
what technique is used if recapping is necessary | one handed recapping technique |
what to do if you stick yourself | follow institution policy clean the area with soap and water |