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Parenteral DSON

Injections

QuestionAnswer
What are the different Parenteral Routes? SubcutaneousIntramuscularIntradermal
What are the disadvantages of Injections DisadvantagesMay be uncomfortableGreater potential for injurySurrounding nerves, blood vesselsMore invasive than oral routeInjectable forms absorb more rapidly than oral form
What must happen when using needles? Must remain capped until ready to use Must remain sterile at all timesAseptic technique must be maintained during all stages of preparation
What are syringes? Plastic and disposableVariety of sizesCalibrated in tenths of milliliters
What measurement are TB and insulin syringes calibrated to? Insulin syringe calibrated in unitsTB syringe calibrated in hundredths of tenthsBoth TB and Insulin syringes have capacity for only 1 ml
How to choose your equipment for an injection Viscosity of solutionThe thicker the solution the larger the gauge/lumen needle neededQuantity of solutionHow much solution will be added
What are disposals and where are they? In leak proof puncture-resistant container (sharps container)Located in every patient room, med room and med cart
How to avoid touching needle DO NOT Recap needle after giving injectionIf must recap use scoop method (last resort)
Ampule An ampule is a glass flask that contains a single dose of medicationAny unused medication is thrown out
Where is the ventrolgluteal site Located by placing the palm on the greater trochanter and the index finger toward the anterosuperior iliac spine and the middle finger pointed dorsally- palpating the crest of the ileum
IM injections Must rotate sites Preferred SitesVentroglutealVastus LateralisDeltoidDorsogluteal
IM complications AbscessesNecrosisSkin SloughingNerve injuries
SQ Injection Use small syringe 25- gauge 5/8 inch needlePinch or bunch skinInject at 45 -90 degree angleMassage gently EXCEPT for heparin and insulin
What are sq injections Subcutaneous medications are usually isotonic, non-irritating, non-viscous and water- solubleSome examples of subcutaneous medications EpinephrineInsulinAllergy medicationHeparin
Sites for SQ injections Upper outer arm, abdomen, anterior thigh, and upper backThe ventral or dorsogluteal area may be used but not common anymoreEquipment depends on medication to be givenGive no more than 1 mlMust rotate sites
Created by: ivanessa89
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