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pn2010day

Medication Administration

QuestionAnswer
Intradermal (ID) Shots Use? 1 mL Tuberculin Syringe; 25-26 Gauge with 3/8th inch intradermal bevel. (more Blunt)
Subcutaneous (Subcut) Injections Use? 1 - 2 mL Syringe; 5/8 to 1 inch needles (any more than 1 mL of medication and it will usually be split into two or more shots)
Ventrugluteal Area The Hip
Dosoglueteal Area The butt
Deltoid Area Upper Arm (No more than 1mL medication)
Rectus Femoris Area Inside Thigh (Infants and Toddlers only unless absolutely necessary)
IVPB - IV Piggyback Bags of IV fluid w/separate tubes attached to a current IV
Shots Entry Angle? Intradermal - almost parallel to skin; Subcutaneous - 45 - 90 degree angle; IM (Intramuscular) - 72 - 90 degree angles
IM (Intramuscular) Shots 2 - 3 mL syringes; 1 - 1 1/2 inch, 20-22 G needles
Vastus lateralis Outside thigh
PICC Percutaneous Intravenous Central Catheter
Central Line Intravascular Device inserted in the Superior Vena Cava
Official Name The name identified in the USP or NF or Canadas Health Publications
Chemical Name Scientific term that describes the "chemical" makeup of a drug. EX: N-actyl - p - amino phenol
Trade Name Selected by a specific companyEX: Advil, Tylenol
Idiosyncracy A reaction that is different than expected
Generic Name General Name given to a drug that can be made by any company EX: Ibuprofen
Factors that influence drug actions: Age, weight, sex, disease
Mg milligram
Drug Names Chemical; Generic; Trade name and Official
G Gram
Kg Kilogram
BID Twice a Day
TID Three Times A Day
Meq Milliequivalent
PC After Meals
Mcg Microgram
mL MiliLiter
S/S Sliding Scale
AC Before Meals
HS At Bedtime
IM Intramusculary
Subcut Subcutaneous
PR Rectally
q2hr every two hours
PRN As needed
Lb Pound
Intradermal Shots Use 1 mL Tuberculin Syringe; 25-26 Gauge with 3/8th inch intradermal bevel. (more Blunt)
Subcutaneous Injections Use? 1 - 2 mL Syringe; 5/8 to 1 inch needles (any more than 1 mL of medication and it will usually be split into two or more shots)
Ventrugluteal Area The Hip
Dosoglueteal Area The butt
Deltoid Area Upper Arm (No more than 1mL medication)
Rectus Femoris Area Inside Thigh (Infants and Toddlers only unless absolutely necessary)
IVPB - IV Piggyback Bags of IV fluid w/separate tubes attached to a current IV
Shots Entry Angle? Intradermal - almost parallel to skin;Subcutaneous - 45 - 90 degree angle;IM (Intramuscular) - 72 - 90 degree angls
IM (Intramuscular) Shots 2 - 3 mL syringes; 1 - 1 1/2 inch, 20-22 G needles
Vastus lateralis Outside thigh
PICC Percutaneous Intravenous Central Catheter
Central Line Intravascular Device inserted in the Superior Vena Cava
Official Name The name identified in the USP or NF or Canadas Health Publications
Chemical Name Scientific term that describes the "chemical" makeup of a drug. EX: N-actyl - p - amino phenol
Trade Name Selected by a specific companyEX: Advil, Tylenol
Idiosyncracy A reaction that is different than expected
Generic Name General Name given to a drug that can be made by any company EX: Ibuprofen
Factors that influence drug actions: Age, weight, sex, disease
Mg milligram
Drug Names Chemical; Generic; Trade name and Official
G Gram
Kg Kilogram
BID Twice a Day
TID Three Times A Day
Meq Milliequivalent
PC After Meals
Mcg Microgram
mL MiliLiter
S/S Sliding Scale
AC Before Meals
HS At Bedtime
IM Intramusculary
Subcut Subcutaneous
PR Rectally
q2hr every two hours
PRN As needed
Lb Pound
What are the six rights? Right: Client, time, medication, route, dose, and documentation
Parenteral medication administered into any part of the body other than by way of the gastro intestinal Tract
PO By Mouth
Psychological Dependency Minds desire compulsion or craving to use drug
Physical Dependency Physical withdrawal symptoms
half-Life The time required for the body to eliminate 50% of the drug
Pharmacokinetics What happens within the body after the drug is administered
Drug classification Categories Prescription; Non-Prescription;Controlled Substance
5 Types of Pharmacokinetics Absorbtion; Distribution; Metabolism; Excretion; half-life
Distribution The carrying of the drug and dropping it at a specific body's spot.
Absorption The process by which a drug is made available for use in the body
Metabolism How the body transforms a drug into a form that can be excreted
Excretion The elimination of a drug from the body
Sublingual Under the tongue
Transligual On the tongue
ODT Orally Disintegrating Tablet
Buccal Medication placed between the cheek and the gums
Gastric Tube Medication comes directly through the NGTube
Rectal medication in a Suppository given rectally
Therapeutic Effect Drugs Desired Effect
Adverse Effect unintended Response
Serious Adverse Effect Potentially Fatal Side Effects
Anaphlaxis Severe, immediate life threatening allergic reaction
Medication Toxicity Increased blood level of medication beyond its therapeutic level
Paradoxical Effect Response is opposite of what is desired
Potentiation Effects of two drugs together are greater than the two should be when added together
Systemic Effects Drugs absorbed into the bodies general circulation
Local Effect Limited to the area of application
Enteral Medication administered by way of the digestive tract.
Dorsogluteal Administration Butt (lay on side w/knees bent; lay on stomach w/toes pointed in)
lipodysrtrophy Areas of tissue atrophy and identation
Administration Sterile Equipment
Syringe Sizes 0.5 to 100 mL capacity
Three parts of a syringe Tip; Barrel; Plunger
Types of tips Cath Tip; Luer Lock
Cartridges Contain premeasured amounts of medication; inserted into reuseable holder that contains plunger
Needles Parts Hub; Shaft; Beveled tip
Gauge (G) The larger the number, the smaller the gauge
Lengths of needles 3/8 - 1 1/2 inches
Where do you ALWAYS dispose of a needle? In the Red Sharps Container
What is the Lumen of the needle and what does it determine? The lumen is the hole an it is how the Gauge is determined.
The bigger the bevel the ___________ the gauge? Smaller
TB tests and Allergy tests would use which kind of injection? Intradermal
What is a diluent? Liquid solution used to reconstitute injectable medications that have been prepared as powders.
What are the two most common diluents? Sterile Water and Sterile Normal Saline
Why must you deliver a newly mixed injection quickly? medications mixed with diluents detiorate very quickly.
Ampule Glass Container that holds a premeasured single medication dose
Vial Glass container equippes with a self-sealing rubber stopper.
Vial come in two forms: Single-dose Vial and multidose vial
Label multi-dose vials with? Time, Date and initials on the "first use" only
Swab the top of the vial with? Alcohol, be sure to let it dry
When drawing from an ampule follow these steps: 1) tap or swirl all medication out of the top of the ampule; 2) Wrap the top of the ampule with gauze or such.; 3) Break at break point away from you; 4) draw medication out using a "Filtr Needle"; 5) Switch to a normal needle before administering
When drawing from a vial, what do you do after swabbing the top with alcohol? Inject the amount of air that coincides with the amount of medication you will withdrawal; ie if you will draw 0.3 mL you would inject 0.3 mL of air into vial before drawing the meds
What are the sterile parts of a syringe and needle? The Barrell, shaft of needle, Tip of needle, Lumen of needle and the plunger
What is not sterile on a syringe and needle? The needles hub, and the plunger after filling the syringe
When would you recap a needle? Only Only Only after filling
Do Not _________ The Needle After Administering the shot. Recap
When Recapping the needle use the ___________ method? Scooping
If a client is recieving shots on a regular basis what is it important to do? Rotate the injection Sites
What would we give Subcut injections for? Insulin, Heparin and Allergy injections
Which is more vacsular; muscle or fat? Muscle
What gauge needle would you use for subcut injections? 25 Gauge
Anergic Absence of ability to generate a sensitivity reaction
What are you looking for in a ID diagnostic test? Induration(Hardness) and Erythema(redness)
How do we clean the injection site? Circular motion from site out
When doing an ID shot, do you want the bevel up or down? Up
When would you not aspirate on an injection? Never with a blood thinner
What is special about an insulin syringe? They ALWAYS have an orange cap
What is the process for drawing a short acting and a long acting insulin together? Put air into long acting (cloudy) soulution first then put air in short acting (clear). Draw up the short acting (clear) then draw up the long acting (cloudy)
Why the precautions for the dual insulin draw? If short acting insulin gets in the long acting it is ok because you can not lengthen it any more, but if you get long acting into the short acting it could possibly make it last longer and that negates the purpose and can be life threatening.
Can all insulins be mixed? No there are some today that can not be mixed either way so be sure to check your label.
When drawing the long acting/cloudy insulin, what should you do to the bottle first? Roll the vial between your two hands to mix it.
What makes the insulin syringes different from all others, besides the smaller size? They always have an orange cap and they are marked in units instead of mL.
What is the Z-Track Method? Taking the skin to the side away from the injection site so that when you are thru with the injection and you let the skin go it covers the injection hole up so less of the medication is able to expel upward into the fatty tissue and the skin
If a c;ient recieves frequent IM injections, what must you note on the MAR? What site was used each time so that you can make sure to rotate the sites
S/S sliding scale is used for what To determine how much insulin to give based on the blood sugar level
How is a Luer Lock syringe used The needle screws on to these
How is a Cath Tip syringe used? These are used to put fluids into a catheter or tube.
What is the "bump" in a ID injection referred to as? The Wheal
What are the 5 most common sites for a Subcut injection? Left and Right Upper Thighs (rectus femoris), Left and Right Outer Arms between elbow and shoulder (Deltoids) ahd abdomen above belly button
Created by: 1078380780
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