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Injections

IM, ID, SC

QuestionAnswer
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 on 2004-09-27



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