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Parenteral DSON
Injections
| Question | Answer |
|---|---|
| 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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