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PharmLab-Meds

Administration of Medications

QuestionAnswer
Needle gauges 18-30 - What happens as needle gauge goes up? The size of the needle decreases as the gauge increases. Gauge 18 has a larger diameter than a 30 gauge needle
Drawing up medications from multiple vials. 1. Make sure the meds are compatible with each other. 2. Inject air into both vials as necessary. 3. Draw up medication from multidose vial first, then the single dose vial.
Mixing insulin in one syringe. 1. Never shake insulin; roll it in the palms 2. Draw up the short acting first, then the long acting to prevent accidentally mixing long acting into the short acting insulin.
Needle gauges 18-30 - What happens as needle gauge goes up? The size of the needle decreases as the gauge increases. Gauge 18 has a larger diameter than a 30 gauge needle
SubQ injection - Site 1. outer aspect of upper arm 2. the abdomen (below costal margin to iliac crest. 3. anterior aspect of thigh 4. dorsogluteal area
SubQ injection - Absorption rate Fastest: abdomen Next: outer aspect of upper arm Next: thighs Slowest: upper ventral or dorsogluteal areas
SubQ injection - Equipment
Drawing up medications from multiple vials. 1. Make sure the meds are compatible with each other. 2. Inject air into both vials as necessary. 3. Draw up medication from multidose vial first, then the single dose vial.
Mixing insulin in one syringe. 1. Never shake insulin; roll it in the palms 2. Draw up the short acting first, then the long acting to prevent accidentally mixing long acting into the short acting insulin.
SubQ injection - Site 1. outer aspect of upper arm 2. the abdomen (below costal margin to iliac crest. 3. anterior aspect of thigh 4. dorsogluteal area
SubQ injection - Absorption rate Fastest: abdomen Next: outer aspect of upper arm Next: thighs Slowest: upper ventral or dorsogluteal areas
SubQ injection - Equipment Gauge: 25-30 Length: 3/8"-5/8" (but officially can be 1")
SubQ injection - Procedure Angle: 45-90 degrees Pinching: for skinny people and longer needle --> release pinched skin once the needle is in ** apply gentle pressure only (no rubbing) after injection ** rotate sites if frequent injections are necessary
IM injection - General - faster absorption than SubQ
IM injection - Sites 1. ventrogluteal site (trochanter + anterior superior iliac spine + V shape between index and middle finger) 2. Vastus Lateralis (especially for children and infants) - rule of thirds horizontal and vertical 3. Deltoid - acromion + 2" below
IM injection - Equipment Gauge: a) biological agents and aquaeous solution 20-25 b)oil based solutions 18-25 gauge Lgth: 5/8"-1 and 1/2" Vastus: 5/8"-1" Deltoid: 5/8"-1 and 1/4" (kids) 1 and 1/2" adults Ventrogluteal: 1 and 1/2"
IM injection - Procedure Amt: 1-4 mL, but 1-2 mL in deltoid - 72-90 degrees - Z track - new needle after med has been drawn up - aspirate - inject slowly and withdraw needle - release skin --> maybe light pressure, but no massaging
Eyedrops - Equipment 1. tissues to wipe afterwards 2. gauze with saline or cotton ball to clean the eye
Eyedrops - Procedure 1. Hand hygiene + gloves 2. patient looks at sg. at ceiling 3. lower the lower eyelid 4. apply the amt. of drops 5. pt. closes eyes (do not rub it) 6. apply gentle pressure on the inner canthus to prevent med from going into tear duct 7. remove glov
Eardrops - Equipment - gloves // tissue for pt. // cotton balls + NS to clean ears //
Eardrops - Procedure // prepare meds // pull ear up and back for adult, back for school age child, and down and back for infant // turn to unaffected site // administer drops but not on tympanic membrane //apply pressure on tragus to prevent med from tymp. membrane //5 m
Created by: csatlose
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