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Administration of Medications

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Question
Answer
show The size of the needle decreases as the gauge increases. Gauge 18 has a larger diameter than a 30 gauge needle  
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show 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.  
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show 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.  
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Needle gauges 18-30 - What happens as needle gauge goes up?   show
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show 1. outer aspect of upper arm 2. the abdomen (below costal margin to iliac crest. 3. anterior aspect of thigh 4. dorsogluteal area  
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SubQ injection - Absorption rate   show
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SubQ injection - Equipment   show
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show 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.  
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Mixing insulin in one syringe.   show
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SubQ injection - Site   show
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show Fastest: abdomen Next: outer aspect of upper arm Next: thighs Slowest: upper ventral or dorsogluteal areas  
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SubQ injection - Equipment   show
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show 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  
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IM injection - General   show
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IM injection - Sites   show
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IM injection - Equipment   show
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show 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  
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show 1. tissues to wipe afterwards 2. gauze with saline or cotton ball to clean the eye  
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Eyedrops - Procedure   show
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show - gloves // tissue for pt. // cotton balls + NS to clean ears //  
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show // 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  
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