syringes- what are male & female tapered end (look at ppt)
- 0.1 mL - 0.5 mL
Insulin syringes - which scale do you use?
Lower dose insulin syringes are used for patients receiving ___units or fewer than 100 units .
Tuberculin syringe - is the most _____ of doses ___ mL or less.
- accurate - 1mL
Prefilled syringes - are they disposable? - does it already have medication inside?
- advantage (3) & disadvantage?
- yes - yes
adv ( safe preparation time, less chance of contamination and medication errror)
dis ( cost more, volume of second medication limited. )
The needle has 3 parts?
1) Hub 2) shaft 3) Beveled tip
Gauge refers to the ____ (define)?
diameter of the hole inside the needle.
Use different needles for adult and ____ patients.
pediatric (Smaller gauges)
Needle gauge & length depends on the ___.
route of administration.
Syringes and needles must be___
Dispose used syringes and needles in ____.
This comply with ___ standards.
Parenteral dose has 3 containers?
1) Ampules 2) Vials 3) Mix o vials
Glass containers containing a single dose
glass containers containing one or more doses
Mix o vials
upper and lower (differentiate, what do they contain?)
Glass containers with one dose
Upper chamber containing solvent A lower chamber containing drug.
Equipments needed for parenteral administration? (5)
1) Drug in sterile sealed container 2) Correct syringe 3) Correct needle length & gauge 4) Antiseptic swab 5) MAR (Medication administration Record)
Procedure protocol? (6)
1) Hand hygiene 2) Seven rights 3) Check compatibility of drugs before mixing 4) Prepare drug in clean, well lit area 5) Use asepsis 6) Check expiration date
How to prepare a medication from an ampule? (6)
1) Shake the ampule (friction) 2) Cover ampule neck with sterile gauze or antiseptic swab 3) Break the neck 4) Use a filter needle to withdraw medication 5) Attach sterile needle using correct gauge 6) Administer
How to prepare a medication from a vial?
1) Cleanse the top of the vial 2) Pull plunger of syringe to fill with amount of air equal to the volume of the solution to be withdrawn (ex. insulin administration)
How to prepare a reconstituting (powder) medicaton from a vial? (5)
1) Withdraw measured volume diluent according to order required to diluent the powder.
2) Tap the vial to break up caked powder
3) Clean the rubber diaphragm with alcohol swab
4) Insert needle and inject diluent.
5) Mix throughly to dissolve poweder
How to prepare a medication from a mix- o- vial? (5)
1) tap the container a few times to break up the cake powder 2) Remove plastic lid protector 3) Push firmly on the diaphragm plunger 4) Mix gently by shaking gently 5) clean the rubber diaphragm and remove drug using syringe
What factors to consider when giving IM injections? (2) - Administer __ degree?
Age & muscle mass - 90 degree
Locate iliac crest anterior, superior iliac spine, gluteus, greater trochanter.
Sciatic nerve could also be found between ____ ___ & ___ ___ muscle, aside from the buttocks.
Between greater trochanter and rectus femoris muscle
What is the typical volume of medication usually used for IM injections? ___to __mL
1 mL or less is usually used in ___ patients.
0.5 to 2mL
Needles used? (IM gauge size?
one to one and a half inch 20 to 22
Site commonly used in infants (IM)
Sites commonly used in adults? (IM) (3)
(point where they are~!)
1) Gluteal area 2) deltoid 3) Vastus lateralis
- While administering in the deltoid muscle, do not exceed ___mL in volume.
Landmark for deltoid include the ___ and ___.
"practice on ur forearm!"
acromion process and axilla .
Z track method - which type of injection? - why is it performed? (2)
- do you want blood to come out? why?
- IM - For patients who needs multiple injections - so that medication wouldnt leak!
- yes, to make sure that we hit the muscle!
Define IV therapy?
Injection into the vein.
IV route is more effective when? (2)
- Large volume of fluid must be quickly administered. - Medication must be absorbed faster.
IV theraphy requires a written order from the __
Primary care provider /physician
The physician's order for IV must include (5)
1) Date 2) type of solution/medication 3) dosage 4) rate 5) frequency
Drugs can be administered continuous through infusion through two lines :
Peripheral and central IV line.
Advantages of IV therapy? (3)
1) Drugs can be administered directly from syringe injection into the vein.
2) Drugs can be administered continuous through infusion through two lines : Peripheral and central IV line.
3) More comfortable than IM , subcut injections! (painful)
Disadvantages of IV therapy?
1) Requires extended time to administer. 2) Requires a skilled health care provider to administer 3) Decrease patient's mobility 4) Increase of infection 5) Increase the possibility of severe adverse drug reaction (allergic) ---> FASTER REACTION
Large volume solution: - How much does one bag of solution usually contains? (mL)
100 to 2000mL
Principles of IV medication administration? (6)
1) know the purpose of the drug 2) know the 7 rights 3) Check compatibility of drugs 4) Use aseptic techniques 5) SASH method 6) Calculate drip rates properly.
SASH method? -define? - abbreviation
- Flushing method
- Saline antibiotic - saline heparin
Nursing responsibilities? 1) care of ___ and ___ __ 2) Change __ 3) Flushing___ 4) Discontinuing ___ infusion 5) Know which medication can be __ 6) Carefully check drug order for __ 7) Recommend rate of infusion for all ___ medications.
1) Care of sites and implanted ports 2) Dressings 3) Catheters 4) IV 5) infused 6) dose 7)IV
Type of catheters used?
Midline access catheters
Advantage of "Midline access catheters "? - where is it inserted? (two choices of vein) at ___fossa - Where is it placed?
- Lower rates of ___ -Less ___than central venous catheters.
- cephalic or basilic vein at the antecubital fossa. - Distal subclavian vein - Phlebitis - expensive
Monitoring IV therapy? (3 steps)
1) Assessment of site insertion 2) Procedures- flushing and administering meds 3) nursing intervention- discontinuing IV when it is needed.