39 terms

pharmacology lab unit 13, pharmacology lab chapter 12, pharmacology chapter 10

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aspirate
to remove by suction. to pull back on the plunger of syringe to make sure your not in a blood vessel
assessment
systematic gathering and interpretation of data that relates to the patient
hematoma
a blood tumor, collection of blood
hemophilia
a hereditary blood disease
palpate
to feel, examining by means of touch
taut
tight, for example, pulling a persons skin taut
wheal
a slight elevation of the skin that can be produced as a result of an intradermal injection
seven rights of drug administration
1. right patient 2. right medication
3. right dose 4. right route
5. right technique 6. right time
7. right documentation
advantages of parenteral route
effective delivery when oral route is difficult or impossible
not altered by acids, not lost from vomiting
delivery of precise amount of medication to targeted area
disadvantages of parenteral route
risk of infection
allergic reactions
can cause injury
needle can strike bone
can cause a hematoma
guidelines for administering injections
adhere to the 7 rights
select correct needle/syringe unit
prepare supplies, medication, and patient
for SQ/SC and IM injection, use quick, dart like motion
aspirate
remove needle quickly and smoothly
observe patient for reactions
document properly
correct sites for subq
abdomen
upper thigh
upper arms
lower back
upper buttock
correct sites for IM
deltoid
vastus lateralis
ventrogluteal
dorsogluteal
correct sites for intradermal
inner forearm
middle of back
vastus lateralis / preferred for infants and children,
also used for adults/ site depends on age of patient
correct site for Z track method
dorsogluteal
special considerations when administrating insulin
never shake bottle
use correct insulin syringe
rotate sites
do not massage site
ensure insulins are compatible prior to mixing
a subcutaneous injection is given at an angle of
50 degree angle
an intramuscular injection is given at a
90 degree angle
the body areas used for an intradermal injection are
the inner forearm and middle of the back
what muscle is used for giving (adult) deep intramuscular injections
deltoid
common routes of injection
intravenous, intramuscular, subcutaneous
importance of awareness about allergies
observe for adverse reactions- remember a pt can become sensitized at any time.
always ask about allergies!
describe anaphylactic shock
dizziness, loss of consciousness, labored breathing, swelling of the tongue and breathing tubes, blueness of the skin, low blood pressure, heart failure, and death
identify parts of a needle and syringe
plunger, hollow tube, rubber bulb, hilt, hub, shaft bevel, lumen
describe types of syringes
TB, 3cc or 3ml, insulin, 5cc or 5ml
ampule
a small sterile, prefilled glass container used for single dose
MDV
multi dose vial
hypodermic
under or below skin
injectiion
the process of introducing a liquid substance into a body tissue, vein, artery, joint, or body
anaphylactic shock
an extreme often life-threatening allergic reaction to an antigen to which the body has become hypersensitive to
legal implications
you are accountable, you are an "agent" of the physician
seven right of drug administration
right patient, right drug, right dose, right route, right time, right documentation
essential medication guidelines
asepsis, allergy, confirm proper and understandable order, appearance, only you can handle drug for administration, shake, to pour liquids hold at eye level with label against palm
properly document drug administration
patient name, dob, medication and amount, route, comment about patients reaction, reason if not able to administer medication, NDC/lot # expiration date
agent
one who acts for another, a representative
allergy
an individuals hypersensitivity to a substance
meniscus
a term used to describe the convex or concave upper surface of a column of liquid in a container, crescent-shaped
opaque
dark not transparent
precipitate
a substance, in the form of fine particles, that separates from solution if allowed to stand for a period of time