parenteral meds

  1. 8 rights
    • drug
    • dose
    • pt
    • route
    • time
    • document
    • response
    • reason
  2. parts of a syringe
    • plunger
    • barrel
    • tip
  3. sterile parts of a syringe
    • plunger
    • tip
  4. parts of a needle
    • hub
    • shaft
    • bevel
  5. sterile parts of a needle
    • shaft
    • bevel
  6. IM locations
    • deltoid
    • ventrogluteal
    • vastus lateralis
  7. Describe the deltoid location
    locate acromion process and inject 1-2 inches bellow
  8. what to avoid at deltoid injection
    • axillary, radial, brachial and ulnar nerves
    • brachial artery
  9. DELTOID
    med volume and degree
    • 2 mL or less
    • 90 degree
  10. vessles or nerves near ventrogluetal
    none really
  11. Ventrogluteal
    • prefeered safest
    • good for larger volumes over 2 mL
  12. Describe how to give ventrogluteal injection
    • - pt supine or lateral
    • - flex knee and hip
    • - place palm over greater trochanter
    • - use opposite hand of hip
    • - point thumb to groin
    • - index finger to anteriorsuperioriliac spone
    • - triangle between index and middle finger is injection site
  13. describe hopw to give an injection at vastus lateralis
    • -often for infants and children
    • above the knee and bellow the greater trochanter of the femur and the middle 3rd space in between
  14. IM Injections

    -length
    -gauge
    -angle

    • -5/8 - 1 1/2
    • - 21-23 or 18-25 max
    • - 90 degree
  15. air lock
    • -used only IM
    • -air bubble
  16. z track
    type of IM injection to keep the drug from leaking into sub Q tissue
  17. Subcutaneous sites
    • abdomen
    • upper arms posterior
    • thigh
    • upper back
    • posterior hips
  18. Sub-Q

    -volume of drug
    -length
    -gauge
    - angle
    • - 0.5-1.5 mL
    • - 3/8 - 5/8
    • - 25-30
    • - 45 degree or 90 degree
  19. Heparin
    • -done sub-q
    • - usualy abdomen
    • - pinch and inject
    • - no air
    • - blood coagulation tests
  20. insuin
    • given sub-q
    • - rotate sites
    • - short or quick
    • intermediate
    • - pre mixed
  21. Intradermal sites
    • chest
    • upper arm anterior and posterior
    • back
    • forarm
  22. Intradermal

    - Length
    - Gauge
    -Angle



    • - 1/4 - 1/2
    • - 26-27
    • - 15 degree
  23. Intradermal
    • inject slowly
    • bevel up
    • TB and allergy test
    • small bleb
  24. when to make sure and do bevel up
    when injecting at 15 degrees
  25. ampule
    • glass
    • use filtration needle
  26. vial
    use blunt needle or a regular small mL needle
  27. choice of syringe and needle depends on
    • route
    • type of fluid
    • volume of med
  28. TB syringe
    marked in 0.01 mL
  29. the larger the gauge
    the smaller the needle
  30. what to do when mixing meds from ampule and vial
    mix from vile first and then ampule to avoid contamination
  31. mixings meds from two vials
    • - only use 1 syringe
    • - aspirate air equivalent of first dose
    • - inject air into vial a
    • - aspirate air equivalent to vial B dose and inject to vial B
    • - flip vial b over and pull back required meds from vial b
    • - account for drug already in syringe and pull back needed amount from vial A
  32. how to select IM sites
    • type of meds
    •  - irritating to tissues or designed for slow   absorption use large muscles

    • Volume to be given
    •  - deltoid and vastus lateralis= small
    •  - Ventro gluteal= large
  33. mixing two types of insulin
    Nancy, Regan, RN
  34. TB skin test
    • -tb protiens injected
    • -if infected, hard swelling will develop in 48-72 hrs
    • -must measure size of reaction
    • -positive test is measured greater than 10mm and red
Author
ChelseaL
ID
337541
Card Set
parenteral meds
Description
parenteral meds
Updated