Med Admin

• 25-27 gauge
• 3/8- 5/8 inches long
• administer at 45-90 degree angle

• 1. When you reach for the container
• 2. Before you pour the medication
• 3. Before giving it to the patient

• 1. Right medication
• 2. Right dose
• 3. Right patient/client
• 4. Right route
• 5. Right time
• 6. Right documentation

1. Document on the Medication Administration Record

2. Document immediately following administration- never chart a med before administration

3. Include name of med, dose, route and exact time, record injection site

4. In nursing note explain if client refused med or was testing/procedure and missed the dose

5. Always document client response to med and any side effects

• 1. mouth
• 2. enteral route (directly into stomach/intestines)
• 3. sublingual
• 4. buccal

• 1. check presence of gag reflex
• 2. assess ability to swallow and cough
• 3. If unilateral weakness, place med in stronger side of the mouth
• 4. Prepare in easiest form to swallow
• 5. administer one pill at a time
• 6. avoid straws
• 7. thicken regular liquids
• 8. If aspiration severe, administer the med via an alternative route

• 1. Avoid when client has alterations in GI function, reduced motility, surgical resection
• 2. clients who are unable to swallow
• 3. oral meds can irritate GI tract and discolor teeth and hae an unpleasant taste
• 4. Unconsious/ confused client who is unable/unwilling to swallow or hold medication under the tongue
• 5. cant administer when clients have gastric suction.

• 1. Subcutaneous
• 2. Intramuscular
• 3. Intravenous
• 4. Intradermal

• 19-23 gauge
• 1-1/2 inch length for adult
• 1 inch for child
• needle enters skin at 90 degree angle
• Sites should be rotated if repeated dosage...record pattern

3 ml considered maximum

• Ventrogluteal: considered safest for adults
• Vastus Lateralis: leg, thick muscle
• Deltoid muscle: upper arm, not capable of absorbing large amount.. 1 ml only

Dorsogluteal: not recommended due to sciatic nerve

The Z-track IM is meant to decrease trauma on persons with decreased muscle mass. Indicated for elderly.

Use on all sites except the deltoid

• Skin is pulled to one side, med injected slowly, tissue is replaced once needle is withdrawn
• No massage needed

• abdomen
• back
• brachius
• thighs

• 26-27 gauge
• 3/8 - 5/8 needle length
• dosage less than .1 to .3 ml
• administer at 15 degree angle

Longest absorption time...for TB testing and allergy testing

IV fluids enter the subcutaneous tissue around the venipuncture site

There is swelling, pallor, and coolness

Extraversion: caustic substance leaks out of vessel into the tissue

Inflammation of the vein

There is pain, tenderness, warmth, and redness associated with it

Infection

• Avoid using needs when there are effective needless systems
• Plan safe handling and disposal before the procedure
• Never recap a used needle
• Safely discard in sharps container immediately after use

• Vagina/rectum
• skin application
• transdermal patch
• intraocular
• nasal and ear instillation
• inhalation

dose ordered divided by dose on hand multiplied by the amount on hand = amound to administer

Volume divided by time (minutes) multiplied by the drop factor = drops per minute