Ch 35 - Med Admin Flashcards
Intradermal Injection
Locations, max amount
- inner lower arm
- upper chest
- back beneath scapulae
0.1 mL
Intradermal: Gauge, Needle Length, Degree
25-27 gauge
1/4 - 5/8 in length
5-15 degree
TB syringe
Subcutaneous Injection
Location, max amount
- upper ams
- anterior thigh
- abdomen
- scapular area of back
- upper ventrogluteal
- dorsogluteal
(at least 2in from umbilicus, above iliac crest level)
0.5 - 1 mL
ventrogluteal landmark
position: put patient on side, knees bent place
- heel of hand on the Greater Trochanter (GT)
- index finger on Anterior Superior Iliac Spine (AS IS)
- middle finger ilium crest (posterior)
(Left hand on right hip, Right hand on left hip)
preferred for IM injection, can be used for subcutaneous
Vastus lateralis landmark
Between
- Greater Trochanter (GT)
- Lateral Femoral Condyle
divide into 1/3 and choose middle
Subcutaneous: gauge, needle length, degree
25 gauge (or smaller)
30 gauge = insulin
Normal weight
- 5/8 in needle, 45 degree angle
- 3/8 in needle, 90 degree angle
Standard Insulin administration
subcutaneous, abdomen or upper arms
30 gauge, needle 4-6 mm (shorter)
administration of lovenox
subcutaneous injection, has a small amount of air that also gets administered
Intramuscular amount
max 3mL in gluteus medius & gluteus maximus, well developed (1-2mL, less developed muscle)
deltoid: 0.5-1mL
Intramuscular needle gauge/length
gauge: 21-22
Viscous solution: 20g
Typical length: 1.5 in
Obsese: 2 in needle
Emaciated: 1 in needle
what type of needle is commonly used for deltoid intramusclular?
Gauge: 23-25
Length: 1 in
Vastus Lateralis Site
recommended for IM infants and young children
adult: divide area into 3
greater trochanter of the femur and the lateral femoral condyle, select the middle
sitting or laying position
(outer thigh)
rectus femoris site
occasionally for IM injections
anterior part of the thigh, used for people who administer their own injections
deltoid site
triangle 2 in below the acromion process and the top of the axilla line
what is an intermittent infusion?
“piggyback” secondary set
50-100mL, regular intervals (ex. q 4hrs)
topical medication types (body locations)
eye, external ear canal, nose, vagina, and rectum
percutaneous
route of absorption through the skin topical medication
transdermal patch location
trunk, lower abdomen, side, lower back, or buttocks
don’t shave hair, just trim
how many mL is 8 ounces?
8 oz = 240 mL
where do you administer ophthalmic medication?
lower conjunctival sac (bottom eyelid)
put pressure on the nasolacrimal duct
How are otic medications administered?
Adult: pinna up/back
Child: pinna down/back
remain in side lying position for 5 minutes
Vaginal suppository (insertion)
empty bladder
index finger, lube, 8-10cm posterior vaginal wall
applicator, 5 cm
stay lying for 5-10minutes
Rectal Medication (advantages, position, insertion)
- avoids upper GI tract irritation
- bad tasting/odor of med
- drug release slow and steady
- higher bloodstream levels because it doesn’t go through liver (venous blood)
position: left lateral/sim’s, upper leg flexed
insert: 10cm, hold buttocks together for few minutes, stay laying for 5min
inhaled medications
delivers medication directly to its site of action
shake 3-5 sec
exhale normally
inhale slowly 3-5sec
hold breath 10sec
exhale through pursed lips
wait 20-30 seconds before repeating
