Class 5 - Medication Admin and Parenteral Medication Admin Flashcards
define parenteral route
medication that is administered into the body other than through the GI tract.
ex: intravenous (into a vein)
subcutaneous (under the skin)
intramuscular (into muscle)
define ampoule
small glass container for individual medication doses
define intramuscular
into the muscle
define intravenous
into the vein
define subcutaneous
beneath the layers of skin
define u-100 syringe
specifically designed syringe for insulin injections
define vial
a glass medication container with a sealed rubber cap for single or multiple doses
what are the parts of the syringe
tip
barrel
plunger
what are the parts of a needle
bevel
shaft
hub (the gauge # is on the hub)
Identify the parts that must be sterile
syringe - the plunger, tip and inside of barrel
needle - the bevel and the shaft
what are the ways in which infection can be prevented when giving injections
- swabbing the injection site with 70% alcohol or a mixture
of alcohol and cholorohexidine - don’t contaminate the tip of the syringe
- don’t touch the plunger other the the top part to push
- dont’ touch the needle shaft or bevel
apply standard precautions when administering injections by
- doing hand hygiene
- wearing gloves
- doing 3 checks and 10 rights
- using medical aseptic practices btw needle and pt
how can i prevent needle stick injuries
- never bend or break needles prior to disposal
- never recap a needle that has ben inserted into a client
- when recapping a needle:
*use a safety mechanical device that firmly grips the
needle cap and holds it in place
*use the scoop method
*use safety syringes that require no contact
where on the body can you use subcutaneous injections
what sites
- abdomen (heparin, insulin)
- back side of the upper arm
- front part of the thigh
- scapular area of upper back
- top part of the buttocks
why do we rotate subcutaneous sites
- to minimize tissue damage
- aid in absorption
- to avoid discomfort
what are the guidelines for mixing short and intermediate acting insulin in one syringe
- mix insulins from clear to cloudy (cloudy insulins have an
added protein that cannot contaminate the clear
insulins) - when insulins are mixed administer within 5 minutes
- ensure accurate dosing
- only use an insulin syringe to administer insulin!!!
where are the injections sites for administering intramuscular injections
- ventrogluteal (top of the buttocks)
- vastus lateralis (middle of the thigh)
- deltoid (shoulder)
what are the special considerations for injections whe dealing with infants and children
- infants: vastus lateralis is better b/c there are no major
blood vessels or nerves, and it is the largest muscle in
an infant - children: deltiod is recommended b/c of the smaller
muscle mass and to minimize discomfort