IM & PO returns

Question 1

What to say when demonstrating injection on deltoid:

Answer 1

2-3 fingers below the acromion process, imagine the hand in the axillal fold and an upside down triangle between the two. Give injection in the middle of the triangle.

Question 2

What to say when demonstrating injection on ventragluteal:

Answer 2

Palm on the greater trochanter, thumb pointing to the groin. Index finger on anterior-superior ileac noch, pull middle finger back as far as you can and inject right between those two fingers.

Question 3

Bupropion (Wellbutrin)

Answer 3

Antidepressant.

What to monitor:
Suicidal thoughts

What to say to the patient:
“This is to help you feel better.”

Range: 100 mg 2x a day

Adverse effects:
Seizures/ Suicidal thoughts/ Agitation/ Headache

Question 4

Diazepam (Valium)

Answer 4

Benzodiazapine.

What to monitor:
BP / Pulse / Respirations

What to say to the patient:
“This is to help you feel more relaxed.”
Could be due to anxiety, or muscle spasms.
Sometimes used to control seizures.

Range:
2-10 mg 2-4 times a day for anxiety
Adverse effects: