Injectable Meds Flashcards
What do we always practice with all meds but especially parenteral
Safety and avoiding errors
Purpose of IV
Fast acting and good in an emergency
Best way to prevent errors while administering medications
Avoid distractions.
Prevent being interrupted or interrupting someone else.
How many medication checks must we do
3
When do we do medication checks
Before pouring med
After pouring med
At bedside
What must we know for needles
Gauge and length for each route
Do we draw and administer medication with the same needle
No
Draw with one and administer with another.
How does gauge affect diameter
Larger gauge equals smaller diameter
Max IM fluid for deltoid injection
1 mL
Max fluid for IM injection in places other than deltoid
3 mL
What must you do if you need to give IM for more than 3 mL
Must do more than one injection
How to find location for subcut injection
What angles are used for subcut injection
45 degrees
90 degrees
How to determine which angle to use for subcut injection
If can pinch 2 inches of fat then do 90
If not do 45
Where can we give subcut injections
Parts of a syringe
Barrel, tip, plunger.
Infection prevention with syringe
Must keep all parts of syringe sterile.
How to determine length of needle
Based on type of injection
Needle for intradermal injection
25-27 gauge
1/2-5/8 inch
5-15 degrees
Needle for subcut injection
25-27 gauge
3/8-5/8 inch
45-90 degrees
Subcut insulin
25-31 gauge
5/16-1/2 inch
45-99 degrees
Needle for IM
18-25 gauge
5/8- 1 1/2 inch
90 degrees
IM deltoid injection
Inspect for any damage
Identify acromial process
Measure 2-3 finger widths from acromial process
Clean site with alcohol
Use z track technique
1 mL per 10 secs
Wait 10 secs
IM vastus lateralis
Inspect
Locate landmarks
-one hand width below greater trocanter
-one hand with above knee
Find area of bulk
Use z track technique
IM ventrigluteal
Make sure knees are bent
Inspect area
Find greater trocanter
Place hand in greater troucanter
Identify space between index and middle finger
Cleanse with alcohol
Z track technique
Cover injection with gauze
Intradermal injection
If using forearm
Locate correct site
Inspect site
Cleanse site
Stretch skin with two fingers
Hold needle parallel to arm at 5-15 degree angle
Slowly withdraw needle
Draw circle around injection site
Subcut injection
Inspect site
Find fat
Cleanse
Grasp fat
Once needle is in use hand that grasped fat to stabilize syring
Remove needle quickly
Apply gauze
