injection Flashcards
1
privacy
2
hh
3
intro
4
collab + consent (4)
5
pt verify
6
hh + glove
7
remove syringe, attach to correct needle (twist extra if preattached), push/pull plunger
8
roll vial/amp
9
disinfect vial x15sec + dry
10
draw air
11
insert needle at 45 then 90, bevel up; inject air
12
withdraw more meds than needed
13
recap + prime
14
label syringe (6)
15
admin (13)
sc gauge + length
- 23-25gg
- 16mm
deltoid max
1ml
vast lat max
5ml
best insulin injection site
ab
im gauge + length
- 21-22gg
- 2.5-3.8 cm
10 rights
- pt
- time
- med
- dose
- route
- assess
- ed
- refuse
- doc
- eval
ampule (8)
- roll to bring liquid down
- open alc swab + put over top
- break open facing AWAY
- bevel up, draw meds
- recap
- prime
- label
- dispose amp in sharps
z track (4)
- ulnar nondom hand
- pull 2.5 to side
- inject over 10sec
- wait 10sec once plunger is down
insulin assess (2)
- blood gluc
- dizzy
heparin + fragmin assess (5)
- bleeding + hemorrhage
- bleeding gums
- nosebleed
- unusual bruise
- hematuria
insulin ed (2)
- lowers cbg by allowing absorption into cells
- long + short acting
heparin ed (2)
- blood clot > venous thromboembolism
- anticoag
fragmin ed (2)
- anticoag for hemodialysis + filtration
- dvt prevention
heparin eval
20-30min
inuslin eval
30min-1hr
fragmin eval
1-2hr
collab + consent (4)
- admin injection
- stop at any time/refuse
- consent to continue
- BED RAILS DOWN + HEIGHT
label syringe (6)
- pt name
- med
- route
- date
- time
- initials
admin (13)
- hh
- glove
- correct inj angle
- disinfect back + forth 15sec + dry
- remove cap
- grab tissue
- insert needle no plunger
- withdraw after 5sec
- sharps
- pressure w gauze
- remove gloves + hh
- doc
- BED RAILS UP + LOWER