Injections Flashcards
This is known as a patient or representative having the right to make informed decision of care.
Informed consent
This explains the dx, the procedure, risk vs. benefits, alternative therapies, and consequences of refusing therapy.
Informed consent
T/F: Informed consent must be communicated in a language that pt or rep. can understand.
True
What are the advantages of Kenalog use?
- Aqueous/soluble
- Lower risk of embolism
- Long half-life
- Moderate potency
What are the effects of epinephrine?
- Promotes homeostasis
- Decreases rate of systemic absorption/less systemic effect
- Increases analgesia up to 50%
- Wait at least 7 mins for vasoconstriction
When do we perform an IM in FANG?
due to anaphylaxis reaction
What’s the best IM tx for anaphylaxis?
IM of epinephrine
What do you give to someone the night before if an anaphylaxis reaction happened before in FANG?
Prednisone
What do you give a patient before FA who has significant nausea/vomiting and acute angle closure nausea?
IM Phenergan
What’s the recommended site for an IM injection of epinephrine?
Vastus lateralis in middle 1/3 of thigh
Where is the best place to inject FANG?
Antecubital fossa
What’s the chance that we’ll cause a venous air embolism?
Probably won’t
What does severity of a venous air embolism depend on?
- Volume
- Rate of accumulation
- Body position
Injection of ____mL of air at a rate of ____ mL/sec can be lethal
volume = 300-500mL Rate = 100mL/sec
What are the complications of FANG?
- Nausea
- Vomiting
- Pruritis
- Urticaria
- Anaphylaxis
- Syncope
- Tachycardia
- Extravasation
- Death - MI
