Week 3 Misc Flashcards
What route is medication delivered, when being given IM?
Parenteral route
What are the fastest acting routes of medication administration?
IV and IO
What may worsen uptake rate of medications given IM?
- Dehydration
- Poor perfusion
What medications can be given IM within the AP scope of practice?
Adrenaline 1:1000 - Anaphylaxis
Glucagon - Hypoglycemia
Hydrocortisone - Addisonian crisis
Naloxone - Opiod overdose with reduced GCS
What are the 3 common sites for IM injection?
- Deltoid muscle
- Vastus Lateralis
- Gluteal medius
Where is the Deltoid injection site?
- In the middle of the triangle, that is 3cm away from the acromion
Where is the IM injection site within the gluteal medius?
In the lateral upper quadrant, below the illiac crest
Where is the Vastus lateralis IM injection land marks?
- Greater tracanter
- Lateral condoyle
What does site selection depend on?
- Avoiding sites with adverse features
- Accessibility of the site
- Desired flow rate
- Muscle conditions
What equipment is required for an IM infection?
- Alcohol wipe
- Drawing up needles
- 23 guage IM needle
- Ampule guard
- Appropriate sized syringe
- Combi stop
- medication
- Guaze
What are the preparation checks before delivering an IM medication?
- Explain the procedure
- Gain informed consent
- Check medication
- Record batch number and expiry
What indicates the weaker area of an ampoule?
- A dot on the neck of the vile
Why is it important to aspirate prior to delivering medication?
- To check for bleeding, to ensure it is going into muscle and not a blood vessel.
What rate should an IM injection be given?
1ml per 10 seconds
How long after delivery should the needle be withdrawn from the site?
10 seconds
After a needle stick exposure what needs to be done?
- Bleed site
- Wash site
- Cover with sterile dressing
- Speak to TL
- Document on EPRF
- DATIX
What is effected by sickle cell disease?
- The haemoglobin in red blood cells, they stick together to make a crescent shape.
- This reduces the ability to carry oxygen
How long do Sickle cells last for?
10-20 days
What occurs when a PT goes into crisis?
The sickle cells clump in the blood vessles, causing pain.
If both parents are sickle cell carriers, what is the % chance the child will suffer with sickle cell disease?
25%
When is sickle cell disease often detected?
- At birth/ During pregnancy
How long can a sickle cell crisis last?
Up to 7 days
What are the signs and symptoms of sickle cell crisis?
- Stroke,
- Difficulty in breathing
- Chest pain
- Fatigue
- Weakness
- Headache
- Dehydration
- Priaprism,
- Pyrexia
- Hypoxia
What s the leading cause of death in sickle cell patients?
- Acute chest syndrome
If someone with sickle cell is presenting with acute chest syndrome, what signs are the likely to present with?
- Typical cardiac symptoms
- Crackles at the base of the lungs.
