Injection OSCE Flashcards
After your introduction and your confirmation of patient how do you explain the procedure?
- I have been asked to administer an injection for you which will be inserted into your muscle/ fatty tissue/just under the skin.
- I’ll just be giving you some medication using a small needle.
- You will feel a sharp scratch and there might be a little pain, but I will do my best to keep you as comfortable as possible.
- Would that be okay?
What else can you ask?
Do you mind me asking what has brought you to hospital?
How can you show empathy?
- Patient might say “I fell over and hurt my arm and it really hurt so I need an injection for the pain”
- In which case show empathy for e.g: “I’m really sorry to hear that but you’ve done the right thing by coming into hospital and hopefully this injection will help feel you better.”
After the patient consenets what do you need to check?
- Are you in any pain currently? Are you comfortable?
- I’m not prescribing but I am administering the drug.
- Do you know what injection you’re having?
- Patient may say something like “morphine for the pain” or “heparin because they said my blood is too thick” or “insulin because my blood sugar is high” etc
- Okay, that’s correct.
What do you say to the examiner?
Ideally I would like to check with the patients’ notes to ensure correct drug and dose is given to the right person
What questions should you ask the patient before?
- Are you allergic to latex gloves?
- Have you received x drug in the past?
- If yes: Did you have any adverse reactions to it?
- Ask specific allergens for different drugs (see table below) e.g. If morphine sulphate: Are you allergic to sulphur?
- How are you with needles?
If they have needlephobia what can you say?
- “I understand that it can be a bit daunting but I will try my best to make it as quick and painless as possible.
- But if at any point, you would like me to stop, please let me know”
What is haloperidol used for?
antipsychotic
What type of drug is chlorpromazine lorazepam and diazepam?
benzodiazapine
What type of drug is prednisolone?
steroid
What is ketamine used for?
inducing agent for anaesthesia
What is naloxone used for?
reversal of opiate overdose
What is codeine used for?
opiate analgesic
What is morphine used for?
opiate analgesic
What is methotrexate?
immunosupressant
What is metoclopramide?
antiemetic
What is streptomycin?
aminoglycoside antibtioic
What are examples of vitamin B12 that can be given IM?
- cyanocobalamin
- hydroxocobalamin
- methylcobalamin
What vaccines can be given IM?
- Gardasil (cervical cancer)
- Hepatitis A vaccine
- Influenza vaccines
What are examples of IM drugs?
- Haloperidol
- Chlorpromazine
- Lorazepam
- Diazepam
- Prednisolone
- Penicillin
- Sex hormones (such as test)
- Ketamine
- Naloxene
- Codeine
- Morphine
- Methotrexate
- Metoclopramide
- Streptomycin
- Vit B12
- Vaccines