Module 8: Medication Administration Flashcards
Subcutaneous administration
1ml or less
24-26ga needle 1.27-2.5cm
Upper arms, anterior thigh, and abdomen
Inserted at 45 degrees
Intradermal administration
Less than 1ml
25-27ga, 1 to 2.5cm needle
Anterior forearm or upper back
Inserted at 10-15 degrees
Intramuscular administration
2ml in deltoid, 5ml in vastus lateralis, rectus femoris, and gluteal.
21-22ga 2.5 - 5cm needle
Inserted 90 degrees
Required labelling when adding medication to IV solution
Medication
Amount added
Concentration
Date and time
Practitioner name
Intranasal administration
1ml per nostril via atomizer tip.
Nebulizer administration
For more severe problems when administration of MDI not practical.
Usually premixed, but may need to add 3ml saline
Flow set to 6LPM
NAVEL for ETT administration
Narcan
Atropine
Ventolin
Epinephrine
Lidocaine
Medication absorption rates
IO 30-60s
IV 30-60s
Tracheal 2-3min
Inhaled 2-3min
Atomized 3-5min
SL 3-5min
IM 10-20min
SQ 15-30min
Rectal 5-30min
Oral 30-90min
IO infusion pressure
300mmHg
Infiltration
Escape of fluid into surrounding tissue, causing local edema.
Thrombophlebitis
Inflammation of the vein and presence of a clot.
Caused by poor asepsis.
Pain and tenderness, redness, edema
Arterial puncture during IV
Immediately withdraw catheter and apply direct pressure for 5 minutes or until bleeding stops.
Pyrogenic reaction
Abrupt temperature elevation (as high as 41.6) with sever chills, backache, headache, weakness, nausea, vomiting.
Stop infusion, start new IV in other arm, state fresh infusion.
Red Blood Gives Life mnemonic for blood draws
Red top (no additive)
Blue top (EDTA for PTT)
Green top (heparin for electrolytes and glucose)
Lavender top (sodium citrate for CBC)
VBG draw
Attach to vacutainer.
Insert needle at 15-30 degrees
Push vacutainer completely onto needle.
Draw blood until container full
Invert container
