Class 5 Flashcards
(17 cards)
Four Parenteral Methods:
1.
2.
3.
4.
- Intradermal
- Intravenous
- Subcutaneous
- Intramuscular
- Intravenous
- administration of medication directly into the ______ system
- _________ IV
- IV Piggyback= _____
- IV Push= _____
- amount varies according to the patient’s size and condition
- Effect is VERY _____
- difficult to reverse
- venous
- Continuous
- IVPB
- IVP
- rapid
- Intradermal
- most common use is ____ ______
- Administered just under the skin–> ______
- Up to ____ mL volume, with ____ mL being average
- _______ absorption as compared to the other three (local only)
- skin testing
- DERMIS
- 0.5; 0.1
- POOR
- Subcutaneous
- most common use is ______ and __________ (like _____)
- injected into the ________ tissue only
- may give up to _____ mL
- for __________ substances
- Absorption is ______ than intradermal but ______ than IM
- sites include: _________, _____ _____, or ________
- site named by _______ + _________
- insulin; anticoagulatns (heparin)
- subcutaneous
- 1
- nonirritating
- faster; slower
- abdomen; upper arms; thighs
- side + location
- Intramuscular
- Most common use is for medications that require ______ absorption
- blood flow is more available in the muscle
- are more concentrated and irritating
- given into the ____ _______
- Maximum is _____ mL per injection for adults, BUT actual dosage is based on the muscle _____
- site named by the _____ + ___________ _____ of the muscle
- NOT all muscles can by IM sites
- RAPID
- deep muscle
- 3; size
- side + anatomical name
Common IM Sites:
- _________
- _________
- _________
- _______ _________
- ________ ________
- deltoid
- dorsogluteal
- ventrogluteal
- rectus femoris
- vastus lateralis
Deltoid Muscle (IM site)
- upper muscle of the arm
- volume usually ___ mL for adults
- exact volume will depend on the size of this muscle
- this muscle size varies greatly between individuals so doses will also ______
- not every adult can tolerate a volume of ____ mL
- may not be able to use it at all if ______
- 1
- vary
- 1
- atrophied
Dorsogluteal Muscle (IM site)
- _______ used today
- large muscle of the buttocks
- volume up to ___ mL for adults but will vary according to the size of the patient’s muscle
- rarely
- 3
Ventrogluteal Muscle (IM site)
- ______ used today
- volume up to ___ mL depending on the size of the patient’s muscle
- more _______ to position the patient for this injection site
- on their ____
- must be ____
- rarely
- 3
- difficult
- side
- still
Rectus Femoris Muscle (IM site)
- used in _______/_______, but can also be used for adults (up to ____ mL for adults)
- middle of quadriceps
- infants/children; 3
Vastus Lateralis Muscle (IM site)
- _______ muscle of the quadriceps group
- volume up to ___ mL for adults according the muscle size
- lateral
- 3
Mixing Medications for Parenteral Administration
- MD order must clearly state that the two medications are to be given together
- each component must be specified and a clear ____ given
- commonly used for ____-___ orders
- RN must then check for _____________
- can these drugs be mixed together in one syringe?
- DON’T assume just because the MD ordered it that they are compatible
- check _____, _____, or ______ to determine
- call _______ and ask if you are not certain
- if not compatible, two ______ injections must be given (not pleasant for patient)
- if compatible, combine in the same syringe
- dose
- pre-op
- compatibility
- charts, labels, books
- pharmacy
- SEPARATE
Labeling after Reconstitution
Single Strength Solution requires two items
1.
2.
- optional:
- Date/time of expiration of this medication
- The nurse’s initials/name
- storage directions
Labeling after Reconstitution
Multiple Strength Solution requires three items
1.
2.
3.
- Date/time of expiration
- The nurse’s initials/name
- Dosage strength or concentration of the solution
How does the nurse decide which concentration to choose?
- If the dose is to be given IM, know that the maximum IM dose is ____ mL for an adult
- so, choose a medication that would give a final medication dose less than or equal to ___ mL
- A dose more than ____ mL would require ____ injections
- But don’t make it so __________ that it would be overly irritating to the muscle
- Sometimes having to administer ____ injections may be the best choice to make
- 3
- 3
- 3; two
- concentration
- 2
How does the nurse decide which concentration to choose?
- What if the dose is IV instead?
- choose a concentration that would be
- _____ enough not to cause irritation to the vein (if too irritating, the Pt. may be uncomfortable and the IV may _______ and need to be restarted
- but not so _________ as to cause _____ overload in the patient
- the ________ the patient, the ____ fluid they can tolerate
- also consider their medical condition
- can their _______ handle increased fluid load?
- are they _________?
- dilute; infiltrate
- dilute; fluid
- smaller; less
- kidneys
- hypertensive
