Preparing, Drawing up, and Mixing Injectable Medication
Principles of administration of parenteral medications
Parenteral medications include those that are injected by he intradermal, sbucutaneous, intramuscular, or intrevenouse routes
Roles and resposibilities of the nurese:
High potential for pahtoghesn - require strict sterile techniqued
Potential of tissue or vascular injury
Appropriate sites for SC and IM ijnections
SC - Arms: outer posterior aspet of the upper arm. 2-3 fingers down from the axilla and 2-3 finger up from the elbow
Amboden: from below the ribs to the iliac crests, 2 inches away from ublelicus.
Alternative sites: upper buttocks below the waist, anterior aspect of thighs
Deltoid: put 4 fingers across deltoid muscle with top finger on the acromial process. Injections goes in the midline.
Ventraguluteal region: Locate gretor trochanter and put your wrist there, then with your middle finger locate iliac chrest and with index finger on the anterior posterios iliac spine. And the area of injection is the corner of the formed V.
Vastus Lateralis: Place one arm on a grator trochanter the other on the lateral femoral condyle(knee) Visualy deviding into three setions.
Exapmles of SC and IM
SC - heparin and insulin injections
IM - vaccines
when and why filter needles are used
are used to trap glass fragments when drawing up medication from an ampula.
Difference between drawing up medication from an ampula vs vial
withdrawing from ampula:
shake down the medication
Snap the top off with unwraped alohol wipe
Attach a filter needle to syrange
Leave the ampula on the table and carefully insert the needle
Withdraw all the medication + 0.2 of air
Replace the needdle
Remove bubbles and eject air until you get a drop at the top
Withdrawing from a Vial:
Inject air into the syrange the ammount of medicine
whipe clean the vial rubber and insert the needle and inject the air into it
then, turn upside down and withdraw medicine a little more than you need to , get all the air bubbles to the top than iject the extra and air back into the vial. Remove bubbles
Remove needle from the vial.
Syranges and Needles used for SC and IM
Syranges: if 0.5 ml ordered use 1ml syrange
Above 0.5ml ordered use 3 ml syrange
if 3 ml ordered use 5 ml syrange
Needle for IM: Deltoid 1 in average, range 5/8 - 1 1/2 gauge 23-25
Ventrogluteal - 11/2 in. gauge: 21- 23 g.
Needles for SC: 3/8 - 5/8 in
What parts of syringes that are considered wterile and why
inside of the barrel, niddle tip, plunger, needle hub, shaft and bevel
Documentation after administration of IM/SC
chart the medication, time, dose, route given and signature.