RAD-128 CH.16 DRUG ADMINISTRATION and VENIPUNCTURE
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Can we give drugs without a doctors order
You must never give a drug without a doctor’s order and you must understand the intended action, contraindications, side effects, and potential adverse reactions of any drug that you administer.
what are the five rights of drug administration
list all other precautions when dealing with drugs
- •Read the label carefully
- •If cloudy or sediments in the medication, discard
- •EXPIRATION- If expired, discard
- •Discard any leftover medication left in the container, unless it is used for multiple uses.
- •Allergy history from patient
- •Do not leave the patient unattended if the patient is having a reaction.
what are the other precautions
- •Patient must not drive alone after receiving certain meds or has had a reaction.
- •A child who has been sedated may not leave until fully awake.
- •Patients must be observed for at least 1 hr prior to release.
- •Do not administer a drug that you have not prepared.
- •Document any drug that you administer immediately according to department protocol.
Who can prescribe, dispense, and administer drugs?
- •Licensed physicians
three times a day
twice a day
every 2 hours
If the drug is incorrectly administered or an order is misinterpreted, who is liable
Three routes by which drugs may be administered:
list the structure of a needle
- –The Hub
- –The Shaft
- –The Lumen
- –The Bevel
30 gauge needle is ___ than 12 gauge needle
what determines the length of the needle
the size of the lumen depends on what
- patients condition
- viscosity of the fluid that is being injected
list all safety precautions for syringes
- •All syringes and needles are disposable and should never be re-used.
- •A needle that has been injected into a person, should never be re-capped. Immediate disposal should take place.
- •Throw all needles and syringes in the sharps container.
- •Never place the dirty needle on to the tray, dispose of it immediately if possible.
- •If injured with a dirty needle stick, it is considered to be a hazardous incident and must be reported as a critical incident.
vials come with what
glass container and a rubber stopper
an ampule (parenteral medication) is made of what
what is the dose
glass and contains a single dose
what are the three types of injections
intradermal intramuscle subcutaneous
what is intradermal or intracutaneous injection used for
- sensitivity to a drug or antigen (TB); 0.5 mL or less is used.
- –Injected into the dermis
- –Tuberculin syringe is used
- –Injected at a 5- to 15-degree angle
- –25 to 27 gauge
list the factors when using a subcutaneous injection
- •Injected into the tissue beneath the dermis (Insulin)
- •Injected at a 45-degree angle
- •23 to 25 gauge needle, ½ inch needle
- •No more than 1mL of fluid may be injected subcutaneously
describe an intramuscular injection
- •Injected into the muscle
- •Injected at 90-degree angle
- •Used when prompt absorption is desired
- •18- to 23-gauge needle, 1-inch needle
- •1-5 mL solution
what is the only route in which radiographers may administer contrast media parenterally
Peripheral intravenous routes
we must assess the infusion site of an antecubital vein every ___ to make sure contrat has not infiltrated
how high is IV pole above the injection site
in order to discontinue IV lines what must be done
- •Must have a physician’s order to so
- •Do not assume that because the study is over, the line can be discontinued
- •Gather a gauze pad or cotton ball, a stripe of tape and clean gloves
how do we discontinue Iv lines
- •Stop solution
- •Release tape at the needle site
- •Put on clean gloves
- •Remove the needle in a swift movement, while at the same time putting pressure on the puncture site with the gauze or cotton ball.
- •Remove the needle from the area to prevent accidental needle stick
- •Place tape over the pressure pad and raise the patient’s arm, if necessary
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