25 med admin. IV
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the route that most drugs are administered by because of convenience, cost, and safety issues
route that acts most sloly than other routes
the oral route is not used for what types of pT's or conditions?
- -GI intolerance
- -NPO status
drugs used in these routes act quickly because of the mucosas thin epithelium and large vascular system, allowing the drug to be absorbed quickly
route given to deliver a drug at or immediatly beneath the point of application and which the vascularity will vary in action
route used for drugs to absorb immediately into systemic circulation
syringe designed especially for use with insulin
which size insulin syringe is used for low dose insulin
1/2 - 3/10 ml
is a prefilled single dose syringe the same as a unit dose?
what is the calibration for a tuberculin syringe?
tenths and hundredths of a milliliter
glass containers of a single dose drugs are called
glass, single or multiple dose rubber capped drugs are called:
what are intradermal or intracutaneous injections used for?
administer local anesthetics, identify allergens, diagnose TB
commonly used sites for ID injection
- -inner forearm
- -upper chest
- -upper back
drug dosage for an ID injection
what size syringe is used for ID injections?
25-27 gauge w/ 3/8-1/2 inch
injections that put medication betwen the dermis and the subcutaneous tissue
subcutaneous injection dosage seldom exceeds:
injections that promote rapid drug absorption and provide provide another rute for drugs that are irritating to the subcutaneous tissue
4 common IM sites
- -dorsogluteal and ventrogluteal (gluteus maximus)
- -vastus lateralis ( antereolateral thigh)
- - deltoid (upper arm)
IM injection method most commonly in the ventrogluteal and dorsogluteal muscles
increased circulating fluid volume that results from rapid IV infusion.
hypervolemia can cause:
cardiac overload that leads to pulmonary edema, and cardiac failure
action of pinching IV tubing to see if blood will rush back into the tube if the needle is still in the vein is called:
what must be documented when IV therapy has begun?
- -venipuncture site
- -# of attempts
- -equipment used
why is a blood transfusion given?
to replace blood loss with whole blood or blood components
what is whole bloods refrigerated shelf life?
what is the shelf life of RBC's or plasma if frozen?
what does whole blood contain?
red blood cells and plasma componens of blood
why is whole blood used/needed?
it is used when all components of blood are needed to restore blood volume and oxygen-carrying capacity of blood
what must done prior to a blood transfusion?
type and cross match
how long should blood administration begin after it is recieved from the bank?
what are nursing actions if a blood reaction should occur during blood transfusion?
- 1. stop transfusion
- 2. keep vein open with 0.9% normal saline
- 3. notify the physician
what should be done if the tip of the eye dropper should touch any part of the clients eye?
discard the medication
what does signs of drainage from the ear usually indicate?
perforated tympanic membrane
this type of rectal medication is used to reduce fever, relieve pain or local iritation, and stimulate peristalsis and defecation in constipated clients
if a client is unable to hold a suppository in either the sims or prone position what must a nurse do?
inform the physician
iodine allergy must be assessed when administering what type of insillation?
- vaginal instillation
- (bc of preparations containing povidone iodine)
type of medication that is administered to the skin, eyes, ears, nose, throat, rectum, or vagina
how is a systemic effect prevented with the use of eye drops?
apply pressure on the inner canthus
rectal suppositories are contraindicated on what type of clients?
- -cardiac clients
- -clients recovering from rectal or prostate surgery
Safe medication administration protocol and
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