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Parenteral Med Administration
Chapter 4b of Pharmacology: A Nursing Process Approach
19
Nursing
Undergraduate 3
08/20/2012

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Cards

Term
Examples of Enteral Routes
Definition
Oral, SL, eye drop, ear drop, inhalation, suppositories, topical
Term
Common Parenteral routes
Definition
SubQ, IM, IV, intradermal
Term
Other parenteral routes:
Definition
intralesional, intra-arterial, intracardiac, intra-articular
Term
Syringe parts that must remain sterile
Definition

tip of the syringe

inside the plunger

Term
characteristics of a tuberculin syringe
Definition

holds 1 mL

Marked in 0.1 and 0.01 (minims)

Term
characteristics of an insulin syringe
Definition

holds 1/2 to 1 mL

marked in units

Term
Parts of a needls
Definition

beveled tip

shaft

hub

Term
what is a needle gauge?
Definition
it is the diameter of the lumen
Term
As the needle gauge increases, the diameter of the lumen inside the needle __________
Definition
decreases
Term
most common range of needle gauges
Definition
18 to 26
Term
most common range of needle lengths
Definition
3/8" to 3"
Term
What determines the gauge of the needle being used?
Definition
the viscosity (thickness) of the fluid it is used to inject.
Term
What is the proper direction for the bevel tip to face when using a needle to puncture the skin?
Definition
Bevel tip up.
Term
Name 5 steps of giving and injection.
Definition
  1. Check drug order and figure amount of medication to administer
  2. Cleanse rubber diaphragm on the vial with antiseptic
  3. Inject volume of air equal to the volume of fluid to withdraw
  4. Withdraw medication
  5. Change needle to administer medication.
Term
What type of container used for parenteral routes can and cannot be used for additional doses?
Definition

can be multi-use: vile

cannot be multi-use: ampule

Term
Nursing Responsibilities in parenteral drug administration:
Definition
  1. Wash hands
  2. Select site
  3. Cleanse skin with antiseptic and a circular motion from inner point to outer point
  4. After inserting needle aspirate
  5. If no blood return, inject medicine
  6. Remove needle and apply pressure on site.
  7. NEVER recap syringes. Always dispose of them in sharps container.
Term

What medications require NO ASPIRATION when administering?

 

Definition

Heparin

Insulin

Term
urine creatinine normal
Definition
85-135 ml/min
Term
serum creatinine normal
Definition
80 - 130 ml/min
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