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Medication AdminFundamentals of Nursing

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____ and ____ influence needle size selection for IM injections.
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Weight and amount of adipose tissue. Skinny = 1/2 to 1 inch; fat= 3 inches
What are the preferred sites for IM injections?
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Ventrogluteal , vastus lateralis, deltoid, dorsogluteal
The vastus lateralis sire for IM injection is usually used for infants, children, and toddlers getting?
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Biologicals like immunoglobulins, vaccines, toxoids
When is the deltoid used for an IM injection?
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Small- medium volumes, immunizations or when other sites are blocked.
What are the best locations for intradermal injections?
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Inner forearm, upper back
What is the safest methods of administering IV meds?
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Large volume infusion
Which method of administering IV medications is the most dangerous?
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IV bolus
What is the main danger with continuous IV infusions?
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Fluids often infuse too rapidly and cause circulatory overload. **frequent in children and elderly
True or False: Felt tip markers shouldn't be used to label contents of an IV bag.
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True. Ink penetrates the plastic and leaks into the IV
If an IV site becomes swollen, warm, reddened and tender, what should you do?
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Stop infusion and remove IV
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If the IV site becomes cool, pale and swollen (indicating infiltration) what should you do?
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Provide extravasation care like injecting phentolamine.
Prior to an IV bolus push, how do you check that the medicine will be delivered to the bloodstream?
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Occlude the IV line just above the injection port by pinching it and gently aspirate blood
Which flush solution, saline or heparin, is the preferred method?
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Saline (0.9%), 2-3 mL **flushing IV lock**
What three types of containers are used for volume-controlled infusions?
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Volume-control sets, piggyback/tandem, mini-infusers
What is the difference between a piggyback and a tandem setup for volume controlled IV infusions?
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Piggyback: 25-250 mL bag connected to upper y-port. Placed higher than primary infusion. Infuse at one time. Tandem: 25-100 mL bag connected to lower y-port. Equal height to primary infusion. Infuses same time as primary infusion.
Why does a tandem volume controlled infusion need to be monitored closely?
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If it isn't immediately clamped when the med is infused, the IV solution from the primary line will back up into the tandem line
medications ordered PC should be given within?
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below
A mini-infusion pump give meds in ____ mL increments within controlled infusion times using standard syringes.
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5-60 mL
A heparin or saline lock is an example of what type of venous access?
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Intermittent
What are the major advantages of an intermittent venous access?
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Cost savings, convenience (doesn't require constant monitoring), increased mobility, safety, and comfort for client
After medication has been administered via intermittent venous access, what should be done?
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Must flush it to keep it patent
  
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