FD 7 Keynotes in class

what do you have to check before medication administration?

Name & Date of birth

what type of zeroes do you use?

Leading zeros

What type of zeroes do you never use?

Trailing

administration to infants to prevent aspiration should

place syringe on side of tongue and dispense in small amounts

Ophthalmic (eye) medications

may be in the form of drops, ointment, or eye disk

Otic (ear) medications are usually administrated as

drops or irrigation

eye meds

apply ointment in thin line of conjunctival sacad

adult eat drops

up and back

child ear drops

down and back

TB positive result does not always

indicate an active disease, send to get x-ray

pt teaching for heparin to decrease risk for bleeding gums,

client should use soft bristled brush and if bruised gums notify doctor

intramuscular

90 degree

ventral gluteal site is preferred when more than

1mL of medication is to be injected

nurse should pull skin

2.5-3.5cm which is 1-1 ½ inches to the side to make it easier to insert needle

z-track method (90 degree angle)

reduces pain caused by irritating drugs

for needle stick

wash the puncture site with soap and water

passive needle safety device

make sure needle retracts into barrel of syringe

medications drawn from an ampule

may have glass in them from breaking of the ampulefi

filter needles should be used when

medication is withdrawn from ampule to trap the glass particlesfi

filter is discarded and new needle attached to syringe

for injecting medication into the patient

DO NOT

recap needles

dispose of

uncapped needles

discard regular insulin if it appears

cloudy

roll vial do not

shake

intradermal injections

most frequently used for tuberculosis or allergy testing

do not massage

the area of injection

Nurse should inject heparin in

abdomen above illeac crest @ least 2 inches from umbilicus

vastus lateralis the nurse should administer

vitamin kp

phytomodione in vastus lateralis muscle in thigh, this medication prevents & treats

hemorrhage disease in newborns, as newborns are born with a vitamin k deficiency

intramuscular injections in children

make sure needle retracts

when providing care for a fearful child

have parents stay, provide distraction, allow child to keep toy with them, limit # of visitors during procedures

nurse should cleanse injection site in

circular motion starting at center and cleaning in a widening circle to approx 5cm or 2inches in diameter to remove skin secretions which can contain microorganisms