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Medication Admin Exam 2024/2025 ;100% complete newest version guide (verified)
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Medication Admin Exam 2024/2025 ;100% complete newest version guide (verified)
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Medication Admin Exam-*1 mL tuberculin syringe with intradermal needle (25-28 gauge, ¼ to 5/8 inch with short
bevel)*
-Usually site is ventral surface of forearm
-Hold clients skin taught
-Bevel up and parallel to clients skin 5°-15° angle
-Advance needle approx. 3 mm so the entire bevel is covered
-Slowly inject medication, should have a small wheal about 6 to 10 mm in diameter
(bleb = bubble)
-Remove needle from skin, do not rub the skin
-*Do not push w/ thumb, too hard, use pinky or ring finger* - ANS-Intradermal
Medication
-Absorbed more quickly than subcutaneous due to the greater blood supply
-Dose 0.5 ml to 2 ml depending on the site (up to
3 ml in gluteus medius and gluteus maximus in adults with well-developed muscles)
-Needle 21 - 25 gauge (Adult) and 22-25 gauge (Children)
-1-1 ½ inch needle (Adult) and 5/8-1 inch (Children)
-Assess the amount of muscle, type of solution, amount of adipose tissue, and the age
of the patient - ANS-Intramuscular Injection
-Antibody/antigen response
-If you suspect this, especially if IV, discontinue medication immediately! - ANS-Allergic
Reaction
-Assess patient's ability to swallow
-Consider giving a drink first to moisten mouth and throat
-Consider crushing (is it always appropriate?)
-Splitting pills for correct dosing
-Unit dose packing (1 dose)
-Make sure patient swallows medication prior to leaving the room - ANS-Pills (Tablets or
Capsules)
-Before you pour (check the medication label against the MAR)
-After you pour (verify the label against the MAR)
-At the bedside (check the medication again) - ANS-Three Checks
-Belly, back of arm, upper buttock
, -Slow absorption
-*Small doses 0.5 ml-1 ml*
-*Needle 25-27 gauge (higher the number the finer or smaller the gauge) 3/8 inch at 90
degrees to 5/8 inch needle at 45 degrees for an average sized adult. Child 5/8 inch at
45 degrees.*
-Insulin needle- 28-31 gauge, 3/16-1 inch, 0.3-1 mL
-*Use a 45-degree angle when 1 inch of tissue can be grasped*
-*Use a 90-degree angle when 2 inches of tissue can be grasped*
-Clean site with antiseptic swap per policy. Start in center and work around.
-Allow area to dry
-Pinch the skin, insert needle, slowly inject medication (do not aspirate) withdraw needle
-Do not massage site after injection
-Apply pressure with gauze if necessary
-Record location
-Rotate sites - ANS-Subcutaneous Injection
-Check for signs of infection
-Date of insertion (site is good for 72 hours or per hospital policy)
-Size of IV catheter inserted. (certain medications or blood products require larger
gauge IV's) - ANS-IV Site
-Choose site 2 inches away from umbilicus and above the iliac crest
-*Do not aspirate*
-Do not massage after insertion
-Use a 3/8 inch 25-26 gauge needle - ANS-Heparin / Lovenox
-Clean pinna and ear canal
-Use at room temperature
-Straighten auditory canal (Adults- pull pinna up and back, Children <3 years old- pull
pinna down and back)
-Leave patient on his/her side for 5 - 10 minutes
-May apply cotton ball to outer canal for 15 minutes (do not push into canal) - ANS-Otic
(ear)
-Date, time and initials on bag - good for 24 hours (per policy)
-Date, time, and initials on tubing - good for 72 hours if it is a continuous flow (per
policy)
-Check your facility policy - some facilities are allowing tubing to be up for 96 hours if it a
continuous IV - ANS-IV Bag/Tubing
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