NSG 336 -Medicine Admin Proficiency Assignment

NSG 336 -Medicine Admin Proficiency Assignment

NSG 336 -Medicine Admin Proficiency Assignment

Sub Cutaneous Injectable Information:

Sites for Injection Include:

Back of Upper Arms

Abdomen (especially Lovenox)

Upper Back

Front of Thighs

Flank Area Above Buttocks (Especially Lovenox)

Needle Gauge for Injections:

25-31

Length of Needle for Injections:

3/8”-5/8” (Insulin may be shorter)

Angle of Injections:

…

General Information About Injections:

Do not aspirate

No more than 1.5 mL volume of medication

Thinner Patients, need to bunch of skin

Patients with large amounts of sub cutaneous tissue, hold skin taut

Do not massage or rub

With insulin, have an injection rotation plan

Avoid already bruised injection sites

 

Intramuscular Injection Information:

Sites for Injection Include:

 

Ventroguteal (Most Ideal)-Palm of hand on greater trochanter, index finger pointing to anterior superior iliac spine, middle finger toward iliac crest

Vastus Lateralis- Hand breath above the knee to a hand breath below greater trochanter, towards outer 1/3

Needle Gauge for Injections:

 

Length of Needle for Injections:

 

Angle of Injections:

 

General Information about Injections:

 

Ventrogluteal is preferred for adults and walking children because of fewer complications

Vastus Lateralis preferred for all

Hold skin taut or use Z-Track method (slide sub cutaneous tissue over, hold It displaced, inject into muscle, let sub cutaneous tissue slide back)

Do not massage or rub

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Medication Information:

• Neurontin (gabapentin)
  • Decrease seizure activity and treatment for restless leg syndrome in adults by increasing seizure threshold and binding sites in hippocampus

• Toradol (ketorolac)
  • Decreases pain and inflammation, as well as ocular itching by inhibiting prostaglandin synthesis by decreasing an enzyme needed for bio synthesis

• Lovenox (enoxaparin)
  • Prevention of deep vein thrombosis, coronary artery thrombosis, pulmonary emboli, and acute myocardial infarction by binding to antithrombin III inactivating factors

• Novolin N (NPH insulin isophene)
  • Decreases blood glucose levels in diabetes mellitus and gestational diabetes by transport if glucose into cells and the conversion of glucose to glycogen

• Humalog (insulin human lispro)
  • Decreases blood glucose levels in diabetes mellitus and gestational diabetes by transport if glucose into cells and the conversion of glucose to glycogen.