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19 Cards in this Set

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Parenteral route
More hazardous route
a. systemic -

Sublingual and buccal
Local or systemic and what is it?

for drugs destroyed by LIVER or digestive enzymes
b. local -

Sublingual and buccal
Local or systemic and what is it?

anesthetic or antiseptic (dentist)
subcutaneous
intramuscular
intravenous
The most commonly given injections are: (3)
1. intradermal
2. subcutaneous
3. intramuscular
4. intravenous
5. intraarterial
6. intraspinal
7. intraarticular
What are the types of injection? (7)
intradermal
within dermis (injection)
subcutaneous
hypodermic
right below dermis

(injection)
intramuscular
into the muscle
(injection)
intravenous
into the veins
(injection)
intraarterial
into the arteries
(injection)
intraspinal
1. epidural
2. subdural - nurses dont administer
3. subarachnoid

(injection)
intraarticular
for local effects

into the joint
subcutaneous
must be highly soluble and potent in small volume

may use ice or a tourniquet in case of reaction
intramuscular
1. spreads over larger surface area - absorption watery fluids may be more rapid

2. suspensions absorbed very slowly

3. fewer sensory nerve endings
4. irritation less likely to lead to necrosis
5. caution - blood vessels and nerves in area.
intravenous
most rapid and dangerous route (even ice or tourniquet wont help). No absorption required)

1. injection
2. infusion
absorption
suspensions
nerve
necrosis
1. spreads over larger surface area - ________ watery fluids may be more rapid

2. _________ absorbed very slowly

3. fewer sensory _____ endings
4. irritation less likely to lead to ________.
5. caution - blood vessels and nerves in area.
injection
irritating substances or emergency administration
infusion
often just fluids and electrolytes

*if drug added, MUST be labeled (watch for incompatibilities with solution)
physician
infusions
push
hospital
Historically, the giving of medicines into a vein has been reserved for the ________. For some time now, nurses have been giving _________ of large volumes (IV drip). Recently, small volume infusions by way of "piggyback" or "rider" has been accepted. Now, some nurses are injecting small volumes into veins by IV "____" or into IV tubing. So far, this is stretching the law a bit. Mixing drugs for IV injection is even more risky. The nurse should clearly understand, and have in writing, the policy of the ________.