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37 Cards in this Set
- Front
- Back
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What are contraindications for injections?
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allergy to intended medication
lack of suitable injection site coagulopathy occlusive PVD shock impairment of peripheral absorption |
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what is the most common site of intradermal injection?
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ventral forearm
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where are intradermal injections given?
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outer layers of the skin
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rate of absorption from slowest to fastest?
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ID<IM<IV
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What are sites for IM injections?
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deltoid mm
dorsogluteal (gluteus medius) ventrogluteal vastus lateralis mm |
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what is the preferred site for Im injection in infants and children and adults?
according to the book even though in class she said just kids) |
vastus lateralis
(according to the book even though in class she said just kids) |
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how does needle sizing work?
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range from 14-26 gauge
the larger the gauge, the smaller the diameter |
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what are common gauge sizes for SQ, IM and ID?
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SQ- 25 gauge, 5/8 inch
IM- 18-22 gauge, 1.5 inches ID- 26 gauge and .5 to 5/8 inches |
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what degree angle should the needle enter in ID, IM, and SQ injections
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ID- about 15degrees with bevel face up
SQ- 45 degree angle (may need to adjust for fat) IM- 90 degrees - make sure to aspirate on this one |
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what is a good SQ location for infants and children?
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infants- thigh
children- deltoid |
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preferred sites for IM injections?
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anterolateral upper thigh and deltoid
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when should the gluteal muscles not be used?
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in children younger than 3 or for those who have been walking less than a year due to lack of development from not walking yet and because of risk of sciatic nerve injury in children
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NERVER RECAP NEEDLES!
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make sure to look at chapter 9 in the white book but i picked out all the things I thought were important
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What is the acronym for hospital orders?
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AD CAVA DIMPLS
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what does the A stand for?
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Admit- admitting physician and type of unit or hospital floor
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what does the D stand for?
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Diagnosis- chief reason for the pts admission
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what does the C stand for?
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Condition- usually a one word description
unstable, stable, guarded, crtiacal, morbid, comatose |
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what does the A stand for?
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activity- level of activity allowed depending on age, diagnosis, medication, etc
out of bed (OOB) bed rest or bed rest with bathroom priv (BR or BRP non weight bearing ambulate with assistance |
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what does the V stand for?
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vital signs- frequency with which vital signs should be obtained
VS q 8 hrs while awake |
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what does the last A in CAVA stand for?
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allergies
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what does the D stand for?
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diet
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what does the i stand for?
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interventions- IV therapy, respiratory etc
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what does the M stand for?
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medications- medicated related to reason for admission and any chronic medications the patient may be taking and any PRN (always say tylenol or something like that)
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what does the p stand for?
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procedures- wound care, ostomy care
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what does the l stand for?
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Labs
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what does the s stand for?
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special instructions- certain parameters or conditional orders
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what is considered in the clear liquid diet?
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broth, gelatin, tea, apple juice, cranberry juice, grape juice, pedialyte, gatorade, clear sodas
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what is included on the full liquid diet?
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all foods in clear plus:
coffee, milkshake, ice cream, all soups, oatmeal, grits, gravy, dark sodas OJ, grapefruit, pineapple juice |
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what is on the soft diet?
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oatmeal
mashed or baked potato bananas scrambled eggs soft break or rolls not toasted applesauce gelatin puddings |
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what should be included in the discharge orders?
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disposition- where the pt will go at discharge (home etc)
activity level - like avoid heavy lifting diet- low fat, low cholesterol etc medication - write out all medications they need to be taking dont just say return to normal meds follow up care- who to see and when then a discharge summary |
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what is included in the discharge summary?
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date of admission
date of discharge admitting diagnosis discharge diagnosis attending referring and consulting physician procedures brief history, pertinent physical exam findings and pertinent lab values hospital course- be specific but not too wordy condition at discharge discharge meds discharge instructions and F/U problem list |
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what are the basic elements of a prescription?
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date Rx was written
prescriber info pt identification inscription subscription signa indication refill info generic substitution warnings container info prescriber sig |
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what is the inscription on the Rx?
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name and strength of meds
doxy 100mg tab |
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what is the subscription on the Rx?
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dosage form nd number of doses to dispense
take tablet BID x 10 days dispense 20 tablets or #20 |
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what is the sig or signa on the Rx?
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tells the pt how to take the meds
take on an empty stomach |
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sample Rx
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and there is one on pg 157 of the documentation book
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what does leading or trailing zeros mean?
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write dose as 0.125 or 50
not .125 or 50.0 |
