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Administration of Parenteral Medications

Administration of Parenteral Medications

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Published by: joel david knda mj on Mar 09, 2010
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07/24/2011

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ADMINISTRATION OF PARENTERALMEDICATIONS
DEFINITION :
 
Is the administration of medication by injection.
Vial
Is a small glass bottle with a sealed rubber cap. Vials come indifferent sizes from single to multi dose vials. They usually have ametal or plastic cap that protects the rubber seal.
Ampoule
Is a glass container usually designed to hold a single dose of adrug. It has a distinctive shape with a constrictive neck. Ampoulevaries in size ranging from 1-10ml or more. Most ampoule neckshas colored marks around it indicating where they are prescoredfor easy opening.
Syringe
Consist of a cylindrical
barrel 
with
a tip
designed to fit the hubof a needle and a closed fitted
 plunger 
.
TYPES OF SYRINGE
Tuberculin SyringeInsulin SyringeMarked in 0.01
Marked in units 100
Used for ID injection
Used only for insulininjection
For doses less than 1ml
 As prescribed 
Standard syringe
:
 
Used most frequently for SC / IM. Marked in cubiccentimeter milliliters (ml).
Needle
It come package in individual sheaths to allow flexibility inchoosing right needle for a client.Needle has 3 parts:
 
i.The hub – which fits onto the tip of a syringe.ii.The shaft – which connects to the hub.iii.The bevel – slanted tip.
SELECTION OF SYRINGE AND NEEDLE
ROUTEVOLUMEGAUGEIntradermal0.01-0.1 ml26-29 GSubcutenous0,5-2 ml25-27 GIntramuscular0.5-2 ml20-22 GIntravenous1-2000 ml20-22 G (solution)15-19 G (blood) 
WITHDRAWING MEDICATION FROM AMPOULE
AIM :
 
 To administer injection.
ARTICLES NEEDED
MAR.
Medication in an ampoule or vial.
Syringe, needle (2).
Small gauze piece.
Antiseptic swab.
File.
Kidney tray.
PROCEDURE
1.
Check client’s name and medication order, including medicationname, dose, route and duration of administration, signature of doctor and special instructions.
To prevent medication error.
2.
Perform hand washing and assemble equipment.
Reducestransmission of microorganism.
 
3.
Check label on ampoule against MAR for name, dosage, expirydate, characteristic of drug.
To ensure correct medication, doseand potency (1
st 
check).
4.Calculate dosage.
5.
Check label on the ampoule to
ensure right drug (2
nd 
check).
6.
 Tap ampoule lightly and quickly with finger until fluid moves fromneck into ampoule.
Drains any fluid that collects above neck of ampoule into lower chamber.
7.
Clean around neck of ampoule with alcohol swab
to reduce risk of infection.
8.Clean file with alcohol swab.
9.
Place small piece of sterile gauze around the neck of ampoule.
Tobreak neck of ampoule easily.
10.
Break neck of ampoule quickly and firmly using sterile gauze
to protect finger from injury.
11.
Steady ampoule with one hand and insert needle of syringe withanother hand.
To withdraw medication without contamination.Ensure the needle does not touch the rim of the ampoule.
12.Aspirate medication into syringe by pulling back of plunger.13.Expel air bubbles :i.Hold syringe with needle pointing up.ii.Draw back slightly on plunger.iii.Push plunger upward to eject air.
1.
Check drug in the syringe
to ensure right amount of medication.
2.
Check label on ampoule against MAR (3
rd
check).3.Recap needle with one hand.4.Bring syringe, ampoule and swab in the tray to the client.5.Administer medication to client.6.Dispose all used equipments and clean the tray / trolley.

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