Technique for IM injections
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the use of Z-track b/c it minimized local skin irritation by sealing the
medication in the muscle tissue
Preventing respiratory depression of opioids
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, - use titration of opioids
- monitor sedation scores
- conduct a thorough respiratory assessment that includes depth, quality
and regularity of respirations
- NALAXONE is administered if experienced.
must be titrated and with a physicians order
Accurate Dose Calculation and Measurement of medication
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- be attentive to the process of calculation and avoid interruptions
- consult with other nurses when calculating a new or unusual dose
Incident report of medication
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- must be done within 24 hrs
- must be factual and accurate
- not a permanent part of medical record
- used to track incident patterns and to address quality improvement and
risk management issues
- disclosure to members of the family is important
Suspensions
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, mixtures of water and non dissolved material
Weak opioid (Codeine)
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- use for moderate to severe pain
- patients who metabolized codeine to morphine rapidly are at risk for
oversedation and respiratory depression resulting to death
- some do not have the enzyme to convert to morphine. thus wont get any
effect, but receive the side effects
routine
Give this one a try later!
A series of activities performed regularly.
Safe administration of Opioid analgesics
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- monitor activities (ambulation)
- assess BP, pulse, and respirations before initiating
- monitor for side effects
, Contraindication of Oral Administration
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- GI alterations
- inability to swallow (dysphagia)
- use of Gastric suction
Mixing medications from two vials
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aspirate volume of air equivalent to the first medication dose
inject this air to vial A and make sure needle does not touch the solution
vise versa on vial B
Sublingual Administration
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- nitroglycerin is a common sublingual route
- no liquids after administration until its dissolved completely
- considered parenteral route
- absorbed into the capillaries under the tongue
Guidelines for safe administration of transdermal patch
Give this one a try later!
the use of Z-track b/c it minimized local skin irritation by sealing the
medication in the muscle tissue
Preventing respiratory depression of opioids
Give this one a try later!
, - use titration of opioids
- monitor sedation scores
- conduct a thorough respiratory assessment that includes depth, quality
and regularity of respirations
- NALAXONE is administered if experienced.
must be titrated and with a physicians order
Accurate Dose Calculation and Measurement of medication
Give this one a try later!
- be attentive to the process of calculation and avoid interruptions
- consult with other nurses when calculating a new or unusual dose
Incident report of medication
Give this one a try later!
- must be done within 24 hrs
- must be factual and accurate
- not a permanent part of medical record
- used to track incident patterns and to address quality improvement and
risk management issues
- disclosure to members of the family is important
Suspensions
Give this one a try later!
, mixtures of water and non dissolved material
Weak opioid (Codeine)
Give this one a try later!
- use for moderate to severe pain
- patients who metabolized codeine to morphine rapidly are at risk for
oversedation and respiratory depression resulting to death
- some do not have the enzyme to convert to morphine. thus wont get any
effect, but receive the side effects
routine
Give this one a try later!
A series of activities performed regularly.
Safe administration of Opioid analgesics
Give this one a try later!
- monitor activities (ambulation)
- assess BP, pulse, and respirations before initiating
- monitor for side effects
, Contraindication of Oral Administration
Give this one a try later!
- GI alterations
- inability to swallow (dysphagia)
- use of Gastric suction
Mixing medications from two vials
Give this one a try later!
aspirate volume of air equivalent to the first medication dose
inject this air to vial A and make sure needle does not touch the solution
vise versa on vial B
Sublingual Administration
Give this one a try later!
- nitroglycerin is a common sublingual route
- no liquids after administration until its dissolved completely
- considered parenteral route
- absorbed into the capillaries under the tongue
Guidelines for safe administration of transdermal patch
