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Saunders Comprehensive Review For The NCLEX-PN Examination, 8 Ed.
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Chapter 38. Pediatric Medication Administration and Calculations

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Saunders Comprehensive Review For The NCLEX-PN Examination, 8 Ed. | Practical Nurse (LPN) School Study Aid

Chapter 38. Pediatric Medication Administration and Calculations
8 Picmonics to Learn | 17 mins
Parenteral Medications
Intravenous (IV)
Fast-Acting
Greatest Risk
Intramuscular (IM)
Common Injections Sites: Deltoid, Vastus Lateralis, Ventrogluteal, and Dorsogluteal Muscles
Absorbed Fast
Vaccines and Epinephrine
3 mL Limit
Subcutaneous (SC)
Common Injections Sites: Abdomen, Arm, and Thigh
Absorbed Slower
Insulin and Hormones
Small Volumes
Intradermal (ID)
Common Injection Sites: Back of Forearm and Upper Back
Longest to Absorb
Tuberculosis and Allergy Testing
Under 0.5 mL
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5 mins
Routes of Administration Part One
Enteral Administration
Oral
Sublingual
Buccal
Rectal
Tubes
Topical or Mucous Membrane Administration
Transdermal
Drops/Spray
Vaginal
Inhalation Administration
Inhalation
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2 mins
Routes of Administration Part Two (Parenteral)
Parenteral Administration
Intradermal
Subcutaneous
Intramuscular (IM)
Intravenous
Epidural
Intrathecal
Intraosseous
Intraperitoneal
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2 mins
Needle Sizes and Uses
Adjust Size Based on Height/Weight
Subcutaneous Injections
3/8 or 5/8 inch
Intramuscular (IM)
1-1.5 inches
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1 min
6 Rights of Medication Administration
Right Patient
Right Medication
Right Dose
Right Time
Right Route
Right Documentation
Nursing Considerations
Three Checks
Check for Allergies
Assess the Patient
Education
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2 mins
Mixing NPH and Regular Insulin for Injection
Verify Order
Roll NPH Insulin
Alcohol to Multiuse Vials
Inject Air into NPH Insulin (Cloudy)
Inject Air into Regular Insulin (Clear)
Withdraw Regular Insulin Units
Withdraw NPH Units
Verify with 2nd Nurse
Discard if Error
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3 mins
Conversions: Pounds and Kilograms
2.2 lb (pounds)
1 kg (kilogram)
Know Your Own Weight
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37 secs
Conversions: Volume
Volume
1 mL = 1 cc
5 mL = 1 Tsp
15 mL = 1 Tbsp
30 mL = 1 oz
1000 mL = 1L
2 Tbsp = 1 oz
8 oz = 1 Cup
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2 mins

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