Intramuscular Medication (IM) Administration
- Injury to Nerves, Bone, and Blood Vessels
- Deltoid
- Vastus Lateralis
- Ventrogluteal
- Selection of Needle Length
- Aseptic Technique for Drawing Up
- Z-Track
- 90 Degree Angle
- Max Amount (2-5 mL Adult, 1 mL Child)
- Techniques to Reduce Pain
Intradermal Medication Administration
- Tuberculin Screening
- Allergy Testing
- Dermis
- Inner Forearm or Upper Back
- 1mL Syringe (26 or 27 Gauge Needle)
- 5 to 15 Degrees
- Small Bleb
Transdermal Medication Administration
- Patch or Disc
- Directly on Skin of Arms, Chest, Upper Back
- Avoids First Pass Metabolism
- Sustained Administration of Medication
- Clean Skin After Removal
- Rotate Sites of Patches
- Apply to Dry Skin
- Avoid Shaved Skin
- Avoid Heat
- Nitro Effects Lost After 24 Hours
Ear Drops Medication Administration
- Earwax Buildup
- Ear Infections
- Child - Back and Downward
- Adult - Back and Upward
- Side-Lying with Ear Up
- Instill Medication
- Stay for 2-3 Minutes
- Room Temperature
- May Massage Tragus
- Perforated Eardrum
Eye Medication Administration
- Supine with Neck Hyperextended
- Wash Away Crusts
- Cotton Ball on Cheekbone
- Instill Drops into Conjunctival Sac
- Repeat if Missed or Patient Blinks
- 5 Minutes Before 2nd Medication
- Thin Stream Along Inner Edge
- Inner Canthus to Outer Canthus
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