drug admin
advantages of drug admin
fast drug action, better absorbed
three types of IV fluids
hypotonic, isotonic, hypertonic
fluid balance (want...)
more out then in = -, more in than out = + (WANT THEM TO BE EQUAL)
subq
45°, stomach, 25G, insulin
what does hypotonic mean
more water is going into cell via osmosis to expand/swell cells, NS (0.45%/0.25%)
what's piggybacking for an IV mean
admin a med in a mini IV bag higher than a regular IV bag via gravity
disadvantages of drug admin
blood infections, can’t be undone, need to be trained to admin, painful, expensive
what does isotonic fluids mean
equally osmosis-ed between cells and fluid, NaCl (0.9%), ringer’s lactate
how to draw up a medication
gather supplies, wash hands, clean top of vial with alcohol, attach needle, get right amount of air, stick needle in the vial, flip upside-down, push air into vial, remove bubbles
what does hypertonic fluids mean
more water is going into the fluid via osmosis so cells shrink, dextrose in water (10%)/D10W
how do you prime an IV line
wash hands, remove stuff from plastic, check tubing and IV bag (colour, clarity, expiration, leaks), place roller clamp 2-5cm below drip chamber and roll to a closed position, remove blue cover on bag IV port, uncover tubing spike, insert spike into IV bag
im
90°, deltoid, 23G, vaccines
complications
air embolism, collapsed vein, fluid overload, hematoma, infiltration, phlebitis