NURS 166- Objectives Day 6
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Western Governors University *
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Course
166
Subject
Medicine
Date
Apr 3, 2024
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docx
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Lab Day 6 Objectives
1. List three important factors to assess when preparing parenteral medications. (p. 667)
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Check accuracy and completeness of each MAR with health care provider’s medication order. Pts name, medication name and dosage and route and time of administration. Recopy or reprint any part of MAR that is difficult to read
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Review pertinent information related to medication, including action, purpose, dose and route, side effects, and nursing implications.
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Assess pts medical history, history of allergies, and medication history.
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Assess pts body build, muscle size, and weight if giving subcutaneous or intramuscular injection.
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Assess equipment to determine syringe, needle and volume of medication
2. List 3 factors to include in documenting parenteral medications on a
medication reconciliation record (MAR). (p. 675)
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Chart medication dose, route, site, and time/date given immediately after giving medication
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Document if scheduled medication is withheld and record the reason ●
Record pts response to medications in nurses’ notes and report
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Document immunizations in pts permanent record (date administered, vaccine manufacturer and lot number, expiration date, name and title of person who administered, address of agency where the permanent record will reside, vaccine information statement (VIS) and date printed on VIS, and
date VIS given to pt or parent
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Document your evaluation or pt and family learning
3. State the purpose for using the Z-Track method of injection. (p. 650-
651)
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Protects subcutaneous tissues from irritating parenteral fluids
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Minimize local skin irritation by sealing the medication in the muscle tissue
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Injections using this technique result in less discomfort and decrease the occurrence of lesions at the site.
4. List two infection control guidelines regarding handling sharps after
administering an injection and give rationale. (p. 651-652)
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Avoid using needles when effective needleless systems or safety syringe sharps have a sheath or guard that covers the needles after it
is withdrawn ●
Do not recap needles after administration
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Immediately dispose of needles
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Use needleless devices whenever possible
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Always dispose of needles and other instruments considered sharps into clearly marked, appropriate containers
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Never force a needle into a full disposal receptacle
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Never place used needles and syringes in a wastebasket, in your pocket, on a meal tray, or at the pts bedside
Rationale- to prevent needlestick injuries
5. Vocabulary:
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Anaphylaxis p. 613
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Sudden constriction of bronchiolar muscles, edema of the pharynx and larynx, and severe wheezing and shortness of breath
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A hypersensitive state of the body to a foreign protein or drug.
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Aspirate p. 635
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When food, fluid, or medication intended for GI administration inadvertently enters the respiratory tract
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To withdraw
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Intradermal p. 615
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Injection given between layers of the skin into the dermis. Injections are given at a 5-15 degree angle.
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Injection into the dermis, where blood supply is limited and medication absorption occurs slowly
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I.e.- TB test and allergy test
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Parenteral p. 615
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Injecting a medication into body tissues. Route other than GI.
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