Four Parenteral Routes

10. True or False: Enoxaparin dosage is directed by monitoring activated partial thromboplastin time (aPTT) levels. Explain your answer.

Dosages of the drug vary from one extreme to another based upon the patients needs.

C. The specific method in each state varies, but mainly involves a prescription from a licensed physician approved by the state in which the patient is a resident.

In an emergency situation, why is a drug most commonly delivered via injection versus an oral route?

*Intramuscular (IM) injection administration – This medicine is injected directly into large muscles in the body. Usually in the legs or bottom. This can only be performed by a doctor or trained nurse.

There are several types of medication, each has a purpose and function needed for their administration via the different routes.

1.1 There are many procedures in place for ensuring the safe transit, distribution and obtaining of medication i.e.

1. There are a number of types of materials and equipment needed for the administration of medication via the different routes. They all serve a type and purpose these include:

Rectal-Administering drugs into the rectum are then become absorbed into the blood vessels and taken into the body.

Rectal medications are absorbed very quickly. Suppositories are available and are given into the rectum. Pessaries are given into the vagina.

To help with the quick admission, intranasal administration is a convenience to those who have to administer Naloxone because intranasal Naloxone has a preset dosage. While intranasal Naloxone is easier to administer, intravenous and intramuscular Naloxone administrators have a choice on the dose to give. Advanced EMTs have enough knowledge to choose the dose of Naloxone to give the patient to keep the patient alive. Intranasal was not approved until November of 2015 when the FDA approved a highly concentrated spray form of Naloxone (Strang et al. 576). Intranasal administration only allows one dose to be given compared to Intravenous administration which allows a more adjusted dosage of Naloxone to be given. According to Ott, an

4.)  The physician is planning to place a percutaneous central line to infuse TPN.  Which site is recommend and why?

Dessie, In my opinion, the medicated route would be the best because if you have to have an emergency c-section, then they would not have to put you asleep. When I had my emergency c-section, I wanted to be awake to make sure I heard my son cry. At that time, it was very scary because I did not know what to expect. So, therefore, I would rather have a medicated childbirth based on my experience.

Intramuscular dosage is 3 - 7 mg/kg IM, which will produce 12 - 25 minutes of surgical anesthesia. For intramuscular injection, no dilution is necessary and the standard procedures for IM injection should be followed, such as injecting into a large muscle mass and aspiration prior to injection to avoid injection into a blood vessel.

Applications outside the intestine are called parenteral. One form is an injection, which can be subcutaneous (under the skin), intramuscular (into a muscle), or intravenous (into a vein). Parenteral administration of an antibiotic is used when a physician requires a strong, quick concentration of the antibiotic in the bloodstream. Manufacture.