Veroveliz Shared "math" - 18 Picmonics
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math
Routes of Administration Part One
- Enteral Administration
- Oral
- Sublingual
- Buccal
- Rectal
- Tubes
- Topical or Mucous Membrane Administration
- Transdermal
- Drops/Spray
- Vaginal
- Inhalation Administration
- Inhalation
2 mins
Routes of Administration Part Two (Parenteral)
- Parenteral Administration
- Intradermal
- Subcutaneous
- Intramuscular (IM)
- Intravenous
- Epidural
- Intrathecal
- Intraosseous
- Intraperitoneal
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
1 min
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
5 mins
Total Parenteral Nutrition (TPN)
- Mechanism
- Nutrition Given Outside GI
- Side Effects
- Hyperglycemia
- Hyperlipidemia
- Refeeding Syndrome
- Nausea and Vomiting
- Considerations
- Slow IV Infusion
- Use Large Central Vein
- No Added Meds to TPN Line
2 mins
Intramuscular Medication (IM) Administration
- Risks
- Injury to Nerves, Bone, and Blood Vessels
- Sites
- Deltoid
- Vastus Lateralis
- Ventrogluteal
- Nursing Considerations
- 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
2 mins
Intradermal Medication Administration
- SKIN TESTING
- Tuberculin Screening
- Allergy Testing
- INTRADERMAL SITES
- Dermis
- Inner Forearm or Upper Back
- INTRADERMAL Injection
- 1mL Syringe (26 or 27 Gauge Needle)
- 5 to 15 Degrees
- Small Bleb
2 mins
Ear Drops Medication Administration
- Indications
- Earwax Buildup
- Ear Infections
- Pulling The Pinna
- Child - Back and Downward
- Adult - Back and Upward
- Procedure
- Side-Lying with Ear Up
- Instill Medication
- Stay for 2-3 Minutes
- Nursing Considerations
- Room Temperature
- May Massage Tragus
- Perforated Eardrum
2 mins
Eye Medication Administration
- Procedure
- Supine with Neck Hyperextended
- Wash Away Crusts
- Cotton Ball on Cheekbone
- For Ophthalmic Drops
- Instill Drops into Conjunctival Sac
- Repeat if Missed or Patient Blinks
- 5 Minutes Before 2nd Medication
- For Ophthalmic Ointment
- Thin Stream Along Inner Edge
- Inner Canthus to Outer Canthus
2 mins
Metric System
- Weight
- Kilogram (kg)
- Gram (g/gm)
- Milligram (mg)
- Microgram (mcg)
- Volume
- Liter (L)
- Milliliter (mL)
- Length
- Meter (m)
- Converting
- Larger to Smaller: Multiply
- Smaller to Larger: Divide
3 mins
Conversions: Temperature
- 0° C = 32° F
- How to Convert Celsius to Fahrenheit
- °C x 1.8 + 32 = °F
1 min
Conversions: Weight
- 1000 mcg = 1 mg
- 1000 mg = 1 g
- 1000 g = 1 kg
- 2.2 lb = 1 kg
1 min
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
2 mins
Conversions: Pounds and Kilograms
- 2.2 lb (pounds)
- 1 kg (kilogram)
- Know Your Own Weight
37 secs
Ratio and Proportion
- Ratio
- Two Numbers Separated by a Colon
- Colon Indicates Division
- Proportion
- Equation with Two Equal Ratios
- Double Colons Indicates Equal Sign
- Extremes
- Means
- Calculating the Dose
- Set up the Proportion
- Cross-Multiply Means and Extremes
- Divide Both Sides by the Number Before Unknown Variable
3 mins
Standard Formula
- Memorize the Formula
- Dose Ordered
- Dose on Hand
- Amount on Hand (Quantity)
- Before Calculating the Dose
- Ensure Same Units and System of Measurement
- Calculating the Dose
- Dose Ordered/Dose on Hand X Amount on Hand = Amount to Administer
2 mins
IV Calculation Formulas
- IV TUBING
- Drop Factor
- Macrodrip
- Microdrip
- FLOW RATES
- Total Volume to Infuse (mL) X Drop Factor/ Time in Minutes = Drops/Minute (gtt/min)
- INFUSION TIME
- Total Volume to Infuse / mL per Hour Being Infused = Infusion Time
- Number of mL/Hr
- Total Volume in mL / Time in Hours = Number of mL per Hour
3 mins
Infusions Prescribed by Unit Dosage per Hour
- Step 1
- Determine Amount of Medication per 1mL
- Known Amount of Medication in Solution/Total Volume of Diluent = Amount of Medication per Milliliter
- Step 2
- Calculate mL per Hour
- Dose per Hour Desired/Concentration per Milliliter = Infusion Rate (mL/hour)
2 mins
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