Amanda Shared "Sept 24th lab" - 6 Picmonics

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Sept 24th lab

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
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3 mins
Intramuscular Medication (IM) Administration
Injury to Nerves, Bone, and Blood Vessels
Vastus Lateralis
Nursing Considerations
Selection of Needle Length
Aseptic Technique for Drawing Up
90 Degree Angle
Max Amount (2-5 mL Adult, 1 mL Child)
Techniques to Reduce Pain
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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
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1 min
Tuberculosis Skin Mantoux Test (PPD)
Delayed Hypersensitivity (Cell Mediated Response)
Intradermal Injection
Read 48-72 hours
Positive Results
≥ 5 mm Induration
≥ 10 mm Induration
High Risk Patients
≥ 15 mm Induration
Chest X-Ray
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3 mins
Enoxaparin (Lovenox)
Mechanism of Action
Inhibits Clotting Factors
Factor Xa
Clot Formation Prevention
Side Effects
Heparin Induced Thrombocytopenia (HIT)
Medication Education
Subcutaneous Injection
2 Inches from Umbilicus or Incisions
Protamine Sulfate
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2 mins
Rapid Acting
Insulin Lispro (Humalog)
Insulin Aspart (Novolog)
Insulin Glulisine (Apidra)
Short Acting
Regular Insulin (Humulin R)
Intermediate Acting
Isophane NPH (Humulin N)
Long Acting
Detemir (Levemir)
Glargine (Lantus)
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2 mins

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