ppt课件-parenteralmedicationadministration.pptVIP

Parenteral Medication Administration 1413 Ethical – Legal Factors Right to refuse Liability Nerve Damage Into a vein or artery Infiltration / Extravasation Tissue Damage Unapproved site Dorsal Gluteal may be unacceptable at your facility Minimize Discomfort Position muscle for relaxed tone Distraction with conversation instructions, visual imagery, relaxation techniques Dart-like quick entry for smooth tissue separation (it’s in the wrist action!!) What are other ways to Minimize Discomfort What do you need to know about Injection Sites? Injection Sites - Deltoid Location: upper arm Landmarks: Acromion Process, axillary fold Muscle mass: triangle apex at axillary line and base of triangle 2-3 finger breadths below acromion process. Injection area: in the middle of the triangle / into belly of the muscle mass. Avoid Brachial artery Radial nerve (BARN) /health/rnsg/skills/injectionSites.htm Deltoid Should not be used in infants or children because of the muscle’s small size. Injection volume should not exceed 1ml in the adult Use a 23-28 gauge, 5/8 to 1 inch needle Rarely used for hospitalized patients. Primarily used for immunizations. Injection Sites - Ventrogluteal Location: lateral (ventral) side of the hip Landmarks: Iliac crest, anterosuperior illiac spine, greater trochanter of femur Muscle mass: Gluteus medius and minimus Injection area: opposing palm of hand over greater trochanter, middle finger pointed toward the iliac crest, index finger toward anterosuperior iliac spine. Inject into the triangle created by these fingers. No major vessels / nerves. Ventrogluteal Vastus Lateralis Location: anterolateral aspect of the thigh Landmarks: greater trochanter, lateral femoral condyle Muscle mass: vastus lateralis muscle Injection area: between one handbreadth below the greater trochanter and one handbreadth above the knee. Width of area is from the midline on the anterior surface of the thigh to midline on the lateral thigh. B