Page 173 - Demonstrating skill coppysaved colored-converted
P. 173

Equipment
                   1.  Tray
                   2.  Sterile syringe & needle
                   3.  Sterile forceps in a container
                   4.  Alcohol swabs
                   5.  Medication
                   6.  File
                   7.  Medication


                       Procedure
                   1.  Take Equipment to the patient’s bedside or room
                   2.  Explain the Procedure to the patient
                   3.  Draw your medication.
                   4.  Expel the air from the syringe
                   5.  Clean the site if dirty  (usually, it is in upper arms, thighs, or abdomen)
                   6.  Grasp the area between your thumb & forefinger to tense it.
                                                       o
                   7.   Insert the needle at about 45 - 60  angle
                                                  o
                   8.   Pierce the skin quickly & advance the needle.
                   9.  Aspirate to determine that the needle has not one teed a blood
                   10. After injection withdraw the needle and massage the area with an alcohol swab
                   11. Chart the amount and time of administration immediately.
                   12. Take care of the Equipment wash. Sterilize and return to its place
                   13. Watch for undesired reaction (a side effect of the drug) etc.
                       NB:
                       - If repeated injections are given, the nurse should rotate the site of injection so that each
                       succeeding injection is about 5cm away from the previous one.
                       - Only small doses (0.5 to1ml) of water-soluble medications should be used
                        16.3.3 Intra-muscular injection/IM/
                       Definition: Intra-muscular injection is the injection of medicine into muscle tissue.
                       To produce quick action on a patient as the medicine given by injection is rapidly
                       absorbed. Intramuscular injections are often given in the deltoid, vastus laterials,
                       ventrogluteal and dorsogluteal muscles.
                       Purpose:
                        To relieve symptoms of illness
                       To promote and prevent disease
                        To treat the disease accordingly
                       Contraindication:
                       IM injections may be contraindicated in clients with;

                                                                                                          159
   168   169   170   171   172   173   174   175   176   177   178