Question

uu. Admuniatering Medicators Make sure that your paper answers the following: Chopton S 1. What are the standard precautions used for each of the medication administration methods (oralbuccalsublingual, rectal, and parerteral)? 2. What are the gauge ranges used for each parenteral method (IM, SQ, and ID)? 3. What are the angles of the injections (IM, SQ, and ID)? Why are those angles important? 4. Which vaccinations are given to children and when are they given to them?

Administering Medications.

Answer 1

1.The standard precautions to be used for each medication administration are

• Oral:
  • Strictly follow the rights if medication administration (right patient, right drug,right disr,right route,right time and documentation)
  • Hand hygiene before and after procedure
• Buccal:
  • Follow rights of medication administration
  • Check for any injuries,active bleeding ,sores at the mouth
  • Use PPE(Gloves and mask ) to prevent infection while administration of medication
  • Check whether patient has any infectious disease
  • Use aseptic method in case of sterile medication application
• Rectal
  • Follow rights of medication administration
  • Makes of gloves and mask
  • Check for any infections
  • Lubricate with low gel so that it can reduce irritation while inserting the medication
  • Encourage patient not to cough during and immediately after procedure, place patient in supine position for atke as atleast 15 minutes to prevent dislodging
• Parental
  • Follow rights of medication administration
  • Inform the patient and get acceptance
  • Use gloves to prevent blood born infection
  • Do not recap to prevent needle stick injuries, follow aseptic techniques while inserting IV cannula
  • Incinirate the needle or dispose in sharp containers
  • Dispose the soiled items in appropriate containers

2.The gauze ranges used are

• Intramuscular injections:22 G to 25G
• Subcutaneous injections:23 to 25 G now a day the prefilled syringe measure as less than 30 to 31G (insulin syringes)
• Intradermal injections:26 to 27 G or even an tuberculosis syringe of 31G

3.The angles of injections are

• Intramuscular:90 ° to reach the muscle
• Subcutaneous:45° to reach the skin just below the skin that is subcutaneous layer
• Intradermal:15° to be injected just under the epidermis or in dermal region

4.The vaccinations for children are

• At birth:BCG,Hepatitis B,OPV
• 1 month :Hepatitis B second dose
• 2 months:Rotavirus,DTap,Hib ,PCV 13,IPV
• 4 months:Rotavirus ,DTap,Hib ,PCV 13 second dose
• 6 months:DTap ,PCV 13 third dose,Hepatitis 3rd dose
• 12 months:Hib (3rd) PCV 13(4th),MMR,maricela,Hepatitis A (1st)
• 15 months:DTap 4th dose
• 6 to 18 months :IPV 3rd dose
• 4 to 6 years: DTap 4th and IPV 4th dose,MMR 2nd dise ,Varicella 2nd dose
• 7 years:Meningococcal 1st dose,13 to 15 years 2nd dose
• 10 years Tetanus toxic
• 16 :HPV for girls