Category Archives: Skills Notes

TPN/ PPN

TTP/ PPN PPN: nutrition feeding for short-term use. Location site: peripheral vein w/ filter. ( median cubital and cephalic vein. PICC line is preferred) TPN: total parenteral nutrition – long-term use. Location site: subclavian vein and jugular vein. Preferred CVAD. Filter 1.2 micro is used to filter aggregate from TPN/PPN Important: have D10 available inContinue reading “TPN/ PPN”

IV Solution

What is IV Therapy? It provide life-sustaining fluid, electrolyte, and medication. IMMEDDIATE and life-saving effect for all ages and despite emergent condition or limitation route. Risk: adverse reaction, fluid overload, medication error, drug and solution incompatibilities, tissue damage, and vasculature damage. Fluid type Isotonic fluid- IV fluid with same osmolarity as intracellular fluid. This IVContinue reading “IV Solution”

Pharmacology math -RN

The nurse receive and order to medication a patient with 6mg of Morphine IVP. On hand the pharmacy supplies 10mg/1ml vial. How much should the nurse draw up? 6mg / 10 mg =0.6 0.6 x 1 mL= 0.6mL Answer: 0.6 mL A child weighing 22 lbs. is to receive Motrin 20mg / kg. Motrin isContinue reading “Pharmacology math -RN”

Injection IV Push Med with Existing Solution

This process is similar to the IV Push for Hep Lock but additional part. Equipement: Antimicrobial swab watch and clock -second hand reading Glove Medication 2-NS slushes syringe 3-10mL – varied facility policy Passive disinfection caps 23-25 gauge and 1 inches needle- varied facility policy MAR- computer to document /medication record PPE if needed. CompatibleContinue reading “Injection IV Push Med with Existing Solution”

Intravenous (IV) Bolus or Push through medication / fusion lock

Equipment: Prescribed medication 2- normal saline flushes prepared in a 3-10mL syringes accord to facilities policy Antimicrobial swabs Passive disinfection cap ( type base on facilities policy) Syringe w/ needless device or 23-25 gauge and 1 inches needle ( follow facilities policy) Watch / clock for second hand Disposable glove MAR medication Administration Record AdditionalContinue reading “Intravenous (IV) Bolus or Push through medication / fusion lock”

Intramuscular Injection Notes

Intramuscular injection: Administer Through skin and subcutaneous tissue into a particular muscle tissue. Muscle tissue have a increase blood vessel than the subcutaneous tissue therefore allow faster onset action. Some medication IM are formulate to have longer duration effect. Injection site of the medication -deliver a slow release of medication release over hours, days, andContinue reading “Intramuscular Injection Notes”

Intradermal Injection -Notes

Intradermal injection: Administer Into the dermis- just below the epidermis. Longest absorption time all parenteral route Used for sensitivity test: Tuberculin (TB), allergy test, and local anesthesia. Body react to the substance are visible and reaction are noticeable. Dose given intradermal are small and usually less than 0.5mL Site: Inner surface of the forearm upperContinue reading “Intradermal Injection -Notes”

Subcutaneous Injection- Notes

Administer into the adipose tissue layer Below the epidermis and dermis Injected intended in the subcutaneous tissue NOT underlying muscle (IM) Few blood vessel- slow and sustain rate of absorption into the capillaries (Absorption rate varies on the various site- example: inject- abdomen are absorbed faster than arm) Multiple site: Upper arm Abdomen-costal margin toContinue reading “Subcutaneous Injection- Notes”

Elimination and Diaper Area Care

Newborn elimination pattern are individualized. Urine Are usually are light amber. Soaking 6 to 12 diaper day indicated adequate hydration Stool Change color, texture, and frequency w/o complication. Meconium- passed first 48 hour. Stool- thick, tarry, sticky, and dark green Can be difficult to remove- use plain water or wipe to clean area Transition stoolContinue reading “Elimination and Diaper Area Care”