parenteral administration
if using ampule
lightly ta/shake amplue to dislodge solution from neck of container
wrap neck of glass with alcohol swap
grasp ampule,snap off top. discard top in disposal container
carefully insert18-gauge filter needle into solution,draw solution into syringe
.Do not allow needle to touch edges of ampule
carefully remove needle and discard in appropriate container
Attach needle to used for injection
Gently push plunger of syringe to expel air
Mixing medications
Two compatible drugs can be mixed into one injection if total volume of dosage is within accepted limits
when mixing, do not contaminate one with the other, maintain aseptic technique
Any doubt about compatibility, consult medical direction
Mixing medications from two vials
Use only one syringe to mix drugs
Aspirate a volume of air equivalent to dose of first drug, inject air into vial A, making sure needle dose not touch solution, withdraw needle
Aspirate volume of air equivalent to does of second drug, inject air into vial B, withdraw required medication vial B
Mixing medications
Two compatible drugs can be mixed into one injection if total volume of dosage is within accepted limits
when mixing, do not contaminate one with the other, maintain aseptic technique
Any doubt about compatibility, consult medical direction
Mixing medications from two vials
Use only one syringe to mix drugs
Aspirate a volume of air equivalent to dose of first drug, inject air into vial A, making sure needle dose not touch solution, withdraw needle
Aspirate volume of air equivalent to does of second drug, inject air into vial B, withdraw required medication vial B
put a new sterile needle on syringe, insert into vial A
.Be careful not to push in plunger/expel drug from syringe into vial
withdraw desired amount drug vial A into syringe
put a new sterile needle on syringe and administer injection
Mixing medications from one vial and one ampule
-withdraw desired drug dose from vial first
-use same syringe and needle to withdraw medication from ampule
-put new sterile needle on syringe and administer injection
Prefilled syringes
-calculate volume of medication to be administered
-Remove protective caps from syringe barrel and medication cartridge
-Screw cartridge into syringe barrel
-Gently push in plunger of syringe to expel air
Preparing injection site
-Cleanse area using aseptic technique
.Thoroughly scrub site with appropriate cleanser, remove dirt, dead skin, other surface contaminants
.Using chlorhexidine-based preparation, scrub area up down, side to side, other products clean site with overlapping, concentric circles, moving outward from site
-Allow site to dry