module: session: advanced care paramedicine medication routes 6 4a
TRANSCRIPT
Module:
Session:
Advanced Care ParamedicineAdvanced Care Paramedicine
Medication Routes
6
4a
Routes
Parenteral administration of medications is typically done through: Subcutaneous Intramuscular Intravenous Endotracheal Intraosseous Inhalation
Subcutaneous
Subcutaneous
Prepare equipment Syringe Needle Alcohol swab 4 X 4 gauze Medication
Explain procedure Confirm allergies Examine medication, confirm that it is the desired
med, expiry date, cloudy/discolored? “Shake down” the ampule Break top off ampule using 4 X 4 gauze Draw medication into syringe and expel excess air
Subcutaneous
Choose suitable site Pinch up the skin Insert needle at a 45º angle Aspirate the syringe to
confirm placement If blood is aspirated,
withdraw needle and start over
Inject medication slowly Remove syringe and
dispose of Sharps Apply pressure over site Observe patient for effects Document
Intramuscular
Prepare equipment Syringe Needle Alcohol swab 4 X 4 gauze Medication
Explain procedure Confirm allergies Examine medication, confirm that it is the desired med, expiry
date, cloudy/discolored? “Shake down” the ampule Break top off ampule using 4 X 4 gauze Draw medication into syringe and expel excess air
Intramuscular
Choose suitable site Hold skin tight Insert needle at a 90º angle Aspirate the syringe to
confirm placement If blood is aspirated,
withdraw needle and start over
Inject medication slowly Remove syringe and
dispose of Sharps Apply pressure over site Observe patient for effects Document
Intravenous Bolus
Prepare equipment Syringe Needle Alcohol prep Medication
Explain procedure Confirm allergies Examine medication, confirm that it is the desired
med, expiry date, cloudy/discolored? Load medication Select appropriate IV port (closest to cannulation
site) Clean port with alcohol prep
Intravenous Bolus
Insert needle into port Pinch off IV tubing proximal
to port Administer medication as
required (Bolus, Slow IVP…)
Release IV tubing Remove needle Monitor patient for effect Document
Intravenous “Piggyback”
Prepare Equipment Medication IV solution Extra tubing Needle Label Medication
Explain procedure Confirm allergies
Intravenous “Piggyback”
Prepare medication in IV solution as required Label medication and [ ] of drug Attach needle to tubing and insert into patient’s IV
port Tape connection to IV line for security Begin administration
May need to place bag higher then the IV bag to allow gravity to work
Observe patient for desired effect Document
Endotracheal
Prepare equipment Hyperventilate the patient Remove BVM for ETT Inject medication directly into ETT Flush if Required Replace BVM and ventilate Monitor patient for desired effect
Intraosseous
Follow same procedures as IV administration