Ati Pharm / Ati Pharmacology Proctored Exam 2013

Self-Administration of Enoxaparin {Ans: -For subcutaneous injections when a prefilled syringe is not available, use a 20‑ to 22‑gauge needle to withdraw medication from the vial. Then, change to a small needle (25‑ or 26‑gauge, ½ to ⅝ inches long) -Deep subcutaneous injections should be administered in the abdomen, ensuring a distance of 2 inches from the umbilicus. Do not aspirate -Prefilled syringes are available in various dosages for subcutaneous injection. Rotate sites between right and left anterolateral and posterolateral abdominal walls at least 2 inches from umbilicus -Do not expel the air bubble in the syringe unless adjustments must be made to the dose. Pinch up an area of skin, inject at a 90° angle, and insert needle completely -Do not aspirate. Inject entire contents of syringe -Do not rub the site for 1 to 2 min after the injection. Rotate and record injection sites. Ch. 25}Administration of Heparin {Ans: -Obtain baseline vital signs -Obtain baseline and monitor complete blood count (CBC), platelet count, and hematocrit levels -Read label carefully. Heparin is dispensed in units and in a variety of concentrations -Check dosages with another nurse before administration -Use an infusion pump for continuous IV administration. Monitor