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Zorluk: ZorPharmacological Therapies

A practical nurse (PN) is preparing to administer a prescribed intramuscular medication that is supplied in a single-dose glass ampule. Arrange the following preparation steps in the correct chronological order to ensure safe medication handling and administration.

  1. 1Flick the upper stem of the ampule lightly to ensure all medication moves into the lower chamber.
  2. 2Wrap a sterile gauze pad or an unopened alcohol swab around the narrow neck of the ampule.
  3. 3Snap the ampule neck quickly and firmly in a direction pointing away from the body.
  4. 4Attach a filter needle to the sterile syringe.
  5. 5Withdraw the prescribed amount of medication while avoiding contact with the outer rim of the ampule.
  6. 6Remove the filter needle and attach the appropriate size needle for intramuscular injection.

Cevap

The correct sequence begins with clearing the upper stem of medication, followed by protecting the hands with gauze, snapping the ampule away from the body, attaching a filter needle, withdrawing the medication, and finally replacing the filter needle with an appropriate injection needle.
Safe medication preparation from a glass ampule requires a specific sequence to protect both the nurse and the client. The nurse must first ensure all medication is in the lower chamber (flicking the stem) to prevent dose loss. Next, the nurse protects themselves by wrapping the neck and breaking the glass away from their body. Because breaking the glass can introduce microscopic shards into the liquid, the nurse must attach a filter needle to draw up the medication safely. Once the medication is withdrawn without contaminating the needle on the rim, the filter needle must be discarded and replaced with an injection-appropriate needle, as filter needles are not meant for client administration.

Adım Adım Çözüm

1
Flick the upper stem of the ampule lightly to ensure all medication moves into the lower chamber.
All medication is contained within the base of the ampule.
Prevents loss of the prescribed dose when the ampule is opened.
2
Wrap a sterile gauze pad or an unopened alcohol swab around the narrow neck of the ampule.
A protective barrier is established around the break point.
Protects the nurse's fingers from glass cuts.
3
Snap the ampule neck quickly and firmly in a direction pointing away from the body.
The ampule is opened safely.
Directs potential glass shards away from the nurse's face and body.
4
Attach a filter needle to the sterile syringe.
The syringe is equipped to filter out particulate matter.
Essential to prevent drawing up microscopic glass shards that fell into the medication when the ampule was broken.
5
Withdraw the prescribed amount of medication while avoiding contact with the outer rim of the ampule.
The correct dose is drawn into the syringe while maintaining sterility.
Touching the unsterile outer rim of the ampule would contaminate the needle.
6
Remove the filter needle and attach the appropriate size needle for intramuscular injection.
The syringe is ready for safe client administration.
Filter needles are strictly for drawing up medication and are contraindicated for injecting into tissue.

Anahtar Kavram

Safe Preparation of Parenteral Medications from an Ampule
Tahmini Süre:1m 30s
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