25th November 2019

aliem

14

How much lidocaine do you mix with 1 gram of Rocephin?

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Ceftriaxone 250 mg vial – mix with 0.9 mL of lidocaine 1% = 250 mg/mL. Ceftriaxone 1000 mg vial – mix with 2.1 mL of lidocaine 1% = 350 mg/mL.

Similarly one may ask, how should ceftriaxone be administered?

1g ceftriaxone should be dissolved in 3.5ml of 1% Lidocaine Injection BP. The solution should be administered by deep intramuscular injection. The injection should be administered over 5 minutes, directly into the vein or via the tubing of an intravenous infusion.

Where do you give a Rocephin injection?

Draw up the diluted product in a 2 ml syringe. 5. Discard the needle used to draw up the medication and attach 1.5 inch 21 gauge needle to syringe. Dorso or ventrogluteal muscle is recommended for administration. Do not administer in the deltoid.

What is the medicine Rocephin used for?

Your doctor may use Rocephin to treat severe or life-threatening forms of bacterial infections such as meningitis. It might also be prescribed to treat lower respiratory tract or urinary tract infections, as well as pelvic inflammatory disease (PID), uncomplicated gonorrhea, and ear or skin infections.

1

Where do you give a intramuscular injection?

Intramuscular injections are often given in the following areas:

Deltoid muscle of the arm. The deltoid muscle is the site most typically used for vaccines.
Vastus lateralis muscle of the thigh.
Ventrogluteal muscle of the hip.
Dorsogluteal muscles of the buttocks.

2

Where are intramuscular injections given?

The ideal site depends on your age, size, and amount of medicine in the injection. Thigh (vastus lateralis muscle). This site is located by dividing the thigh into thirds between the knee and hip. The site is located in the middle, outer sides of the thighs.

3

What is the Z track method?

Overview. When a medication is injected directly into muscle, it is called an intramuscular injection (IM). The Z-track method is a type of IM injection technique used to prevent tracking (leakage) of the medication into the subcutaneous tissue (underneath the skin).

4

Where is the Ventrogluteal site for im injections?

OUT: The Dorsogluteal IM injection site. This site been used by nurses for years as the target of choice for IM injections. It is found in the area of the superior lateral aspect of the gluteal muscles, commonly known as the upper outer quadrant. It is located by dividing the buttock into four equal quadrants.

5

Do you aspirate with Z track?

Never inject more than 5 mL of medication into a single site using the Z-track method. Alter- nate sites for subsequent in- jections. → Aspirate for 5 to 10 seconds to ensure that you haven't hit a blood vessel. → Never massage a Z-track injection site.

6

Do you need to aspirate when giving an IM injection?

However, it may be indicated for IM injections of medications such as PCN. Perry & Potter describes aspirating when using Z track method of injections; yet for routine injections in the deltoid or vastus lateralis muscles, aspiration is not necessary as the sites do not contain large blood vessels.

7

Do I need to aspirate a subcutaneous injection?

The Sanford USD Medical Center policy stated to aspirate for all intramuscular (IM) injections and subcutaneous (SQ) injections except for heparin and insulin. Our practice at SUSDMC was not consistent with the Center for Disease Control (CDC) recommendations to not aspirate prior to injection.

8

What do you do when you aspirate blood?

If you get blood back when you aspirate you remove the syringe and reinject at another site. You don't have to throw away the med, and blood is absorbed easily into muscle. The only drawback would be to make sure you're able to see well enough to aspirate effectively with the second injection.

9

Where do you give a subcutaneous injection?

Subcutaneous injections can be given straight in at a 90 degree angle or at a 45 degree angle. Give the injection at a 90 degree angle if you can grasp 2 inches of skin between your thumb and first finger. If you can grasp only 1 inch of skin, give the injection at a 45 degree angle.

10

Where do you give subcutaneous injections?

Some areas of the body have a more easily accessible layer of tissue, where a needle injected under the skin will not hit muscle, bone, or blood vessels. The most common injection sites are: Abdomen: at or under the level of the belly button, about two inches away from the navel. Arm: back or side of the upper arm.

11

What angle to give intramuscular injection?

90 degree

12

What size needle to use for IM injection?

Intramuscular injections. The deltoid muscle is most often used as the site for IM injections in adults: Needle length is usually 1–1½", 22–25 gauge, but a longer or shorter needle may be needed depending on the patient's weight.

13

How many ml Can you give in an IM injection?

Generally only limited injection volumes can be given by intramuscular injection: 2 ml in the deltoid and thigh muscles, and up to 5 ml in the gluteus maximus. The point of injection should be as far as possible from major nerves and blood vessels to avoid neural damage and accidental intravenous administration.

14

How should ceftriaxone be administered?

1g ceftriaxone should be dissolved in 3.5ml of 1% Lidocaine Injection BP. The solution should be administered by deep intramuscular injection. The injection should be administered over 5 minutes, directly into the vein or via the tubing of an intravenous infusion.

15

What is the maximum volume that can be injected subcutaneously?

about 2 ml

16

What is the maximum volume for an intradermal injection?

Needles are generally 3/8 inches long and 25 to 26 gauge. Drugs that are intradermally injected are agents for diagnostic determinations, desensitization, or immunization. For this route of administration, 0.1 ml of solution is the maximum volume that can be administered.

17

How should gentamicin be administered?

Gentamicin when given intravenously should be injected directly into a vein or into the drip set tubing over no less than three minutes. If administered by infusion, this should be over no longer than 20 minutes and in no greater volume of fluid than 100 ml.

18

Can you give gentamicin IM?

Gentamicin is normally given by IM injection. Intravenous administration may be used for particular indications when the IM route is not appropriate The dosage is the same for either route of administration. It is desirable to measure both peak and trough serum levels during treatment.

19

What is a gentamicin injection?

Gentamicin injection is used to treat serious bacterial infections in many different parts of the body. Gentamicin belongs to the class of medicines known as aminoglycoside antibiotics. It works by killing bacteria or preventing their growth.

20

Where do you give a Rocephin injection?

Draw up the diluted product in a 2 ml syringe. 5. Discard the needle used to draw up the medication and attach 1.5 inch 21 gauge needle to syringe. Dorso or ventrogluteal muscle is recommended for administration. Do not administer in the deltoid.

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