different sites to take temperature
axillary, oral, tympanic, temporal, oral
different sites to take pulse
radial (right), brachial, apical
if you can't find a radial pulse, where should you go next?
apical pulse with a stethoscope
apical pulse
5th intercostal space, midclavicular line
left side, near apex of heart
kinda under left boob
use stethoscope
Where is the apex of the heart located?
5th intercostal space, left midclavicular line
subcutaneous injection
ex. insulin
pinch skin
insert needle at 90 or 45 degrees
push in fluid
pull out needle
release skin
intramuscular injection
ex. flu vaccine
pull/stretch skin taut
insert needle at 90 degrees
push in a little bit of fluid, pull back just slightly to check for blood
if no blood, keep inserting all the way
pull out needle
release skin
Subcutaneous injection sites
deepest layers of skin. Upper arms, back, abdomen, top of legs. ex. insulin
insulin is an example of a _ injection
subcutaneous
intramuscular injection sites
deltoid, gluteus medius, vastus lateralis
The most common IM injection site is the_____
deltoid muscle
the most common subQ injection site is the _
abdomen
the flu shot is an example of an _ injection
IM injection
deltoid location
palpate the lower edge of the acromion process. A triangle is formed at the midpoint in line with the axilla on the lateral aspect of the upper arm, with the base of the triangle at the acromion process.
6 rights of medication administration
Right dose, right time, right patient, right route, right documentation, right medication
OLD CARTS
Onset
Location
Duration
Characteristics
Aggravating and Alleviating Factors
Related Symptoms
Treatment
Severity
The "O" in OLDCARTS
Onset - onset of symptoms/illness
when did your symptoms begin?
The "L" in OLDCARTS
Location - where the anatomical location of injury/illness (channels or points included)
The "D" in OLDCARTS
Duration - anything time related: when symptoms occur, how long they last, etc
The "C" in OLDCARTS
Characteristics - How the illness/injury presents
is the pain sharp/dull, chronic/acute, throbbing/stabbing
a old carts
...