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Nursing Management And Leadership (NURS 458) Lab-8-Meds-INJ-Med List-Assignment-WORD-03072019

John Marsh
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San Diego State University

Nursing Management and Leadership (NURS 458)

Lab-8.Meds.INJ-Med List-Assignment.WORD.03072019

(2) enoxeparin (Lovenox) SQ prefilled syringe
Why is there an air bubble inside the syringe?
To avoid the loss of drug, do not expel the air
bubble from prefilled syringes before the injection
(Nursing Central).
What will you do with the air bubble? The air bubble helps to be sure you get all of the medicine out of the
syringe when it is injected.
Best Injection site?
Alternate injection sites daily between the left and right anterolateral and left and right posterolateral
abdominal wall (Nursing Central).
What is the Med for?
Prevention of venous thromboembolism (VTE) (deep vein thrombosis (DVT) and/or pulmonary embolism
(PE)) in surgical or medical patients (Nursing Central).
What Labs to monitor/check?
Monitor CBC, platelet count, and stools for occult blood periodically during therapy. Monitor clotting
times (aPTT) and Antifactor Xa levels (Nursing Central).
Monitor Patient for?
Monitor patient for hypersensitivity reactions (chills, fever, urticaria). Report signs to health care
professional. Monitor patients with epidural catheters frequently for signs and symptoms of neurologic
impairment (Nursing Central).
(3) ceftriaxone (Rocephin) IM
Rocephin is a powder form antibiotic that needs to be reconstituted w/Sterile water (or 1% lidocaine).
Rocephin is a VERY COMMON antibiotic used for?
Skin and skin structure infections, bone and joint infections, complicated and uncomplicated urinary tract
infections, uncomplicated gynecological infections including gonorrhea, lower respiratory tract infections,
intra-abdominal infections, septicemia, meningitis, otitis media, and perioperative prophylaxis (Nursing
What is important to know about this med related to injection administration? It should be injected in a
large muscle and do not exceed 4g/day (Nursing Central).
Best injection site allowed at ACMC for this type of Med?
Inject deep into a well-developed muscle mass; massage well.
Best practice would include using the ___ Z-track ___ IM technique.
(4) sumatriptan (Imitrex)
Must assess Pt is headache is Migraine HA or “regular HA”. Migraine is a medical Dx. How
do you assess the Migraine HA of the Pt?
No test is diagnostic for migraine headaches; rather, the diagnosis is made by history. The
International Headache Society established the following criteria for diagnosis: at least five
headache attacks lasting 4 to 72 hours, with at least two of the following characteristics:
unilateral location, pulsating quality, moderate or severe pain intensity, and aggravation by or
causing avoidance of routine physical activity. The patient also must have one of the
following: nausea and/or vomiting; photophobia and phonophobia. Sx must not be r/t another
disorder (Nursing Central).
What are common symptoms of Migraine?
Throbbing, nausea, sensitivity to light and sound (Nursing Central).
Any non-Pharm nursing interventions you could do?
Teach the patient to avoid triggers that may lead to headaches. Teach the patient how to maintain lifestyle
changes with regard to rest, nutrition, and exercises (Nursing Central).
What is important Pt teaching regarding Migraine? Teach changes in nutrition habits, relaxation in dark
room, avoid triggers, and exercise.



Nursing Management And Leadership (NURS 458) Lab-8-Meds-INJ-Med List-Assignment-WORD-03072019

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