Editing Nursing Skills and Procedures – LPN Flashcards (section)

== Oxygen and Injections ==

;State the flow ranges for nasal cannula and simple face mask.
:Nasal cannula 1 to 6 L/min, delivering about 24 to 44 percent. Simple face mask 5 to 10 L/min, delivering about 40 to 60 percent, with a minimum of 5 L/min required to flush exhaled carbon dioxide out of the mask.

;Compare intradermal, subcutaneous, and intramuscular injections.
:Intradermal: 5 to 15 degrees bevel up, 26 to 27 gauge, 0.01 to 0.1 mL, forms a wheal, no massage. Subcutaneous: 45 to 90 degrees, 25 to 27 gauge, up to about 1 mL, no aspiration. Intramuscular: 90 degrees, 20 to 25 gauge, 1 to 1.5 inch needle, up to 3 mL in a large adult muscle, using Z-track.

;What are the rules for subcutaneous heparin and insulin administration?
:Heparin goes into the abdomen at least 2 inches from the umbilicus at 90 degrees, with no aspiration and no massage. Insulin is given at 90 degrees with an insulin syringe, no aspiration and no massage, rotating sites within one anatomic region. When mixing, air into cloudy first, air into clear, then draw clear before cloudy.

;Name findings during any procedure that require notifying the registered nurse right away.
:A change from the client's baseline or anything outside the established plan of care: new or worsening pain, bleeding, absent catheter output with a distended abdomen, new shortness of breath or falling oxygen saturation, fever, purulent drainage, resistance during a procedure, or any suspected error.

[[Category:Nursing Skills and Procedures]]
[[Category:Licensed Practical Nurse (NCLEX-PN)]]
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