What are advantages of SUBQ injections?
-faster absorption than PO
-slow, sustained, and complete absorption
What are disadvantages of SUBQ?
-variations in absorpotion if obese
What is the slowest absorption site?
-upper buttocks
-thighs
-anterolateral thigh preferred for <12 mo
Which site has intermediate absorption rate?
-upper posterior arm
What site has the fastest absorption rate?
-abdomen
-preferred site of anticoagulants
What is lipodystrophy?
fat formation associated with repetitive use of same site
What is SUBQ volume for adults?
up to 1 mL
What is SUBQ volume for pediatrics?
up to 0.5 mL
What are needle lengths for SUBQ?
1/2 - 5/8
What are needle gauges for SUBQ?
25-30
What are the most commone needle gauge and length for SUBQ?
-5/8
-25 gauge
What medications require two RNs for administration?
-heparin
-insulin
Why is massaging the injection site contraindicated?
-increased risk of hematoma
-unpredictable absorption
At what degree can inulin be administered?
only 90 degrees
What labs are used to monitor heparin?
-aPTT
-PTT
Can PTT be used to monitor enoxaparin?
no
What medications use units?
-insulin
-heparin
What is the recommended site for heparin?
abdomen
What are advantages of enoxaparin?
-lower cost
-lower risk of bleed
-lower chance of HIT
What does enoxaprin have an air bubble?
injected last for air lock of med
What are contraindications for heparin and enoxaparin?
-spinal/epidural anesthesia
-IM injections
-severe HTN
-pregnancy
-hemorrhage
-history of HIT
-adjust for liver disease
What are indications for enoxaparin?
-knee surgery
-hip surgery
-abdominal surgery
-bridge for warfarin
