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    15 Mixing Medications Using One Syringe

    Uploaded by

    Marky Roque
    This document provides instructions for mixing medications from one or two vials or an ampule and vial using a single syringe. It outlines the necessary equipment, preparation steps, and mixing procedures. Key steps include checking the medication against the MAR, preparing the vials/ampules, withdrawing air into the syringe when mixing from two vials to prevent contamination, withdrawing the correct amounts from each source, and properly disposing of used supplies.

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    © All Rights Reserved
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    15 Mixing Medications Using One Syringe

    Uploaded by

    Marky Roque
    566 views2 pages
    This document provides instructions for mixing medications from one or two vials or an ampule and vial using a single syringe. It outlines the necessary equipment, preparation steps, and mixing procedures. Key steps include checking the medication against the MAR, preparing the vials/ampules, withdrawing air into the syringe when mixing from two vials to prevent contamination, withdrawing the correct amounts from each source, and properly disposing of used supplies.

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    This document provides instructions for mixing medications from one or two vials or an ampule and vial using a single syringe. It outlines the necessary equipment, preparation steps, and mixing procedures. Key steps include checking the medication against the MAR, preparing the vials/ampules, withdrawing air into the syringe when mixing from two vials to prevent contamination, withdrawing the correct amounts from each source, and properly disposing of used supplies.

    Copyright:

    © All Rights Reserved
    Download as DOC, PDF, TXT or read online from Scribd
    Download as doc, pdf, or txt
    566 views2 pages

    15 Mixing Medications Using One Syringe

    Uploaded by

    Marky Roque
    This document provides instructions for mixing medications from one or two vials or an ampule and vial using a single syringe. It outlines the necessary equipment, preparation steps, and mixing procedures. Key steps include checking the medication against the MAR, preparing the vials/ampules, withdrawing air into the syringe when mixing from two vials to prevent contamination, withdrawing the correct amounts from each source, and properly disposing of used supplies.

    Copyright:

    © All Rights Reserved
    Download as DOC, PDF, TXT or read online from Scribd
    Download as doc, pdf, or txt
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    Mixing Medications Using One Syringe

    Equipment:
     Client’s Medication Administration Record (MAR) or computer printout
     Two vials of medication
    ** one vial and one ampule
    ** two ampules OR
    ** one vial or one ampule and one cartridge

     Antiseptic swabs
     Sterile syringe and safety needle OR insulin syringe and needle (if insulin
    syringe is being given, use a small-gauge hypodermic needle, e.g., #26
    gauge)

     Additional sterile subcutaneous or intramuscular safety needle (optional)


     
    No. Steps Rationale
      Preparation:  
     1 Check the MAR.  
     Check the label on the medications
    carefully against the MAR to make sure
    that the correct medication is being
    prepared.
     Follow the three checks for administering
    medications. Read the label on the
    medication (1) when it is taken from the
    medication cart, (2) before withdrawing the
    medication, and (3) after withdrawing the
    medication.
     Before preparing and combining the
    medications, ensure that the total volume
    of the injection is appropriate for the
    injection site.
    2 Organize equipment.
      Steps:  
    1 Perform hand hygiene and observe other
    appropriate infection prevention procedures.
    2 Prepare the medication ampule or vial for
    medication withdrawal.
     Prepare the medications to be withdrawn. Preparations that have
     While preparing medications from an changed in appearance
    ampule or vial, inspect the appearance for should be discarded.
    clarity. Note, however, that some
    medications are always cloudy.
     Clean the top of the vials with antiseptic This avoids contamination of
    swabs. the medication once the
    needle is inserted for
    medication withdrawal.
    3 Withdraw the medications.

    Mixing Medications from Two Vials


     Take the syringe and draw up a volume of
    air equal to the volume of medications to be
    withdrawn from both vials A & B.
     Inject a volume of air to the volume of This prevents cross
    medication to be withdrawn into vial A. contamination of the
    Make sure the needle does not touch the medications because the
    solution. same needle will be used for
     Withdraw the needle from vial A and inject vial B.
    the remaining air into vial B.
     Withdraw the required amount of The same needle is used to
    medication from vial B. inject air into and withdraw
    medication from the second
    vial.
     Remove and properly discard the needle
    then replace with a new sterile needle.
     Using a newly attached sterile needle, With this method, neither of
    withdraw the required amount of medication the vial is contaminated by
    from vial A. Avoid pushing the plunger of microorganisms or by
    the syringe because it will introduce medication from the other
    medication B into vial A. vial.
    Be careful to withdraw only the desired The syringe now contains
    amount and to not create air bubbles. the two medications and an
    excess amount cannot be
    returned to the vial.

    Mixing Medications from One Vial and One


    Ampule
     Prepare first and withdraw the medication Ampules do not require
    from the vial. injection of air prior to
    withdrawal of medication.
     Withdraw the required amount of
    medication from the ampule.
    4 Cover the top of the vial and/or ampule securely This maintains the shelf life
    with clean adhesive then store appropriately. of the medication/s.
    5 Discard appropriately the used needle and For safety purpose and
    supplies. cleanliness of the
    medication cart

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