Med. admin. paramedic

1. Phlebotomy, IVT, and
Medication
Administration

4. Antiseptics
 Not toxic to human tissue
 Alcohol, iodine, diluted disinfectants

6. Disinfectants
 Toxic to living tissue

9. Phlebotomy

12. Medication
Administration

13. Five rights
 Right patient
 Right medication
 Right dose
 Right time
 Right route
 Right documentation

14. Medical Ascepsis
 Free of pathogens

16. Routes of Medication
Administration
 Percutaneous
 Enteral
 Pulmonary
 Parenteral

19. Parenteral

21. Route Size Length Angle Max Volume
Intradermal 25-27 3/8 – 1 inch 10-15º < 1 mL
Subcutaneous 24-26 3/8– 1 inch 45º 1 mL
Intramuscular
Deltoid
21 - 23 3/8 – 1 inch 90º 2 mL
Intramuscular
Dorsal gluteal
21 - 23 3/8 – 1 inch 90º 5 mL
Intramuscular
Vastus lateralis
21 - 23 3/8 – 1 inch 90º 5 mL
Intramuscular
Rectus femoris
21 - 23 3/8 – 1 inch 90º 5 mL

25. Intravenous Access

31. Types of IV Fluid
 Colloids
 Crystalloids
 Blood
 Fake blood

32. Colloids
 Large proteins or sugars
 Plasma protein fraction (Plasmanate)
 Albumin
 Dextran
 Hetastarch

33. Crystalloids
 Isotonic
 Hypertonic
 Hypotonic

34. Blood

35. Fake blood
 Oxygen-Carrying Solutions
 Perfluorocarbons
 Hemoglobin-based oxygen-carrying solutions (HBOCs)

36. Complications of IVT
 Local infection
 Pyrogenic reaction
 Allergic reaction
 Catheter shear
 Arterial puncture
 Circulatory overload
 Thrombophlebitis

37. Thrombophlebitis

38. More complications of IVT
 Thrombus formation
 Air embolism
 Necrosis
 Anticoagulants

45. Intraosseous Infusion

49. Fast

50. Big

67. ASSIGNMENT
 http://www.teleflex.com/en/usa/ezioeducation/index.html