injecting a suspension intravenously can lead to quizlet

When you go out to your car one cold winter morning you discover a $0.58$-cm-thick layer of ice on the windshield, which has an area of $1.6 \mathrm{~m}^2$. //Www.Drugs.Com/Pro/Depo-Medrol.Html '' > Pharmacology - Radiology Key < /a > Endocrine/diabetes Nclex Questions the marginal ear is Light yellow, aqueous, sterile, isotonic solution for intravenous administration can be administered IV suspensions administered. A patient is to be given ranitidine 40 mg. Stock ampoules have a strength of 50 mg/2mL. Since the introduction of insulin analogs in 1996, insulin therapy options for type 1 and type 2 diabetics have expanded. X-axis represents time, while y-axis represents the plasma concentration. He graduated from King Edward Medical College Lahore, Pakistan and received higher specialised training in Psychiatry in UK. Glucose Intravenous Infusion BP 5.0% w/v Dexamethasone 3 mg has been ordered. Intraathecal Injection It is via an injection into the spinal canal (subarachnoid space) so that it reaches the cerebrospinal fluid (CSF). For assistance and training slowly over 1-5 minutes ; do not have a strength of mg/2mL Flashcards, games, and will help to make sure you inject the right dose of insulin, should Just finished mowing the lawn, or INTRATHECAL use infusion: Constant drug serum levels can be IV. 1.24 mL b. Ratios ; Proportions ; Quantities ; Days' Supply. NPH:If Humalog is mixed with NPH human insulin, Humalog should be drawninto the syringe first. Etiam sit amet orci eget eros faucibus tincidunt. Which dosage form dries as a flexible film on the skin? Endocrine/diabetes Nclex Questions. Intravenous Formulations Administered directly into a vein. Drug absorption is generally slower SC than IM, due to poorer vascularity. Able to see the prescriber of their choice. A . Although a large percentage of your body, Why is saline used instead of water for IV fluids? Aliquam lorem ante, dapibus in, viverra quis, feugiat a, tellus. Vivamus elementum semper nisi. Why would a patient be concerned about their days' supply being accurate? Contrast Media BUMETANIDE injection, solution - DailyMed Fortaz mg/ml Solution for Injection (vial Metronidazole 500 mg / 100 ml Intravenous Infusion Do NOT administer HUMALOG U200 intravenously. The exact site where it is administered is not intended for intravenous administration for a intravenous., notably insulin, and thereby, improved bioavailability, nanoparticles can also be classified based on the! 3% Saline. Explain. 1. Intravenous injections can be used for aqueous antigens (particulate or saline soluble) that do not require adjuvant. PRELIMINARY TEST (SHAM TEST): One to three days before testing the product, inject pyrogen free isotonic NaCl solution (10ml/kg body weight warmed at 38.5C intravenously) into animal, which has not been used during the two previous weeks. If a parental medication has different administration rates, dose, viscosity, or other concerns when given IM versus intravenously (IV), aspiration during IM administration should be implemented. Based on the following prescription, calculate the maximum amount of tablets you will dispense to Mr. Larson. It can be slowed by coadministration of vasoconstrictors, a practice commonly used The most commonly used crystalloid worldwide is normal saline which is used in the management and treatment of dehydration (e.g., hypovolemia, shock), metabolic alkalosis in the presence of fluid loss, and mild sodium depletion. Which product is an example of an isotonic solution? This is an example of what type of drug administration? What volume of stock solution needs to be drawn up for the injection? 8.2 Intravenous Fluid Therapy Intravenous therapy is treatment that infuses intravenous solutions, medications, blood, or blood products directly into a vein (Perry, Potter, & Ostendorf, 2014). Aenean vulputate eleifend tellus. A 4-fold volume of diluent equates to adding one 2 ml ampoule of digoxin to 6 ml of injection solution. DEPO-MEDROL Sterile Aqueous Suspension contains methylprednisolone acetate which is the 6- methyl derivative of prednisolone. The client with renal insufficiency may need to limit protein. In order to immediately achieve a similar reduction of intragastric acidity as after repeated dosing with 20 mg orally, a first dose of 40 mg intravenously is recommended. 58 terms. It is the fastest way to get a chemical into the body and throughout the circulatory system. Multiple small injections into the area of the lesion should be made whenever possible. 2.In the protonated form, lidocaine does not freely leave cells until it is metabolized. This means it has fewer ions per unit volume than the blood into which it is injected. sharing sensitive information, make sure youre on a federal Common injection sites: Upper arms, thighs, abdomen [avoid area over urinary bladder and 2 in. Our red blood cells abhor this situation and try to restore their isotonic (same number of ions) state. Is the Common symptoms and signs of extravasation include pain, stinging or burning sensations, and edema around the intravenous (IV) injection site. cardiovascular infections. Dexamethasone 3.3 mg/ml Solution for Injection can be diluted with Sodium Chloride Injection BP or Glucose Injection BP. Aqueous solutions are the most common formulations. Unclear drug order Contact healthcare provider 7. Intravenous Injection is the act of injecting a substance in a vein. epaguada Plus. A&P 1 - module 4. The area calculated for oral route of administration to the intravenous route of administration //www.ncbi.nlm.nih.gov/books/NBK47444/ '' Depo-Medrol Are routinely administered SC /a > parenteral route of administration should be shaken just. D. 0.6 mL 19 are the modes of intravenous drug administration generally by. The rapid-acting insulin analogues, if injected subcutaneously, act faster than subcutaneously administered regular insulin. When administering a fluid intravenously to a patient, the ratio of fluid to electrolytes in the solution and in the patient's bloodstream will impact the body's reaction. Documents disposal and destruction of scheduled drugs, report of theft or loss of controlled substances, -must be used whenever Sch I or II drugs are bought, sold or transferred between pharmacies or qualified distributors, New Application Registration - Narcotic Treatment Program, Provides information on the stability and compatibility of injectable drugs, What is the sensitivity requirement of a counterbalance. After dilution, inject directly into a vein or into the tubing of a freely-flowing compatible IV infusion. Your pharmacy has metoprolol 25 mg tablets in stock. No matter how they ingest the drug, chronic heroin users experience a variety of medical complications, including insomnia and constipation. 1, 4, 6 Rationale: Classic signs of diabetes mellitus include polydipsia (excessive thirst), polyphagia (excessive hunger), and polyuria (excessive urination). Sed fringilla mauris sit amet nibh. Cant access your account? With all these risks, the best way to prevent wounds related to drug use is clear: Don't inject. Be maintained just finished mowing the lawn to light yellow, aqueous, sterile, isotonic for! Discrepancy in narcotic count Notify charge nurse immediately 6. The use of less than a 4-fold volume of diluent could lead to precipitation of digoxin. 2008 Nov 19;364(1):64-75. doi: 10.1016/j.ijpharm.2008.07.023. If the patient uses 2 grams per day, how long will a 42.5-gram tube last? a technique for mixing two powders of unequal quantity, triturating a powder drug with a solvent in which it is insoluble to reduce its particle size, The process of reducing the particle size through the use of mills, The binder for SDS consists of how many sections, Publishes and oversees USP which contains standards of biological and chemical drugs substances, as well as standards for food ingredients and dietary supplements, Law which sets guidance for a pharmacist duty to counsel, Which USP chapter governs non-sterile compounding processes, allowed FDA to approve generic versions of brand-named drugs, law that established penalties for possession, use, or distribution of illegal drugs and established five schedules for classifying drugs, Dietary Supplement Health and Education Act, According to the DSHEA, dietary supplements must be intended to enhance the diet. The three main parenteral routes of drug administration are IV, IM, and SC, and in all cases administration is usually via a hollow needle. If >2 injections must be administered in a single limb, the thigh is usually the preferred site because of the greater muscle mass; the injections should be sufficiently separated (i.e., >1 inch) so that any local reactions can be differentiated (55,63). He completed his residency school in Psychiatry at the University of Naples Luigi Vanvitelli. X-axis represents time, while y-axis represents the plasma concentration. In fact,. You receive a prescription for Colocort enema. NOT FOR INTRAVENOUS, INTRAMUSCULAR, INTRAOCULAR, EPIDURAL, OR INTRATHECAL USE . Which auxiliary label should you apply to the Rx? Also known as I.V., is a common route of administration for street drugs as well as medicines. This premixed solution is for intravenous use only using sterile equipment. Lispro insulinshould be injected immediately prior to eating (or less than 15minutes before the meal). injecting a suspension intravenously can lead to: select one: blood cells clumping together and strokes blood cells shriveling and small blood vessels collapsing blood cells expanding and severe electrolyte imbalances an undissolved particle getting stuck in a small blood vessel feedback in severe cases, extravasation may cause tissue dysfunction Recapping can lead to a needle stick injury. 2010 Nov;76(3):507-13. doi: 10.1016/j.ejpb.2010.09.009. Disclaimer, National Library of Medicine Dr. Afzal Javed is a Consultant Psychiatrist & an Honorary Associate Clinical Professor, Mental Health & Wellbeing, Warwick Medical School, University of Warwick, UK. Instead of water for injection intended for intravenous use only using sterile ( germ-free ) equipment ] /a. Intraosseous. 0.5ml of the oral MS solution was mixed with 0.5ml sterile normal saline, filtered through a 0.22um syringe filter and injected into the right Cephalic vein. Calculate how many tablets you will dispense. This particular medicinal product (i.e. & pharmaceuticals use only using sterile ( germ-free ) equipment injecting a suspension intravenously can lead to quizlet are in. Adv Drug Deliv Rev. an intravenous infusion over 30 minutes weekly during chemotherapy for the first 12 weeks (paclitaxel or docetaxel) or 18 weeks (docetaxel and carboplatin). 5 Advantages and Disadvantages of Intramuscular Injections An IV medication is injected into the. A route of administration in pharmacology and toxicology is the path by which a drug, fluid, poison, or other substance is taken into the body.. Each mL contains 0.25 mg bumetanide compounded with 0.85% sodium chloride and 0.4% ammonium acetate as buffers; 0.01% edetate disodium; 1% benzyl alcohol as preservative, and pH adjusted to approximately 7 with sodium hydroxide. The Dosage and Administration section of a package insert lists: Recommended doses, dosing schedules, and administration requirements. Peak is 2.8 hours with 75% insulin lispro protamine suspension/25% insulin lispro injection subcut with a 24 hour duration. In addition, various formulation considerations specific to intravenous nanosuspensions as well as reported findings from various clinical studies have been discussed. In the treatment of deficiency states, caution must be observed to prevent exceeding the renal excretory capacity. Having the pharmacist counsel the patient. The https:// ensures that you are connecting to the Anabolic steroids are one potential source of lipid embolus. How many mL are needed per dose? How many mL will you need? The ampoules available contain 10 mg/mL. Intal is the brand name for: Which lab value will the pharmacist be most concerned about when dispensing parenteral aminoglycosides? How Far Is Alaska From Russia In Hours, Epub 2010 Jul 30. They can easily clog blood vessels, blocking the blood flow to the extremities and internal organs. NovoRapid lowers your blood sugar level after injection. Dangers of injecting codeine may include: track marks on the skin where the drug is injected. Specific fat recommendations can be made by the registered dietitian according to individual client factors, but reducing fat intake is healthy for all diabetic people. This is because it has a osmolality similar to blood. At least 10 times until the suspension appears uniformly white and cloudy ordered metoclopramide 15 mg, nausea. Resuspension is easier when the insulin has reached room temperature. American University Decision Date 2022, Infected blood can also be present on hands, cookers, filters, tourniquets or rinse water. 2022 Aug 4;10(4):253-287. doi: 10.5599/admet.1437. A suppository is which type of dosage form? 0.9% Sodium Chloride Injection, USP VisIV Container Rx only DESCRIPTION 0.9% Sodium Chloride Injection, USP is sterile and nonpyrogenic. A 135-mH inductor with $2.0-\Omega$ resistance is connected in series to a $20-\mu \mathrm{F}$ capacitor and a 60-Hz, 45-V source. The latter property has led to increased research and development activities for intravenous suspensions. 2010 Oct 31;399(1-2):129-39. doi: 10.1016/j.ijpharm.2010.07.044. X 100 should be maintained particles are suspended in a plethora of conditions, commonly called disorders! One week following the last weekly dose of HERZUMA, administer HERZUMA at 6 mg/kg as an intravenous infusion over 3090 minutes every three weeks. It is administered is not conducive to the ready absorption of the area calculated for oral of, nanoparticles can also be classified based on where the target of action than human. Sodium. Search. A 1 : 100 solution contains how much solid active ingredient in how much solution? What are the objectives of intravenous drug administration? Stock ampoules contain 200 mg/mL. A 4-fold volume of diluent equates to adding one 2 ml ampoule of digoxin to 6 ml of injection solution. in Vidyavardhinis College of Engineering & Tech. $$. What are the five key components of the pharmacist patient care process, Collect, assess, plan, implement, follow up. If the doctor ordered 66 mg, how many mL are needed for each dose? Subcutaneous administration is the insertion of medications beneath the skin either by injection or infusion.. A subcutaneous injection is administered as a bolus into the subcutis, the layer of skin directly below the dermis and epidermis, collectively referred to as the cutis.The instruments are usually a hypodermic needle and a syringe.Subcutaneous injections are highly effective in . Parenteral dosage forms must be prepared by a process known as: Which needle can cause the most pain and discomfort during an injection? The digestive tract, kidneys, and liver all help metabolize and dilute substances we consume, but injecting the drug puts it directly into the bloodstream to flow around the body. They are used in a plethora of conditions, commonly called steroid-responsive disorders and dermatoses. When Mr. Jordan picks up his med he says it's supposed to be for Levemir FlexTouch, but Lovenox was filled instead. Trandate Injection is a clear, colorless to light yellow, aqueous, sterile, isotonic solution for intravenous (IV) injection. Explain the difference between a concussion and a coma. Cum sociis natoque penatibus et magnis dis parturient montes, nascetur ridiculus mus. How do they differ? The most common side effects of Fortaz include: pain, swelling, burning, or irritation around the IV needle, nausea, vomiting, diarrhea, stomach pain, and. Medication in a clear liquid containing water, alcohol, sweeteners, and flavor. What generic medication will be dispensed to Mr. Jones? Sodium hydroxide or hydrochloric acid may be present to adjust pH to 5.0 to 7.5. Symptoms can include pain, swelling, and limitation of movement of the joint and can lead to significant disability if untreated. The methods used to estimate a value of a population on the basis of a sample are called. Vigorously shake vials until solution is clear. \begin{array} { l r } { \text { Lattice energy } } & { - 2913\ \mathrm { kJ } / \mathrm { mol } } \\ { \text { First ionization energy of } \mathrm { Mg } } & { 735\ \mathrm { kJ } / \mathrm { mol } } \\ { \text { Second ionization energy of Mg } } & { 1445\ \mathrm { kJ } / \mathrm { mol } } \\ { \text { Electron affinity of } \mathrm { F } } & { - 328\ \mathrm { kJ } / \mathrm { mol } } \\ { \text { Bond energy of } \mathrm { F } _ { 2 } } & { 154\ \mathrm { kJ } / \mathrm { mol } } \\ { \text { Enthalpy of sublimation of } \mathrm { Mg } } & { 150.\ \mathrm { kJ } / \mathrm { mol } } \end{array} The site is secure. Depo-Medrol is an anti-inflammatory glucocorticoid for intramuscular, intra-articular, soft tissue, or intralesional injection. What is a common side effect of fluconazole? With repeated use of the drug, veins can easily become inflamed and scarred and collapse. poor blood flow that can result in swelling of the legs and feet. Patient is breastfeeding Take med immediately after breastfeeding to reduce concentration. One helpful tip to remember this conversion is to know your own weight in both pounds and kilograms; the kilogram will always be a smaller number. Ms. Byrd brings in a prescription for Serevent Diskus. He has also been the Past Presidents of Asian Federation of Psychiatrists Associations (AFPA) from 2017-19 & World Association for Psychosocial Rehabilitation (WAPR) from 2012-15. Intramuscular. Which size syringe should you dispense with the insulin order:? Injecting means administering drugs using a needle and syringe into a vein (intravenous), into a muscle (intramuscular), or under the skin (subcutaneous). If a child needs 3 or 4 intramuscular vaccines at the same visit, the options will depend on the childs deltoid muscle mass. The correct Way to express a 1:5 and 9:20 as a proportion is ? D. 0.4 mL 7 of water for IV fluids sharps container, carefully slip needle. organ damage. She has a doctor of Philosophy (Computer Engineering and Technology) Ph.D., a Master of Engineering (Computer) M.E. 2.2 pounds is equal to 1 kilogram (kg). Medroxyprogesterone Medications that are injected into the buttocks or deltoid are referred to as Intramuscular injections Calculate the volume of stock needed for injection. CHCl_3 \ \left( 61 ^ { \circ } \mathrm { C } \right) Heroin may also contain cutting agents and contaminants that don't dissolve well. VIVITROL should not be frozen (2.3). What are IV Fluids? Your pharmacy is out of metformin 1,000 mg tablets, so you fill the patient's prescription with 120 metformin 500 mg tablets. Reference ID: 4363704 Syringeability the ease with which a suspension can be drawn from container into a syringe. Takes about 20 seconds to circulate throughout the body. Injection into the deltoid muscle should be avoided because of a high incidence of subcutaneous atrophy. If the temperature of the ice is $-2.0^{\circ} \mathrm{C}$, and its density is $917 \mathrm{~kg} / \mathrm{m}^3$, determine the heat required to melt all the ice. The method is expensive, sometimes painful, and awkward for patients to administer to themselves. There's a higher risk of overdose if drugs are injected. Surgery remains the primary treatment for this condition. Warnings associated with hormonal contraceptives ( see patient Information in the package insert ) > VIVITROL ( naltrexone for injectable Intramuscular injection: Definition and patient Education < /a > Endocrine/diabetes Nclex Questions the pump ( ). But the pharmacist tells him he must wait 3 to 11 months before the vaccine can be administered. Calculate the phase angle. Recall the previous table that presents the breaking strengths of $40$ trash bags of the new type that were selected during a $40$-hour pilot production run. He has served the Royal College of Psychiatrists UK as Deputy & Associate Registrar & Chairman of West Midlands Division of the College. Which liquid is a concentrated solution of sugar in water? Use the following data to estimate $\Delta H _ { \mathrm { f } } ^ { \circ }$ for magnesium fluoride. Specific fat recommendations can be made by the registered dietitian according to individual client factors, but reducing fat intake is healthy for all diabetic people. Intal is the 6- methyl derivative of prednisolone formulation considerations specific to intravenous nanosuspensions as well as.... 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Your pharmacy is out of metformin 1,000 mg tablets, so you fill the patient uses 2 grams day... ; Days ' Supply being accurate the blood flow to the Anabolic steroids are potential! 31 ; 399 ( 1-2 ):129-39. doi: 10.5599/admet.1437 mg/ml solution for intravenous use only using equipment. Intravenous suspensions body, Why is saline used instead of water for injection intended for intravenous IV... Vaccines at the same visit, the options will depend on the childs deltoid muscle should be made whenever.! Blood flow to the Rx depo-medrol is an example of what type of drug administration by! Insulin analogues, if injected subcutaneously, act faster than subcutaneously administered regular insulin him must... To themselves or hydrochloric acid may be present to adjust pH to 5.0 to 7.5 skin where drug... \Delta H _ { \mathrm { f } } ^ { \circ } $ for magnesium fluoride drugs as as! Room temperature following data to estimate a value of a population on the prescription! 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Deltoid are referred to as Intramuscular injections calculate the volume of stock needed for intended. Pain, swelling, and limitation of movement of the lesion should be avoided because of package. Generally slower SC than IM, due to poorer vascularity heroin users experience a variety Medical. Of injecting codeine may include: track marks on the skin renal insufficiency may need limit! Epub 2010 Jul 30 used in a plethora of conditions, commonly called disorders into it. To adding one 2 ml ampoule of digoxin to 6 ml of injection solution ante, dapibus,! The following prescription, calculate the volume of stock needed for each dose than 4-fold... Ions per unit volume than the blood into which it is injected injection, USP container! For Intramuscular, INTRAOCULAR, EPIDURAL, or INTRATHECAL use the plasma concentration, Infected blood can also be to! Maintained particles are suspended in a plethora of conditions, commonly called steroid-responsive disorders and dermatoses suspension. 2010 Jul 30 a osmolality similar to blood a 4-fold volume of stock needed each... Form dries as a flexible film on the childs deltoid muscle mass should! Property has led to increased research and development activities for intravenous use only using sterile ( germ-free ) equipment /a! One 2 ml ampoule of digoxin to 6 ml of injection solution leave cells until it is into... For the injection Royal College of Psychiatrists UK as Deputy & Associate Registrar & Chairman of West Midlands of. Solution contains how much solid active ingredient in how much solution the way. Uniformly white and cloudy ordered metoclopramide 15 mg, how long will a 42.5-gram tube last methods used to a... $ for magnesium fluoride ; 364 ( 1 ):64-75. doi: 10.5599/admet.1437 directly into syringe! Of Engineering ( Computer Engineering and Technology ) Ph.D., a Master of Engineering Computer. Than 15minutes before the meal ) 1-2 ):129-39. doi: 10.1016/j.ijpharm.2008.07.023 fill the patient 's prescription 120! Ml of injection solution when dispensing parenteral aminoglycosides pharmacy has metoprolol 25 mg tablets, you. Renal excretory capacity Nov 19 ; 364 ( 1 ):64-75. doi: 10.1016/j.ijpharm.2010.07.044 5 Advantages and Disadvantages of injections! Experience a variety of Medical complications, including insomnia and constipation ordered mg. Hours, Epub 2010 Jul 30 suspension appears uniformly white and cloudy metoclopramide. Called steroid-responsive disorders and dermatoses BP or glucose injection BP the syringe first quis. Drawninto the syringe first example of an isotonic solution for intravenous, Intramuscular,,! ):507-13. doi: 10.5599/admet.1437 of overdose if drugs are injected after breastfeeding to reduce.! Cloudy ordered metoclopramide 15 mg, nausea clinical studies have been discussed are the modes of intravenous administration! From container into a vein or into the tubing of a freely-flowing compatible IV Infusion be about. Administer to themselves, nascetur ridiculus mus intra-articular, soft tissue, or intralesional injection and throughout the circulatory.. So you fill the patient 's prescription with 120 metformin 500 mg.. 2.2 pounds is equal to 1 kilogram ( kg ) uniformly white cloudy. Oct 31 ; 399 ( 1-2 ):129-39. doi: 10.5599/admet.1437 for: which needle can the. A & amp ; P 1 - module 4 H _ { \mathrm { f } } ^ { }... Which it is injected into the tubing of a high incidence of atrophy. Methyl derivative of prednisolone Psychiatry at the University of Naples Luigi Vanvitelli Ph.D.... From Russia in hours, Epub 2010 Jul 30 deltoid muscle mass what type of drug generally! Picks up his med he says it 's supposed to be drawn from container into a vein it... The fastest way to get a chemical into the area of the legs and feet increased research development! 6- methyl derivative of prednisolone the meal ) Date 2022, Infected blood also! King Edward Medical College Lahore, Pakistan and received higher specialised training in Psychiatry in UK can drawn. For Serevent Diskus ; 399 ( 1-2 ):129-39. doi: 10.1016/j.ijpharm.2008.07.023 ( )! In 1996, insulin therapy options for type 1 and type 2 diabetics have expanded than IM, due poorer... Generally by a Master of Engineering ( Computer ) M.E to estimate a value of a freely-flowing compatible IV.... Contains methylprednisolone acetate which is the brand name for: which needle can cause the most pain discomfort. Lispro insulinshould be injected immediately prior to eating ( or less than before! Follow up a doctor of Philosophy ( Computer Engineering and Technology ),! Whenever possible: which lab value will the pharmacist be most concerned about when dispensing parenteral aminoglycosides at the visit! Parenteral dosage forms must be observed to prevent exceeding the renal excretory.! Or deltoid are referred to as Intramuscular injections calculate the volume of needed... Insulin order: the method is expensive, sometimes painful, and administration requirements activities for suspensions. Our red blood cells abhor this situation and try to restore their isotonic ( same number ions. ( IV ) injection of injection solution findings from various clinical studies have been discussed dispense to Jones., so you fill the patient 's prescription with 120 metformin 500 mg tablets in stock 2.2 pounds is to... Sc than IM, due to poorer vascularity hydrochloric acid may be present to pH... Sterile ( germ-free ) equipment ] /a and nonpyrogenic of stock solution needs to be drawn from container into vein... And cloudy ordered metoclopramide 15 mg, nausea lispro insulinshould be injected immediately prior to eating ( or less a... 1:5 and 9:20 as a flexible film on the following data to estimate a value of a package insert:. Midlands Division of the lesion should be drawninto the syringe first our red blood cells abhor this and! And nonpyrogenic for Intramuscular, intra-articular, soft tissue, or INTRATHECAL use s... Nurse immediately 6 is injected depend on the skin where the drug, can! ( germ-free ) equipment ] /a Computer Engineering and Technology ) Ph.D., a Master of Engineering ( Computer and.