Preparation for Injection- A Nurse’s Dose of 200 mg Hydrocortisone Administration

A nurse is preparing to administer hydrocortisone 200 mg to a patient who is suffering from a severe allergic reaction. The nurse, wearing a crisp white uniform and a pair of gloves, carefully checks the medication against the prescription to ensure accuracy. This is a critical moment in the patient’s treatment, as hydrocortisone is a potent corticosteroid that can help alleviate symptoms and potentially save the patient’s life.

The nurse’s meticulous attention to detail is crucial in this situation. Hydrocortisone is a medication that requires precise dosing to be effective, and even a small error can have serious consequences. The nurse begins by gathering all the necessary supplies: a syringe, a needle, alcohol swabs, and a bandage. She then washes her hands thoroughly and dons a pair of gloves to maintain a sterile environment.

As the nurse prepares the syringe, she double-checks the medication to ensure it is the correct strength and concentration. Hydrocortisone comes in various forms, including oral tablets, intravenous solutions, and injectable forms like the one she is preparing. In this case, the patient requires an intramuscular injection, which is a common method for delivering hydrocortisone in emergency situations.

The nurse carefully selects the appropriate needle size and attaches it to the syringe. She then draws up the 200 mg of hydrocortisone into the syringe, ensuring that the plunger moves smoothly and that no air bubbles are present. Air bubbles can cause the medication to be delivered at an incorrect rate, which could be dangerous for the patient.

Next, the nurse locates the injection site on the patient’s buttock. She uses an alcohol swab to clean the area, removing any potential contaminants. The nurse then gently pinches the skin to create a fold, which makes it easier to insert the needle. She holds the syringe like a dart, with the needle pointing upwards, and inserts it quickly but smoothly into the muscle.

The nurse waits for a few seconds to ensure that the medication is delivered properly, then slowly withdraws the needle. She applies gentle pressure to the injection site with a sterile gauze pad and a bandage to prevent bleeding. The patient is then observed for any immediate reactions, as hydrocortisone can cause side effects such as dizziness or nausea.

Throughout the process, the nurse maintains a calm and professional demeanor, providing reassurance to the patient and their family. She knows that the successful administration of hydrocortisone 200 mg can make a significant difference in the patient’s recovery. As the nurse completes her task, she takes a moment to reflect on the importance of her role in the healthcare team and the impact she has on the lives of her patients.