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35 Flashcards

1
Q

Please list the principal for safe, effective administration of parenteral medication

A

Know No the medication you will be a administering

Check for a drug allergies

Use only sterile needles

Select appropriate length of the needle

Label the syringe with the patient name, name of the drug, and dose

Obtain assistance if needed with a child

Rotate injection site

Avoid major nerves, blood vessel, and underlining organs

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2
Q

IM- usually 90 degree

A

Intramuscular

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3
Q

Below the skin usually 45 degree

A

Subcutaneous

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4
Q

ID-Between the dermis

A

Intradermal

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5
Q

Routes require a syringe or needle

Injection iv

A

Parental

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6
Q

Bump

Visible elevation of the epidermis usually 15 degree

A

Bleb

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7
Q

Thick and sticky

Oil solution

A

Viscous

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8
Q

Solid material

A

Solute

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9
Q

Specified fluid to dissolve the solute

A

Diluent

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10
Q

What are the reasons why medication are given by injection

A

When the patient can’t Take meds by mouth

To hasten the action of the drug

When a continuous infusion of meds is necessary

When digestive juice would not counteract the effect of the drug if given by the oral route

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11
Q

What are the units of measurement for a needle

A

Gauges

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12
Q

The more_____the tissue, the____the medication is absorbed

A

Vascular, quicker

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13
Q

The wrong____or____may cause____to a major nerve or blood vessel or death

A

Site or route, damage

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14
Q

90°

A

Intramuscular

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15
Q

Intramuscular syringe

A

3 mL syringe

Maybe 5 mL

When the dosage is more than 3 mL it is split it into two different muscles

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16
Q

What is the size for intramuscular needle

A

1 to 1.5 in long

Up to 3 inches needle although that is less common

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17
Q

What size gauge for intramuscular

A

21 to 23

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18
Q

Sites for intramuscular

A

Deltoid only 1 mL

VENTROGlUTEAL

VASTUS Laterails for peds

Rectus

Femoris of the thigh

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19
Q

45° to 90° based on the size of the patient then patient gets the smaller angle

A

Subcutaneous

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20
Q

Types of syringe for subcutaneous

A

Tuberculin or 3 mL syringe

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21
Q

Size of the gauge and needle for subcutaneous

A

27 or 25 gauge

1/2–5/8 inches

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22
Q

Site for subcutaneous injection

A

Lateral surface of upper arm or

anterior lateral surface of the thighs.

abdomen

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23
Q

5° to 15°

A

Intradermal

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24
Q

Type a syringe for intradermal injection

A

Tuberculin syringe up to 1 mL

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25
Q

Type of needles and gauges for intradermal injection

A

1/4 to 1/2 for needles

25–29 gauge

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26
Q

Sites for intradermal injection

A

forearm

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27
Q

What are the most frequently used IM sites for injection

A

VENTROGlUTEAL

Dorsogluteal (only if ordered)

Deltoid

Vastus laterails (peds)

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28
Q

How many milliliters can safely be injected into the ventrogluteal, vastus laterails al, and rectus femoris site in most adult patients

A

1 to 3 mL

Divide larger volume into two syringe and use two sites

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29
Q

Which part of the syringe must be kept sterile

A

The needle

The Tip

The inside of the barrel

The side of the plunger

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30
Q

Popular because it is large enough for subcutaneous and moles intramuscular injection

Measures 10th of a milliliter 0.1

A

3 mL

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31
Q

Generally universal use do not use it for injection

A

10 mL and 12ml

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32
Q

Are 1 mL in size and are calibrated to measure drug doses as small as 0.01 mL it is used to measure doses in hundred

A

TB syringe

33
Q

100 calibrated to measure 100 units of

insulin syringe should not be used for anything other than insulin

A

Insulin unit hundred

34
Q

For lower doses u-50 Insulin is calibrated for 50 units

A

Insulin you – 50

35
Q

Is used for intramuscular injection because it locks and prevent the needle from separating the syringe

A

Luerlock

36
Q

For intradermal injection because little pressure is needed

A

The slip tips

37
Q

Consist of a vial with an attached needle four use with the carpuject holder

A

Unit-dose cartilage

38
Q

Parts of the needle

A

Bevel,

needle shaft

needle protector

39
Q

The slanted part of the needle for the tip ending in sharp points with a whole

A

BEVEL

40
Q

A safety device that retracts the needle after the use to prevent accidental stick

A

Needle protector

41
Q

The length of the needle

A

Needle shaft

42
Q

The____the number of gauge the___the needle

A

Larger, smaller

43
Q

How would you remove the medication from the neck of an ampule into the body

A

Tap or flick the stem several times with a finger to Free the trap solution

44
Q

How can you safely break open a AMPULE

A

AMPULE breaker or wrap the neck with a gauze or an alcohol swab

Please both times together at the neck and apply outward pressure to snap your neck away from you

45
Q

What method can be used to recap a clean needle

A

Use a one hand scoop technique

Place the needle cap on a flat, farm surface, with one hand holding the syringe barrel inside the needle into the needle cat cap

46
Q

What info should be on a syringe in which you have drawn up medication before taking it into the patient room

A

Patient name,

the measurement for the medication dosage,

date time and your initial

47
Q

What type of needle should be used to withdraw the medication from an ampule

A

A filter needle should be used because small particles of glass may fall into the medication when the AMPULE neck is removed

48
Q

Should you inject air into the AMPULE before drawing up the medication

A

No, the medication will bubble up and out of the aMPULE

49
Q

Where should the tip of the needle be in reference to the solution to withdraw the solution

A

The bevel of the needle should be below the surface of the solution

50
Q

Why is air injected into a VIAL before withdrawing the medication

A

To prevent a vacuum in the VIAL, which may inhibit withdrawal of solution

51
Q

Two type of insulin economics cannot make

A

Lantus and Levemir

52
Q

Why should injection sites be rotated

A

To promote the best absorption of the medication and to decrease tissue irritation or fibrosis

53
Q

When should a tuberculin skin test be read

A

48–72 hours after injection

54
Q

How do you know if it’s positive or negative tuberculin

A

Positive is more than 5MM

Negative is less than 5MM

55
Q

Which route of administration absorbs more quickly subcutaneous or intramuscular

A

Intramuscular

56
Q

What are the common site used for subcutaneous injection

A

Lateral surface of the upper arm or anterior/lateral part of die

57
Q

What sites are the most commonly Use for heparin injection why

A

On the abdomen below the costal margin,

because this area is not involved in muscular activities

love handle are 2-3inches away from the umbilicus

58
Q

Why is this right now massage after administration of heparin

A

This may cause bruising of the tissue, bleeding are severe ecchymosis

59
Q

What are some medication that should be checked by two nurses before administration

A

Insulin

heparin

injectable heart medication

chemo drugs

60
Q

What is the technique that can be used to find the deltoid site for intramuscular injection

A

Please four fingers across the deltoid muscle, with the little finger on the acromion process

61
Q

Why is the dorsogluteal say avoided for intramuscular injection

A

The high potential for injury to the sciatic nerve in the blood vessel

62
Q

What is the preferred site for intramuscular injection in infants under 12 months

A

vastus laterails

63
Q

What is the Z- track Technique

Why is this technique used

What common medication are given this way

A

It is a IM injection

Medication can leak upward into the subcutaneous tissue, causing staining, bruising, and significant pain for several weeks or longer with some medication

It must be used whenever a deep IM injection or Iron DEXTRAN and other irritating solution such as hydroxyzine or hydrochloride and several antipsychotic agents are given

64
Q

What position can be used for I am injection to help relax the muscle

A

Prone or Sim’s position

65
Q

When giving a deltoid injection to a child, give the injection in the_____part of the muscle; the needle should point out a slight____ towards the shoulder

A

thickest, angle

66
Q

What is the appropriate age for a deltoid side to be used for immunization and in a child

A

Over 13 months unless the muscle is poorly developed then you avoid it still

67
Q

How soon after a new medication is given should the nurse assess for side effects

A

Observe the patient for 30 minutes after the drug has been given for the first time

68
Q

Is a 29G needle bigger or smaller than a 24G needle

A

Smaller

69
Q

Why is the abdomen a good place to administer certain subcutaneous medication

A

It provides the most reliable, steady absorption

70
Q

What intramuscular injection can cause SCAIATIC nerve injury if the medication is not a minister correctly

A

Dorsogluteal

71
Q

What is the maximum volume for most intramuscular injection site

What would you do if the amount you need to minister is more than the maximum amount

A

3 mL

It is more than 3 mL divided dose in half and give it into two different large muscle sites

72
Q

What needle size and length would you use when administering a medication using the truck method

A

At least a 1 1/2 -3 Inch needle

22 to 23 gauge needle

73
Q

What should be done with any unused medication from an AMPULE

A

Waste it and have another nurse witness

74
Q

What information must be placed on the label for multidose vial

A

Date, time and initials

75
Q

How would you know if a drug is compatible with another medication

A

There will be a different reaction in the medication are not compatible.

The reaction range from color change precipitation, and clouding to to invisible chemical changes rendering the drug inactive

ask pharmacy and look in the drug book

76
Q

How quickly can IM injection provide Onset action

A

Within 15 minutes

77
Q

What is the maximum amount of medication that can safely be injected into deltoid of an adult

A

1 mL

78
Q

When administering any parental medication, how long should you observe the patient after a ministration of an anaphylactic reaction

A

30 minutes after the drug has been given for the first time

Some allergic reaction may occur up to two weeks after the medication has been administer

2.2 pounds = 1 L of retained water

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