Anti-Infectives & Injections Flashcards
If giving a shot on an angle, the bevel should be _______.
Up
Vial
Rubber topped container for multiple entry
Penicillins
(peni-cil-lins)
Drugs to Remember
(2)
Penicillin G
-and-
Ampicillin
(am-pi-cil-lin)
Principles of Antibiotic/ Anti-Infective Therapy:
Reality:
Give other drugs to ________ the loss of natural flora
counter act
30 mL syringe
Rare
General procedure for using vials
- Clean the top with alcohol and let it dry a bit
- Inject as much air into the vial as the amount you will take out
-
Turn upside down to draw out medication
- For fewer air bubbles
Types of syringes
- 3 mL syringe
- Tuberculine syringe
- Insulin syringe
- 5 mL syringe
- 10 mL syringe
- 30 mL syringe
- 60 mL syringe
- Pre-filled syringe
Age & Situation Related Side Effects:
Very Young
No tetracycline
- Causes malformed/discolored teeth & bones
(tetra-cycl-ine)
Principles of Antibiotic/ Anti-Infective Therapy:
Reality:
MD often “________” at the right drug rather than wait to do a _______ (wait 2 days to know what organism is)
-Often uses ____________ medication
guesses
culture
-Broad spectrum
Penicillins
(peni-cil-lins)
Works mostly on which type of bacteria?
Gram (+) bacteria
How to Choose a Site & Equipment:
Consider where the ______ was given
last injection
Sulfonamides Uses:
(Sulf-on-am-ides)
- This drug is often ________________
combined with others for best effect
Penicillins
(peni-cil-lins)
Bacteriostatic or Bacteriocidal?
Bacteriocidal
Patient Teaching:
Take the _________. Don’t stop until all doses are gone. At first infection may just be __________ and not gone, although you feel better.
whole prescription
suppressed
Bacteriostatic
(bacterio-static)
Antibiotics that inhibit bacterial growth
Parts of the syringe that must be kept sterile:
- The needle
- The inside of the barrel
- The end of the plunger
- The barrel tip that the needle hub fits into
Age & Situation Related Side Effects:
Pregnant Women
Some types of antibiotics will harm fetus
Caused birth defects
ter-a-to-gens
Penicillins
(peni-cil-lins)
Action
Inhibits bacterial cell wall sythesis
-Causes the bacteria cell to breakdown and die
Aspirate or not
Depends on hospital policy
How to Choose a Site & Equipment:
Site may be determined by________
amount of medication
(deltoid- 1 mL only)
Penicillins Problems:
(peni-cil-lins)
Combination drugs may be used to _________
beta- lactamase
inhibit
Patient Teaching:
Don’t ____________, if you do, throw them away. May be _______ when expired.
have any leftovers
toxic
Disadvantages of administering medications by injection
- More expensive than pills
- Takes more than popping a pill
- Hard to get it back if given wrong
- Can’t pump your stomach like a pill
- Painful?
Can sulfanomides be combined with other drugs?
Yes, sulfanomides are often combined with other drugs for the best effect
Cephalosporins
(cep-halo-spor-ins)
Defining Characterisitc
Synthetic antibiotic
Minimizing tissue damage & reducing discomfort:
________ and get the needle in all _________
_*Don’t insert needle in stages_
Dart quickly
one motion
Four biggest side effects of antibiotics:
- Allergy (mild to severe)
- Resistance
- Superinfection
- Gastrointestional upset
How to Choose a Site & Equipment:
Consider the __________ the patient is going to recieve
of injections
Pre-filled syringe
- Already drawn up in standard dosages
- Used for narcotics, saline, emergency meds
Four biggest side effects of antibiotics:
Gastrointestional Upset
- Nausea
- Vomitting
- Diarrhea
Age & Situation Related Side Effects:
Very Old
May need a small dose because of poor liver function
*the liver can’t metabolize well
Penicillins Contraindications:
(peni-cil-lins)
Many people are _________-especially people with __________
allergic
asthma
Where are the acceptable locations for ID injections?
Acceptable ID injection locations:
- Inside forearms
- Particulary left arm for TB test
Minimizing tissue damage & reducing discomfort:
Don’t ________ once it is in the patient
move the needle
Penicillins Uses:
(peni-cil-lins)
Often used for _________ and ___________
pneumonia
ear infections
Advantages of administering medications by injection
- Works quickly- 15 minute
- Pretty easy to do- pt. can learn
- Some medications can only be done this way
Acceptable locations for SQ/SC injections
- Out arm “flab”
- Anterior thigh
- Lower abdomen
- Aim for a stretch mark (W)
- Upper back (scapula area)
What is the maximum amount for IM injections
3 mL
Gram (-) cocci
Bacteria with a more complex cell wall
What is the needle made up of?
Stainless steel
General rules for Z-Track Style IM injection
- DON’T PINCH
- Displace tissue to side with side of hand
- Inject at 90 degree angle into muscle
- Pull out needle and release displaced tissue at the same time
- Usually done in a large muscle
What is the relationship between number of the needle’s gauge and its size?
Inverse Relationship
- The smaller the number the larger the diameter of the needle
- The larger the number the smaller the diameter of the needle
How to Choose a Site & Equipment:
Consider the patient’s ________
Incisions
Protecting Yourself:
Dispose of the needle/syringe _________
immediately
Boards
Do NOT aspirate for _________ & ________
subcutaneous
immunizations
Sulfonamides
(Sulf-on-am-ides)
Action
Inhibit the synthesis of folic acid used for growth of bacteria