book terms

Question 1

injection into a muscle

Answer 1

intramuscular (IM)

Question 2

injection into subcutaneous tissue

Answer 2

subcutaneous (subcut)

Question 3

injection administered under the skin

Answer 3

intradermal (ID)

Question 4

injection into a vein

Answer 4

intravenous (IV)

Question 5

sealed glass container designed to hold a single dose of medication.

Answer 5

ampule

Question 6

a plastic or glass container that has a rubber stopper or diaphragm on the top

Answer 6

vial

Question 7

used to indicate medications that are admin by any route other than through the gastrointestinal system

Answer 7

parenteral

Question 8

large hypodermics are used when volumes that are more than 3mL are desired. these syringes are used to measure whole numbers of milliliters as opposed to smaller units

Answer 8

large capacity syringes

Question 9

usually contains a single dose of med. has 2 compartments separated by a rubber stopper. compartment contains a sterile liquid and the bottom part contains the powdered med

Answer 9

mix-o-vial

Question 10

is clearly marked, indicating the amount of med in it
contains a single dosage

Answer 10

cartridges

Question 11

single dose syringes that contain a specific amount of med and are designed to be used only once

Answer 11

prefilled syringes

Question 12

outer calibrated portion that holds the med. has calibrated markings on the outer portion

Answer 12

barrel

Question 13

inner device that is moved backward to withdraw and measure the med and is pushed to eject the med from the syringe

Answer 13

plunger

Question 14

end of the syringe that holds the needle

Answer 14

tip

Question 15

come in a variety of sizes from 0.5 to 60 mL and larger
are calibrated in mL but hold varying capacities
3 mL syringe is used most often

Answer 15

hypodermic syringes

Question 16

are used when volumes that are more than 3mL desired
used to measure whole numbers of mL
commonly used to prepare meds for IV admin

Answer 16

large capacity syringes

Question 17

a narrow syringe that has a capacity of 0.5 or 1mL.
1mL is used most often
used to accurately measure meds given in very small volumes

Answer 17

tuberculin syringes

Question 18

are used for subcut injection of ___ and are calibrated in units

Answer 18

insulin syringes

Question 19

has a capacity of 50 units
it is calibrated in 1 unit increments up to 50 units per 0.5 mL

Answer 19

50-unit lo-dose insulin syringe

Question 20

has a capacity of 30 units
used to admin doses less than 30 units
calibrated in 1 unit increments or 30 units per 0.3mL

Answer 20

30-unit lo-dose insulin syringe

Question 21

has a capacity of 100 units of insulin per mL

Answer 21

standard U-100 insulin syringe

Question 22

calibrated in 2-unit increments

Answer 22

dual-scale standard U insulin syringe

Question 23

what is the avg to admin to an avg sized adult for IM injection?

Answer 23

3mL

Question 24

what is the avg to admin to a child 6-12 years for IM injection?

Answer 24

2 mL

Question 25

what is the avg to admin to a child 0-5 years for IM injection?

Answer 25

1mL

Question 26

what is the max volume to admin in a single subcut site for adults?

Answer 26

1mL

Question 27

a powdered med or liquid concentrate to be dissolved or diluted

Answer 27

solute

Question 28

a liquid that is added to the powder or liquid concentrate

Answer 28

solvent

Question 29

the liquid that results when the solvent dissolves the solute

Answer 29

solution

Question 30

has directions for reconstitution printed on the label

Answer 30

single-strength solution

Question 31

has several directions for reconstitutions and requires that the nurse be even more attentive to the directions to select the best concentration to admin the required dosage

Answer 31

multiple-strength solution

Question 32

used in the treatment of diabetes mellitus, is a hormone secreted by the islets of Langerhans in the pancreas

Answer 32

insulin

Question 33

are to be admin at the main mealtimes as bolus insulin in the basal-bolus regimen of multiple daily injections

Answer 33

rapid-acting insulin

Question 34

used as prandial/bolus insulin for mealtimes only type of insulin that is currently admin IV in canada

Answer 34

short-acting regular insulin

Question 35

used as basal insulin in the basal-bolus regimen and is not recommended to be given at bedtime to help prevent nocturnal hypoglycemia sometimes given twice a day

Answer 35

intermediate-acting insulin

Question 36

usually given at bedtime for the basal insulin as well to help reduce nocturnal hypoglycemia should not be mixed with any other insulins

Answer 36

long-acting insulin

Question 37

are available in fixed preparations

Answer 37

premixed insulins

Question 38

route deposits med into deep muscle tissue, which as a rich blood supply, allowing med to absorb faster than the subcut route

Answer 38

intramuscular

Question 39

what is the angle of insertion of IM injection?

Answer 39

90 degrees

Question 40

how much med can be put into a IM injection muscle?

Answer 40

2-5mL

Question 41

a technique for puling the skin during an injection prevents leakage of med into subcut tissue, seals meds in the muscle and minimizes irritation

Answer 41

z-tracking method

Question 42

involves the gluteus medius, it is situated deep and away from major nerves and blood vessels site is the preferred and safest for all adults, children, and infants especially for meds that have a larger volumes and are viscous and irritating volumes greater than 2mL

Answer 42

ventrogluteal site

Question 43

preferred site for admin of biologics to infants, toddlers, and children muscle is thick and well developed and is located on the anterior lateral aspect of the thigh and extends in an adult from a hand breath above the knee to a hand breath below the greater trochanter of the femur the width of the muscle usually extends from the midline of the thigh to the midline of the outer side of the thigh

Answer 43

vastus lateralis muscle

Question 44

easily accessible, but not well developed in many adults potential for injury because of the axillary, radial, brachial, and ulnar nerves and the brachial artery lie within the upper arm and under the triceps and along the humerus use this site for small med volumes; for admin of routine immunizations in toddlers, older children, and adults; or when ither sites are inaccessible

Answer 44

deltoid muscle

Question 45

one method of med admin that is becoming more common on pt care units. introduces a concentrated dose of a med directly into a vein by way of an existing IV access

Answer 45

IV bolus