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Ruben's Nursing 50A > Calculate w/ Confidence Parenteral > Flashcards

Calculate w/ Confidence Parenteral Flashcards

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1
Q

What are the six rights of medication administration?

A
  1. The right medication
  2. The right dosage
  3. The right client
  4. The right route
  5. The right time
  6. The right documentation
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2
Q

What are the five types of parenteral packaging?

A

Ampule

Vial

Mix-O-Vial

Cartridge

Prepackaged syringe (pre-measured)

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3
Q

What is an ampule?

A

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

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4
Q

What is a vial?

A

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

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5
Q

What are the 3 parts of a syringe?

A

Barrel

Plunger

Tip

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6
Q

Which part of the syringe is sterile?

A

sterile

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7
Q

What are the 2 syringe classifications?

A

Luer-Lok

non-Luer-Lok (slip-tip)

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8
Q

What are the 3 types of syringes/

A

Hypodermic

Tuberculin

Insulin

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9
Q

What is the correct unit of measure on a syringe?

A

mL

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10
Q

What are tuberculin syringes used for?

A

to accurately measure medications given in very small volumes

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11
Q

What is different about insulin syringes?

A

dosages are measured in unites and insulin syringes are calibrated to match the dosage strength of the insulin being used.

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12
Q

What are the two types of insulin syringes?

A

Lo-Dose

1mL

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13
Q

When are milliequivalents (mEq) used?

A

to measure electrolytes and the ionic activity of a medication

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14
Q

What is the volume of an IM injection that a normal well-developed client can tolerate?

A

4mL

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15
Q

What is the recommended volume of an IM injection in the deltoid muscle time.

A

0.5mL

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16
Q

What is the volume that can be safely administered in a subcutaneous injection?

A

0.5-1.0mL

17
Q

Why do some medications have to be reconstituted?

A

some medications are unstable when stored in liquid form for long periods of time and therefore are packaged in powdered form

18
Q

What is the same of the liquid used to reconstitute a medication? (2 options)

A

diluent or solvent

19
Q

Once a medication is reconstituted, how many days is usable?

A

1-14 days depending on type of medication

20
Q

What is the first step in reconstitution?

A

find the directions and carefully read the information on the vial or the package insert

21
Q

What information on the reconstitution label is important?

A

Type of diluent

Amount of diluent to add

Length of time med is good for once reconstituted

Directions for storing med after mixing

Strength or concentration of medication after mixing.

22
Q

If reconstituted medication is in a multi-dose vial, what must be written on the vial?

A

Date

Time

Strength

Storage directions

Initials

23
Q

What are the the basic action types of heparin?

A

Rapid acting

Intermediate acting

Long acting

24
Q

What does the upper case “N” stand for on the insulin label?

A

NPH (intermediate acting)

25
Q

What does the upper case “R” stand for on the insulin label?

A

Regular

26
Q

List the types of fast acting insulins (5)

A

Apidra

HumulinR

Humalog

Novolog

NovolinR

27
Q

List the types of intermediate acting insulins (2)

A

HumulinN

NovolinN

28
Q

List the types of long acting insulins (2)

A

Lantus

Levemir

29
Q

How is insulin supposed to be mixed?

A

Mix by rolling gently between the palms of your hands.

30
Q

What is the major route of administration for insulin?

A

subcutaneous injection

31
Q

What route is insulin never administered?

A

intramuscular

32
Q

When mixing two insulin types in one syringe, what is the drawing order?

A

Regular insulin first (clear then cloudy insulin)

33
Q

What are the parts of the needle?

A

Hub

Cannula/shaft

Bevel

34
Q

What are the components of the Carpuject sterile cartridge-needle unit?

A

Plunger rod

“wings”

Holder

35
Q

What length needles are used for deltoid IM injection? other sites?

A

1”

2”

36
Q

What is the maximum volume that can be injected into the deltiod?

A

1ml

37
Q

For class testing, what is the maximum volume that can be injected in non-deltoid sites?

A

3ml

Ruben's Nursing 50A (40 decks)

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