Calculate w/ Confidence Parenteral Flashcards
What are the six rights of medication administration?
- The right medication
- The right dosage
- The right client
- The right route
- The right time
- The right documentation
What are the five types of parenteral packaging?
Ampule
Vial
Mix-O-Vial
Cartridge
Prepackaged syringe (pre-measured)
What is an ampule?
a sealed glass container designed to hold a single dose of medication
What is a vial?
a plastic or glass container that has a rubber stopper (diaphragm) on the top
What are the 3 parts of a syringe?
Barrel
Plunger
Tip
Which part of the syringe is sterile?
sterile
What are the 2 syringe classifications?
Luer-Lok
non-Luer-Lok (slip-tip)
What are the 3 types of syringes/
Hypodermic
Tuberculin
Insulin
What is the correct unit of measure on a syringe?
mL
What are tuberculin syringes used for?
to accurately measure medications given in very small volumes
What is different about insulin syringes?
dosages are measured in unites and insulin syringes are calibrated to match the dosage strength of the insulin being used.
What are the two types of insulin syringes?
Lo-Dose
1mL
When are milliequivalents (mEq) used?
to measure electrolytes and the ionic activity of a medication
What is the volume of an IM injection that a normal well-developed client can tolerate?
4mL
What is the recommended volume of an IM injection in the deltoid muscle time.
0.5mL
What is the volume that can be safely administered in a subcutaneous injection?
0.5-1.0mL
Why do some medications have to be reconstituted?
some medications are unstable when stored in liquid form for long periods of time and therefore are packaged in powdered form
What is the same of the liquid used to reconstitute a medication? (2 options)
diluent or solvent
Once a medication is reconstituted, how many days is usable?
1-14 days depending on type of medication
What is the first step in reconstitution?
find the directions and carefully read the information on the vial or the package insert
What information on the reconstitution label is important?
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.
If reconstituted medication is in a multi-dose vial, what must be written on the vial?
Date
Time
Strength
Storage directions
Initials
What are the the basic action types of heparin?
Rapid acting
Intermediate acting
Long acting
What does the upper case “N” stand for on the insulin label?
NPH (intermediate acting)
What does the upper case “R” stand for on the insulin label?
Regular
List the types of fast acting insulins (5)
Apidra
HumulinR
Humalog
Novolog
NovolinR
List the types of intermediate acting insulins (2)
HumulinN
NovolinN
List the types of long acting insulins (2)
Lantus
Levemir
How is insulin supposed to be mixed?
Mix by rolling gently between the palms of your hands.
What is the major route of administration for insulin?
subcutaneous injection
What route is insulin never administered?
intramuscular
When mixing two insulin types in one syringe, what is the drawing order?
Regular insulin first (clear then cloudy insulin)
What are the parts of the needle?
Hub
Cannula/shaft
Bevel
What are the components of the Carpuject sterile cartridge-needle unit?
Plunger rod
“wings”
Holder
What length needles are used for deltoid IM injection? other sites?
1”
2”
What is the maximum volume that can be injected into the deltiod?
1ml
For class testing, what is the maximum volume that can be injected in non-deltoid sites?
3ml
