Ch 35 - Med Admin

Question 1

Intradermal Injection

Locations, max amount

Answer 1

• inner lower arm
• upper chest
• back beneath scapulae

0.1 mL

Question 2

Intradermal: Gauge, Needle Length, Degree

Answer 2

25-27 gauge

1/4 - 5/8 in length

5-15 degree

TB syringe

Question 3

Subcutaneous Injection

Location, max amount

Answer 3

• upper ams
• anterior thigh
• abdomen
• scapular area of back
• upper ventrogluteal
• dorsogluteal

(at least 2in from umbilicus, above iliac crest level)

0.5 - 1 mL

Question 4

ventrogluteal landmark

Answer 4

position: put patient on side, knees bent place

• heel of hand on the Greater Trochanter (GT)
• index finger on Anterior Superior Iliac Spine (AS IS)
• middle finger ilium crest (posterior)

(Left hand on right hip, Right hand on left hip)

preferred for IM injection, can be used for subcutaneous

Question 5

Vastus lateralis landmark

Answer 5

Between

• Greater Trochanter (GT)
• Lateral Femoral Condyle

divide into 1/3 and choose middle

Question 6

Subcutaneous: gauge, needle length, degree

Answer 6

25 gauge (or smaller)
30 gauge = insulin

Normal weight
- 5/8 in needle, 45 degree angle
- 3/8 in needle, 90 degree angle

Question 7

Standard Insulin administration

Answer 7

subcutaneous, abdomen or upper arms

30 gauge, needle 4-6 mm (shorter)

Question 8

administration of lovenox

Answer 8

subcutaneous injection, has a small amount of air that also gets administered

Question 9

Intramuscular amount

Answer 9

max 3mL in gluteus medius & gluteus maximus, well developed (1-2mL, less developed muscle)

deltoid: 0.5-1mL

Question 10

Intramuscular needle gauge/length

Answer 10

gauge: 21-22
Viscous solution: 20g

Typical length: 1.5 in
Obsese: 2 in needle
Emaciated: 1 in needle

Question 11

what type of needle is commonly used for deltoid intramusclular?

Answer 11

Gauge: 23-25
Length: 1 in

Question 12

Vastus Lateralis Site

Answer 12

recommended for IM infants and young children

adult: divide area into 3
greater trochanter of the femur and the lateral femoral condyle, select the middle

sitting or laying position

(outer thigh)

Question 13

rectus femoris site

Answer 13

occasionally for IM injections

anterior part of the thigh, used for people who administer their own injections

Question 14

deltoid site

Answer 14

triangle 2 in below the acromion process and the top of the axilla line

Question 15

what is an intermittent infusion?

Answer 15

“piggyback” secondary set

50-100mL, regular intervals (ex. q 4hrs)

Question 16

topical medication types (body locations)

Answer 16

eye, external ear canal, nose, vagina, and rectum

Question 17

percutaneous

Answer 17

route of absorption through the skin topical medication

Question 18

transdermal patch location

Answer 18

trunk, lower abdomen, side, lower back, or buttocks

don’t shave hair, just trim

Question 19

how many mL is 8 ounces?

Answer 19

8 oz = 240 mL

Question 20

where do you administer ophthalmic medication?

Answer 20

lower conjunctival sac (bottom eyelid)

put pressure on the nasolacrimal duct

Question 21

How are otic medications administered?

Answer 21

Adult: pinna up/back
Child: pinna down/back

remain in side lying position for 5 minutes

Question 22

Vaginal suppository (insertion)

Answer 22

empty bladder

index finger, lube, 8-10cm posterior vaginal wall

applicator, 5 cm

stay lying for 5-10minutes

Question 23

Rectal Medication (advantages, position, insertion)

Answer 23

• avoids upper GI tract irritation
• bad tasting/odor of med
• drug release slow and steady
• higher bloodstream levels because it doesn’t go through liver (venous blood)

position: left lateral/sim’s, upper leg flexed

insert: 10cm, hold buttocks together for few minutes, stay laying for 5min

Question 24

inhaled medications

Answer 24

delivers medication directly to its site of action

shake 3-5 sec
exhale normally
inhale slowly 3-5sec
hold breath 10sec
exhale through pursed lips
wait 20-30 seconds before repeating

Question 25

irrigation (lavage) uses medical asespis for locations
& surgical asepsis for which locations?

Answer 25

surgical asepsis: wound irrigation, sterile body cavity (bladder)

medical asepsis: vagina, rectal, gastric

Question 26

deltoid landmark

Answer 26

• 4 fingers across deltoid muscle
• start at acromion process (5 cm down)
• top of axilla line

(upside down triangle)

Question 27

rectus femoris site located?

Answer 27

anterior part of thigh (usually for babies)