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N200 - Exam 2 > Ch 35 - Med Admin > Flashcards

Ch 35 - Med Admin Flashcards

1
Q

Intradermal Injection

Locations, max amount

A
  • inner lower arm
  • upper chest
  • back beneath scapulae

0.1 mL

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2
Q

Intradermal: Gauge, Needle Length, Degree

A

25-27 gauge

1/4 - 5/8 in length

5-15 degree

TB syringe

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3
Q

Subcutaneous Injection

Location, max amount

A
  • 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

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4
Q

ventrogluteal landmark

A

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

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5
Q

Vastus lateralis landmark

A

Between

  • Greater Trochanter (GT)
  • Lateral Femoral Condyle

divide into 1/3 and choose middle

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6
Q

Subcutaneous: gauge, needle length, degree

A

25 gauge (or smaller)
30 gauge = insulin

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

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7
Q

Standard Insulin administration

A

subcutaneous, abdomen or upper arms

30 gauge, needle 4-6 mm (shorter)

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8
Q

administration of lovenox

A

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

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9
Q

Intramuscular amount

A

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

deltoid: 0.5-1mL

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10
Q

Intramuscular needle gauge/length

A

gauge: 21-22
Viscous solution: 20g

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

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11
Q

what type of needle is commonly used for deltoid intramusclular?

A

Gauge: 23-25
Length: 1 in

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12
Q

Vastus Lateralis Site

A

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)

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13
Q

rectus femoris site

A

occasionally for IM injections

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

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14
Q

deltoid site

A

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

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15
Q

what is an intermittent infusion?

A

“piggyback” secondary set

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

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16
Q

topical medication types (body locations)

A

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

17
Q

percutaneous

A

route of absorption through the skin topical medication

18
Q

transdermal patch location

A

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

don’t shave hair, just trim

19
Q

how many mL is 8 ounces?

A

8 oz = 240 mL

20
Q

where do you administer ophthalmic medication?

A

lower conjunctival sac (bottom eyelid)

put pressure on the nasolacrimal duct

21
Q

How are otic medications administered?

A

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

remain in side lying position for 5 minutes

22
Q

Vaginal suppository (insertion)

A

empty bladder

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

applicator, 5 cm

stay lying for 5-10minutes

23
Q

Rectal Medication (advantages, position, insertion)

A
  • 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

24
Q

inhaled medications

A

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

25
Q

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

A

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

medical asepsis: vagina, rectal, gastric

26
Q

deltoid landmark

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

(upside down triangle)

27
Q

rectus femoris site located?

A

anterior part of thigh (usually for babies)

N200 - Exam 2 (5 decks)

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