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Z MRI Clinical Prep > Chapter 20 Part 2 > Flashcards

Chapter 20 Part 2 Flashcards

1
Q

drug

amount/dosage

patient

time

route

A

5 rights of drug administration

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2
Q

show assistant drug container before drawing it up

check 3 times

never use unlabled or expired

A

right drug

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3
Q

once when getting out of pixus or off shelf

when drug is removed from container (drawn up)

when container is replaced

A

check 3 times

right drug

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4
Q

measure carefully and accurately

use correct size syringe

A

right amount/dosage

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5
Q

ask patients name

check wristband

birthdate

A

right patient

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6
Q

physician or practitioner determined

NOT rad tech

A

right time

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7
Q

oral

sublinguil

topical

parenteral

A

right route

the way administered

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8
Q

most common route

make sure they are conscious

head elevated

A

oral

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9
Q

under tongue

allow to dissolve

never swallowed

nitroglycerin common one

A

sublingual

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10
Q

directly on skin

unit dosage device (transdermal patch)

precise dose released over time

A

topical route

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11
Q

by injection or route other than digestive tract

intramuscular(ex: epi-pen)

intradermal(ex: TB)

subcutaneous

intravenous(ex: IV)

A

parenteral

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12
Q

if drug is injected incorrectly may cause nerve damage and introduce microorganisms into system

A

parenteral

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13
Q

rapid onset

(ex: epi-pen)

A

intramuscular

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14
Q

like a TB test

A

intradermal

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15
Q

slow constant absorption

A

subcutaneous

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16
Q

immediate onset

A

intravenous

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17
Q

drug container

syringe

needle

angiocaths

A

supplies for injection

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18
Q

ampule

vial

IV bag

larger bottle

A

what drug comes in (containers)

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19
Q

sealed glass container

single dose

A

ampule

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20
Q

hold upright

flick top with fingers for contents to go to bottom

guaze around top

break at score line

do not contaminate needle as going into glass container

A

ampule method

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21
Q

small glass (plastic) bottle with sealed rubber top

A

vial

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22
Q

pull back plunger to get air in syringe then insert into top

held in non-dominant hand

syringe in dominant hand

hold uipside down

swipe top with alcohol wipe before needle insertion

A

vial method

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23
Q

plastic discard after use

tip

barrel

plunger

A

syringe

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24
Q

leur lock syringe

A

holds tip and needle in place

type of syringe

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25
Q

where needle attaches

A

tip

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26
Q

calibration scales

A

barrel

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27
Q

inside part that fits into barrel

A

plunger

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28
Q

use for precise measurement of small amount of drug

A

tuberculin syringe

insuline syringe

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29
Q

reduce number of needle sticks (white ring on port)

A

needless injection system

30
Q

hub

cannula (shaft)

bevel

A

needle parts

31
Q

refers to diameter

larger = smaller diameter

A

needle guage

32
Q

18 gauge to draw up drug

smaller diameter to inject(25 gauge is common)

A

correct size

gauge information

33
Q

refers to shaft (cannula) portion of needle

(.25-5 inches)

A

length

34
Q

shorter needle

longer bevel (due to shallow angle)

A

subcutaneous injections

35
Q

intramuscular injections

A

longer needle

rapid onset

example is epi-pen

36
Q

angle at tip of needle

A

bevel

37
Q

long bevel

shallow injection angle

A

subcutaneous injection

38
Q

short(small) bevel

steeper angle

covers short distance

A

intravenous injection

39
Q

leave catheter behind to administer drugs through

flexible less likely to harm vein

safer

A

angiocaths

40
Q

when you pull needle out the needle is drawn into protective sheath

prevents unintended needle pokes for healthcare worker

A

angiocath safety

41
Q

used for small veins

come in gauge sizes

A

butterfly needle

42
Q

tourniquet

alcohol swab

betadine

cotton balls

gauze

latex free gloves

hypo allergenic tape

arm board

A

other parenteral supplies

43
Q

absorbed directly into blood stream

more rapid onset of effects

route other than digestion

A

parenteral method of administration

44
Q

the ability of a liquid to flow easily

A

viscosity

45
Q

thicker fluid

flows slowly

A

high viscosity

46
Q

25 gauge

45° angle for average patient

sites: thigh, upper back,upper arm, abdominal

A

subcutaneous (administration) injection

47
Q

anterior thigh

upper back

outer surface of arm

lower abdomen

A

sommon sites for subcutaneious injection

48
Q

90° angle of insertion

1-3 inches into body

19-25 guage needle depending on viscosity

A

intramuscular injection

49
Q

deltoid muscle of upper arm

vastis lateralis muscle in lateral thigh

gluteus maximus muscle of the buttock

A

common site for intramuscular injection

50
Q

check label 3 times

never use open container

check expiration date

good habit to not use drug someone else has prepared

if prepared for someone or by someone else, show bottle before use

A

preparing IV injection

51
Q

when taken off shelf

when removed from container

when container is replaced

A

3 checks for correct drug

right drug

52
Q

single administration

by Bolus or IV push

infusion of large volume of fluid

A

IV injection methods

53
Q

drug injected slowly

A

single administration of IV injection

54
Q

amount of fluid injected

A

bolus

55
Q

rapid injection

A

IV push

56
Q

called a drip infusion

certain amount of medication over time

A

IV infusion

57
Q

monitor patient

if drip stops check injection site for infiltration

severe swelling and pain, stop immediately

apply warm cloth

A

IV drip precautions

58
Q

name of drug

dosage

route of administration

localtion of injection

time administered

expiration date

lot #

A

documentation of drug administration

59
Q

for tracking purposes incase of problem

A

documentation of lot #

60
Q

basilic vein

cephalic and basilica veins

A

common IV injection sites

61
Q

on posterior of hand

A

cephalic vein

basilica vein

62
Q

on medial side of anterior surface of forearm or elbow

A

basilic vein

63
Q

escape of drug out of the blood vessel into surrounding tissue

A

extravasation

infiltration

64
Q

remove needle

apply pressure

hold warm compress on site

get nurse

A

extravasation/infiltration procedures

65
Q

gadolinium based (rare earth metal)

A

most common MRI contrast material

66
Q

shorten relaxation time of atoms in body

A

what contrast accomplishes

67
Q

orally or IV

A

contrast administration

68
Q

magnevist

omniscan

optimark

A

brands of contrast

69
Q

kidney disease

renal failure

A

contrast is contradicted in these patients

70
Q

get into connective tissue and harden them

A

result of contrast in patient with renal problems

Z MRI Clinical Prep (12 decks)

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