Chapter 34: Parenteral Medications

Question 1

Identify three factors to consider when selecting a syringe & needle.

Answer 1

Type of medication; depth of tissue; volume of prescribed drug; viscosity of drug; size of client

Question 2

Name three ways. That pharmaceutical companies prepare/ supply parenteral drugs.

Answer 2

Ampules, vials, prefilled cartridges

Question 3

Discuss appropriate actions before combining two drugs in a syringe.

Answer 3

Consult a drug reference for compatibility

Question 4

List four injection routes.

Answer 4

Intradermal, subcutaneous, intramuscular, intravenous

Question 5

Name the five intramuscular sites.

Answer 5

Dorsogluteal, ventrogluteal, rectus femoris, deltoid, vastus lateralis

Question 6

Describe how to correctly mix insulin types.

Answer 6

• roll the vial of insulin containing an additive b/t palms
• clean the rubber stoppers of both vials of insulin
• Instill an am today air equal to the volume that will be withdrawn from the vial containing the insulin w/the additive; do not insert needle into the insulin itself
• withdraw the needle and use the same syringe to repeat the previous step, but this time invert & withdraw the prescribed # of additive-free insulin units
• ask another nurse to check the label on the insulin & the # of units in the syringe
• swab the rubber stopper of the other vial & pierce it with the needle of the partially filled syringe
• ask another nurse to check the label & the # of units in the syringe
• administer within 15 min of mixing

Question 7

Discuss why most insulin combinations must be administered within 15 min of being mixed.

Answer 7

So that they act as if being objected separately

Question 8

Describe two techniques to prevent bruising when administering heparin subcutaneously.

Answer 8

Rotate sites; do not aspirate

Question 9

Identify three parts of a syringe.

Answer 9

Plunge, barrel, tip