Chapter 35 Flashcards
What are the 5 types of parental routes?
*Intravenous
*Intramuscular
*Subcutaneous
*Intrathecal
*Intradermal
When are parental injections used?
-Patient is NPO
-Digestive juices counteract oral drugs
What are parental injections used?
-Hasten the action of the drug
-Ensure the delivered dose is accurate
True or false, we only use sterile needles and syringes.
True
What should you do when preparing the syringe
*Label the syringe with the patient’s name, name of medication, and dose
What size of gauge needle would you use for trauma, rapid infusion?
A) 26G
B)14G
C)24G
D)16G
E)22G
F)18G
G)20G
B)14G
What size of gauge needle would you use for trauma, surgery?
A) 26G
B)14G
C)24G
D)16G
E)22G
F)18G
G)20G
D)16G
What size of gauge needle would you use for blood transfusions?
A) 26G
B)14G
C)24G
D)16G
E)22G
F)18G
G)20G
F)18G
What size of gauge needle would you use for IV fluid and medications?
A) 26G
B)14G
C)24G
D)16G
E)22G
F)18G
G)20G
G) 20G
What size of gauge needle would you use for IV fluids, small veins?
A) 26G
B)14G
C)24G
D)16G
E)22G
F)18G
G)20G
E) 22G
What size of gauge needle would you use for Fragile veins, pediatrics?
A) 26G
B)14G
C)24G
D)16G
E)22G
F)18G
G)20G
C) 24G
What size of gauge needle would you use for Neonates?
A) 26G
B)14G
C)24G
D)16G
E)22G
F)18G
G)20G
A) 26G
Explain a filter needle
*Filter needles should be used when medication is withdrawn from ampule to trap the glass particles
Which of the following is not an appropriate site for an intramuscular injection?
A)Dorsogluteal
B)Deltoid
C)Vastus lateralis
D)Dermal
D)Dermal
Darlene is about to give her patient an intramuscular injection. At what angle should the injection be given?
A)90 degrees
B)45 degrees
C)15 degrees
D)It depends on the size of the
E)needle and size of the patient
A)90 degrees
Sylvie is going to give her 1-year-old patient an IM injection. Which is the preferred IM site?
A)Deltoid
B)Vastus lateralis
C)Dorsogluteal
D)Ventrogluteal
B)Vastus lateralis
John is going to give his patient an injection of iron. To help minimize the pain, what can John do?
A)Use the largest gauge needle that is appropriate
B)Inject the medication fast
C)Use the Z-track technique
D)Do not tell the patient when he is going to give the injection
C)Use the Z-track technique
What size and gauge needle are used to give intramuscular injections?
A)½- to 1-inch needle that is 23 to 25 gauge
B)1- to 1½-inch needle that is 20 to 23 gauge
C)½- to ⅝-inch needle that is 20 to 23 gauge
D)2- to 2½-inch needle that is 20 to 23 gauge
B)1- to 1½-inch needle that is 20 to 23 gauge
Forcing fluid into a part of the body
Injection
Injection in the muscle
Intramuscular (IM)
Injection beneath the skin
Subcutaneous
Injection into the dermis
Intradermal (ID)
Not delivered via the gastrointestinal tract
Parenteral
Syringe with graduated measurements of 1 mL
Tuberculin syringe
Scale of measurement
Gauge
The slanted part of the needle tip
Bevel
Bump; visible elevation of the epidermis
Bleb
opening or interior diameter
Lumen
Thick and sticky
Viscous
All- glass containers containing medication
Ampules
Small bottles
Vials
Circular cutout piece
core
solid material
Solute
Specific fluid to dissolve the solute
Diluent
Formation of fatty lumps under the skin caused by insulin injections
lipohypertrophy
Causing a needle track, or pathway, in shape of “Z”
Z-track technique
Circulatory failure from an allergic reaction
Anaphylactic shock
A reaction characterized by reddened, slightly elevated patches known as wheals
Urticaria
