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Chapter Test Study Guide > Chapter 35 > Flashcards

Chapter 35 Flashcards

1
Q

Subcutaneous: site? Needle gauge ? Syringe? Example drugs?

A 
Subcutaneous:
Site: posterior upper forearm, thigh, abdomen
Needle gauge: 25-26
Syringe : 2-3 mL : insulin 
Example drugs: insulin, heparin.
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2
Q

Intramuscular : site? Needle gauge? Syringe? Example drugs?

A 
Intramuscular :
Site: adult deltoid 
Needle gauge: 20-23 
Syringe: 2-5 mL 
Example: epinephrine
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3
Q

Mantoux results are assed within what time frame?

A

48-72 hours

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4
Q

On a Mantoux test, what needle gauge is used?

A

27-28 gauge

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5
Q

What is done post injection on a Mantoux test?

A

Inspected for induration of 15mm or greater. For possible positive result.

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6
Q

If you aspirate blood into a syringe what do you do?

A

Withdraw the unit without injecting the medication and dispense of it in the sharps container.

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7
Q

Who is legally responsible for drug errors of meds that someone else prepared?

A

The person that administered it

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8
Q

Most common site for an adult IM injection?

A

Deltoid, vastus lateralis, dorsogluteal.

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9
Q

Name 3 insulin names?

A

Lispro
NPH
Humalog

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10
Q

What are the calibration units for insulin?

A

30 units
50 units
100 units
2-3 mL for insulin

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11
Q

define: enteric coated?

A

Coating added to an oral medication that resists the effects of stomach juices. Designed so that the medicine is absorbed in the small intestine

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12
Q

Define: Vial

A

Glass container with a stopper

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13
Q

Define ampule?

A

Glass container that must be broken to obtain medication.

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14
Q

Define: scored

A

Made to cut or split

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15
Q

Define: loading dose?

A

A double dose administered as the first dire of a medication; usually used with antibiotic therapy so that therapeutic blood levels are reached quickly.

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16
Q

Define; Bronchoconstriction

A

Narrowing of the bronchioles tubes

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17
Q

Define; induration

A

An abnormally hard, inflamed area.

18
Q

Define; infiltration

A

IV fluids flow into surrounding tissues

19
Q

vastus lateralis

A

Thigh

20
Q

What are the seven rights?

A 
Right patient 
Right drug
Right dose
Right route 
Right time 
Right technique 
Right documentation.
21
Q

Ask 5 questions that can be used to gain information regarding pt. use of medications?

A

What OTC drugs have your taken over the past 6 months?
Do you regularly use any alternative or herbal products?
Where do you store your medication at home?
Have you checked the e spiraling date on any of the containers?
Can you tell me why you are taking the prescribed medication?
Do you use the same pharmacy to fill all of your prescriptions?

22
Q

How are proper therapeutic blood levels maintained?

A

Make sure not to double dose or miss a dose.

23
Q

What is the best method for identifying a pt?

A

Name, date of birth possible last digits of SS

24
Q

Why does one aspirate?

A

Because If you see blood in the syringe it means that hat the needles is in a blood vessel and is not in the subcutaneous tissue.

25
Q

What areas are you to avoid when choosing an injection site?

A

Stay away from: bones, blood vessels, scar tissue, change in pigmentation or texture, or excess tissue growth. Away from any major nerves and the site should be able to hold the amount of medication you are about to inject.

26
Q

Tell me a bit about safe drug storage?

A

Away form heat, light and air. Some might be needed to be refrigerated for them not to melt.

27
Q

Why are people starting to now test TB twice?

A

To more accurately diagnose individuals who have been previously exposed to TB

28
Q

What is the sharpened end of the needle called?

A

The point?

29
Q

What is the calibration?

A

The markings units on the outer surface

30
Q

What is the angles top of the needle called?

A

Bevel

31
Q

The diameter of the lumen is called?

A

The gauge.

32
Q

What is the site and gauge for ID?

A

Midanterious forearm 27-28

33
Q

What is the site and gauge for IM?

A

Adult deltoid 20-23

Child or infant vas lateralus 22-26

34
Q

Site and gauge for SC?

A

Posterior upper arm, thigh and abdomen

25-26

35
Q

Why have extra care when giving a deltoid injection?

A

Major nerves and blood vessels such as the radial nerve and artery should be avoided.

36
Q

What do you not want to do after giving an insulin injections?

A

Massage the area

37
Q

What are the Parenteral methods and f administration?

A

IM
SC
ID
IV

38
Q

What system is used for prefilled syringes ?

A

The automatic injector system

39
Q

When would Z track be used?

A

When injections would be irritating to the skin or surrounding subcutaneous tissue. Example: iron replacement products that leak to the surface and surrounding tissue. Example: Heparin

40
Q

What are some signs of an anaphylactic reaction?

A

Hypotension, hives, difficulty breathing, difficulty swallowing, vomiting, diarrhea.

41
Q

Intradermal: site? Needle gauge? Syringe? Example drugs?

A 
Intradermal: 
Site: mid anterior forearm 
Needle gauge: 27-28
Syringe: 1 mL : tuberculin 
Example: tuberculosis skin test (mantoux)

Chapter Test Study Guide (4 decks)

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