DOSAGE CALC/ SAFE MED ADMIN

Question 1

How much fluid is generally in a intradermal injection?

Answer 1

Less than 0.1ml into the DERMIS

Question 2

What needle gauge/length do you use for an ID injection?

Answer 2

25-27g, 6.35 to 16mm (1/4 to 5/8in) meedle

Question 3

What angle should an ID injection be done at?

Answer 3

5-15 degree angle

Question 4

What are some examples of medications that would be administered subcutaneously?

Answer 4

Anticoagulants: heparin, enoxaparin (low dose heparin), and insulin

Question 5

Where should you place a SQ injection the abdomen?

Answer 5

At least 2in away from umbilicus

Question 6

How much fluid is generally in a subcutaneous injection?

Answer 6

0.5-1ml

Question 7

What needle gauge/length do you use for an SQ injection?

Answer 7

Varies depending on body weight (amount of subcutaneous tissue) but generally administered with a 24-30g, 12-16mm needle

Question 8

What angle should an SQ injection be done at?

Answer 8

If the fold is greater than an inch, 90 degrees. If the fold is less than, 45 degrees

Question 9

What kind of medications are administered intramuscularly?

Answer 9

morphine, cyanocobalamin, hep b, tetanus vaccine

Question 10

What needle gauge/length do you use for an IM injection?

Answer 10

Highly viscous medications need a larger gauge needle

Question 11

How much fluid is generally in a intramuscular injection?

Answer 11

(ventral gluteal/vastus lateralis) 1ml for older infants and young children, 2ml for older children/older adults/thin people. If muscles are developed enough it can take 3ml.

Question 12

Which muscle is a preferred injection site because it isn’t close to any major nerves or blood vessels?

Answer 12

Ventrogluteal muscle (love handles)

Question 13

What is the preferred injection site for infants?

Answer 13

Vastus lateralis muscle

Question 14

When can you start using the deltoid muscle for children?

Answer 14

18 months. Only use less than 1ml of solution in deltoid muscle

Question 15

What is a short peripheral IV catheter?

Answer 15

Is less than 3 inches long and rests in the superficial vein in one of the clients extremities.

Question 16

What is a central line?

Answer 16

Terminate in the superior vena cava. Include peripherally inserted central catheters (PICC), tunneled and nontunneled central venous catheters, and implanted ports.

Question 17

Describe a PICC line

Answer 17

A catheters that tis inserted peripherally into a vein in the upper arm and thread it so that the catheter lies in the superior vena cava. Used for administration of long-term IV medications, vesicant meds, and parenteral nutrition.

Question 18

Describe a nontunneled central venous catheter

Answer 18

A nontunneled cath is inserted into the subclavian vein in the upper chest or through the jug vein by a physician/NP. It is mostly uses in trauma/critical care cases. It doesn’t really matter where it was inserted as long as it’s in the superior vena cava.

Question 19

What is a Luer-lock system?

Answer 19

Securely holds a needle in place to reduce sticks. Used on hub of IV tubing, and saline lock.

Question 20

What is the difference between an ID and a IM, SQ, and IV syringe?

Answer 20

IM, SQ, and IV syringes are generally 3-5ml. ID syringes are 0.3-1ml and are called tuberculin syringes.

Question 21

Difference between tuberculin syringes and insulin syringes

Answer 21

Tuberculin syringes are calibrated in hundredths of a millimeter while insulin is calculated in units.

Question 22

Difference between an active and a passive device

Answer 22

passive device doesn’t require action by nurse.

Question 23

What is a beta blocker?

Answer 23

Meds that decrease a patient’s heartrate and blood pressure

Question 24

What are the 6 rights of administration?

Answer 24

Right client, right medication, right route, right time, right dose, right documentation

Question 25

What are the six Rx types?

Answer 25

Routine, standing, single, stat, prn, now

Question 26

What is a Routine Rx?

Answer 26

Carried out until provider changes or discontinues it, the client is discharged, or the end date of the order is reached

Question 27

What is a Standing Rx?

Answer 27

Rx that are protocol-based and contain a list of directives to implement in specific situations

Question 28

What is a Single (one time) Rx?