Fundamentals Lab: Administration Of Injections

Question 0

Injection into the muscle

Answer 0

Intramuscular (IM)

Question 1

Injection that is into the tissue just below the dermis of the skin

Answer 1

Subcutaneous (sub-Q)

Question 2

Injection into the dermis, just under the epidermis

Answer 2

Intradermal (ID)

Question 3

Where are the only places on a syringe that can be handled?

Answer 3

Barrel

Flat tip of plunger

Question 4

Contain single doses in liquid ranging from 1-10ml, constructed in a glass form with a constricted neck that snaps off

Answer 4

Ampules

Question 5

Single or multi dose are available, contains a rubber seal, may contain dry or liquid forms of medications, air must be injected into them to permit easy withdrawal

Answer 5

Vials

Question 6

What gauge needle is used for intradermal injections (TB skin test)

Answer 6

25-27 gauge

Question 7

What length should the needle be for intradermal injections

Answer 7

3/8-5/8 inch

Question 8

How is the site for ID injections selected

Answer 8

3 fingers below the antecubital space and above one hand width around the wrist

Question 9

What angle should an ID injection be given?

Answer 9

5-15 degrees

Question 10

For a positive TB skin test how large should the induration at the injection site be for patients with no known risk factors or exposure

Answer 10

15mm

Question 11

For a positive TB skin test how large should the induration at the injection site be for patients with risk factors for TB

Answer 11

10mm

Question 12

For a positive TB skin test how large should the induration at the injection site be for patients with HIV

Answer 12

5mm

Question 13

What dose that should be given for sub-Q injections

Answer 13

Up to 1ml

Question 14

Usual gauge range for sub-Q needles

Answer 14

25-30 gauge

Question 15

Usual length for sub-Q needles

Answer 15

3/8-5/8 inch

Question 16

Types of insulin include:

Answer 16

Regular, NPH, Novolog, Lantus

Question 17

Different ways of administering insulin:

Answer 17

Insulin pumps, insulin pens, and insulin injections

Question 18

When mixing insulin always remember:

Answer 18

Air in N, air in R, draw up R, draw up N

Question 19

Typical blood sugar levels that should be reported to MD

Answer 19

Over 300 and under 80

Question 20

When should blood sugar levels be monitored?

Answer 20

Before meals, at bedtime, or as ordered

Question 21

Blood In puke

Answer 21

Hematemesis

Question 22

Blood in urine

Answer 22

Hematuria

Question 23

Blood in stool

Answer 23

Hemoccult

Question 24

Where should heparin always be administered?

Answer 24

In the abdomen at least 2 inches from the umbilicus

Question 25

How can you review drug information?

Answer 25

Drug book, pharmacy, PDR

Question 26

What gauge needle is used for intramuscular injections

Answer 26

20-23 gauge

Question 27

What length should the needle be for intramuscular injections

Answer 27

1-1 1/2 inches

Question 28

What site should be avoided when giving intramuscular injections

Answer 28

Dorsogluteal

Question 29

IM Site recommended for adults and children over 1yr old

Answer 29

Ventrogluteal

Question 30

IM site of choice for infants 0-12 months

Answer 30

Vastus lateralis

Question 31

IM site where all adult immunizations are given, max amount given is 1ml; 12months & older

Answer 31

Deltoid

Question 32

IM site hardly used

Answer 32

Rectus Femoris

Question 33

Sub-Q injection sites are:

Answer 33

- Outer aspects of upper arm - Abdomen below costal margins to the iliac crests with one inch border around the umbilicus - Anterior aspects of the thighs - Scapular areas of the upper back - Upper ventral or gluteal areas

Question 34

Intramuscular sites are:

Answer 34

Ventrogluteal Vastus lateralis Deltoid Rectus femoris