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NURS121 > INjectable med admin > Flashcards

INjectable med admin Flashcards

1
Q

filter needles use

A

filter certain meds when drawing up like ampules; NEVER for administrations of meds

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2
Q

safe way of recapping needle

A

scoop up cap with needle and press against the wall or something flat

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3
Q

ID needle angle

A

5-15 degrees

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4
Q

SubQ needle angle

A

45-90 degrees

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5
Q

SubQ insulin needle angle

A

45-90 degrees

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6
Q

IM needle angle

A

90 degrees

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7
Q

ID needle diameter

A

25-27G

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8
Q

SubQ needle diameter

A

25-27G

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9
Q

SubQ insulin needle diameter

A

28-31G

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10
Q

IM needle diameter

A

18-25G

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11
Q

should contaminated needles be recapped

A

NO

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12
Q

how to withdraw soln from vial

A
  1. draw air into syringe - same air amount as soln needed
  2. cleanse rubber stopper & insert air
  3. invert vial and draw up soln
  4. flicker syringe as needed to get rid of air
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13
Q

withdraw meds from 2 vials - mixing

A

inject air into both vials
withdraw meds from vial B
withdraw meds from A with B in syringe

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14
Q

landmarks for deltoid muscle

A

acromion process and axillary line
2-3 fingers (1-2 inches) below

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15
Q

landmarks for vastus lateralis

A

head of the greater trochanter - one hand below
knee - one hand above

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16
Q

when to use deltoid muscle

A

2mL of meds
NOT for infants and toddlers younger than 3 yrs

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17
Q

when to use vastus lateralis

A

3mL of meds
YES for infants

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18
Q

when to do 45 or 90 degrees for SubQ injections

A

45 if can pinch 1 inch (2.5cm) of skin
90 if can pinch 2 inch (5cm) of skin

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19
Q

landmark for ventrogluteal

A

heel of hand on greater trochanter and index finger on anterior superior iliac crest

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20
Q

mechanical causes of phlebitis

A

inserting at areas of flexion;
excessively large IV catheter;
not stabilizing it enough

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21
Q

other causes of phlebitis besides mechanical

A

irritating solns;
break in asepsis and bacterial invasion

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22
Q

how often to assess IV sites

A

q4hrs for AxO4 adults;
1-2hrs for all other pts

23
Q

what to do if phlebitis is found

A

stop infusion and remove;
new one inserted different area; document

24
Q

S/O of infiltration

A

pallor, swelling, pain

25
Q

S/O of extravasation

A

blistering, tissue necrosis, ulceration

26
Q

infiltration vs. extravasation

A

IV slips out of vein or fluid leaks into tissues from another puncture site close to site; extravasation is with vesicants (vancomycin, dopamine, digoxin)

27
Q

what to do with infiltration

A

stop IV, elevate, apply warm moist or cold compresses

28
Q

what is speed shock

A

systemic rxn when IV meds is administered too quick -> causing blood lvls of meds to rise to toxic lvls

29
Q

S/O of speed shock

A

chest pain, lightheadedness, palpitations, tachycardia; shock and cardiac arrest if untreated

30
Q

how to treat speed shock

A

stop meds, change IV fluid to isotonic soln, notify PCP, treat effects and monitor vital signs, documents

31
Q

how to prevent speed shock

A

use electronic infusion pump;
administer IV bolus over at least 1 min;
dilute prn;

32
Q

what to do in case of severe allergic rxn

A

have another nurse call RRT, stop meds and start O2 at 90-100% via nonrebreather mask, replace IV tubing and infuse 0.9% NaCl. Elevate bed to help with SOB. may need to give epinehrine/diphenhydramine; DONT REMOVE IV in case to administer emergency meds

33
Q

what’s IV catheter embolism

A

part of IV breaks off in a vein due to damage or too much force; can travel to other places in body

34
Q

what to do in case of IV catheter embolism

A

remove and inspect damage to the tip, apply tourniquet above IV site and see if can palpate; notify PCP and get x-ray

35
Q

preventing IV embolism

A

inspect for damage before inserting; never reinsert after removal; inspect after removal

36
Q

what can lactated ringer’s treat

A

acidosis;
liver metabolizes lactate into bicarbonate

37
Q

what fluid to use and NOT use with blood transfusions and why

A

use NS
DON’T use LR (leads to clots), Dextrose (leads to hemolysis)

38
Q

what to always do with IV tubing

A

labeled with date, time, and initial

39
Q

what does the Y-port do in PB infusions

A

back-check valve that prevents primary infusion flow while PB infusion and opens again once is done

40
Q

placement of PB infusion

A

it should be hanged higher than the primary infusion

41
Q

where to administer IV bolus

A

existing IV line or saline/IV lock

42
Q

what to do before and after IV bolus administeration

A

flush of 0.9% NaCl

43
Q

what’s tandem administration of IV

A

primary and secondary IV bags are infusing at the same time; they are hang at the same level

44
Q

where are tandem secondary IV bags plugged into

A

lower port on the primary IV tubing

45
Q

between 20 & 60 gtt/mL which is the micro-drop calibration

A

60

46
Q

which side of the needle should be inserted

A

bevel up in and out same angle of insertion

47
Q

needle length general rule for subQ

A

use needle length 1/2 width of injection site skin fold;
1 inch or less -> 45degrees
otherwise 90 degrees

48
Q

larger muscles can receive how much meds in diff age groups

A

1mL in kiddos
2mL for older kiddos and adults
3mL in muscle people

49
Q

where are nontunneled central venous catheters inserted

A

subclavian vein or internal jugular vein

50
Q

what does insulin promote

A

entry of glucose, K, amino acids into cells
convert glucose into glycogen in the liver

51
Q

list the 3 types of rapid-acting insulin

A

insulin lispro, insulin aspart, insulin glulisine

52
Q

why is intermediate-acting insulin cloudy

A

has protein that delays the onset and duration

53
Q

what is intermediate acting insulin called

A

insulin NPH

NURS121 (14 decks)

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