Injectable Meds Flashcards

1
Q

What do we always practice with all meds but especially parenteral

A

Safety and avoiding errors

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2
Q

Purpose of IV

A

Fast acting and good in an emergency

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3
Q

Best way to prevent errors while administering medications

A

Avoid distractions.

Prevent being interrupted or interrupting someone else.

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4
Q

How many medication checks must we do

A

3

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5
Q

When do we do medication checks

A

Before pouring med

After pouring med

At bedside

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6
Q

What must we know for needles

A

Gauge and length for each route

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7
Q

Do we draw and administer medication with the same needle

A

No

Draw with one and administer with another.

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8
Q

How does gauge affect diameter

A

Larger gauge equals smaller diameter

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9
Q

Max IM fluid for deltoid injection

A

1 mL

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10
Q

Max fluid for IM injection in places other than deltoid

A

3 mL

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11
Q

What must you do if you need to give IM for more than 3 mL

A

Must do more than one injection

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12
Q

How to find location for subcut injection

A
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13
Q

What angles are used for subcut injection

A

45 degrees

90 degrees

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14
Q

How to determine which angle to use for subcut injection

A

If can pinch 2 inches of fat then do 90

If not do 45

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15
Q

Where can we give subcut injections

A
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16
Q

Parts of a syringe

A

Barrel, tip, plunger.

17
Q

Infection prevention with syringe

A

Must keep all parts of syringe sterile.

18
Q

How to determine length of needle

A

Based on type of injection

19
Q

Needle for intradermal injection

A

25-27 gauge

1/2-5/8 inch

5-15 degrees

20
Q

Needle for subcut injection

A

25-27 gauge

3/8-5/8 inch

45-90 degrees

21
Q

Subcut insulin

A

25-31 gauge

5/16-1/2 inch

45-99 degrees

22
Q

Needle for IM

A

18-25 gauge

5/8- 1 1/2 inch

90 degrees

23
Q

IM deltoid injection

A

Inspect for any damage

Identify acromial process

Measure 2-3 finger widths from acromial process

Clean site with alcohol

Use z track technique

1 mL per 10 secs

Wait 10 secs

24
Q

IM vastus lateralis

A

Inspect

Locate landmarks
-one hand width below greater trocanter
-one hand with above knee

Find area of bulk

Use z track technique

25
Q

IM ventrigluteal

A

Make sure knees are bent

Inspect area

Find greater trocanter

Place hand in greater troucanter

Identify space between index and middle finger

Cleanse with alcohol

Z track technique

Cover injection with gauze

26
Q

Intradermal injection

A

If using forearm

Locate correct site

Inspect site

Cleanse site

Stretch skin with two fingers

Hold needle parallel to arm at 5-15 degree angle

Slowly withdraw needle

Draw circle around injection site

27
Q

Subcut injection

A

Inspect site

Find fat

Cleanse

Grasp fat

Once needle is in use hand that grasped fat to stabilize syring

Remove needle quickly

Apply gauze