Injectables Flashcards

1
Q

+
how do you withdraw medication from a vial?

A

-clean the vial
-pull back the plunger to the desired amount and remove the cap on the needle
-Peirce vial at 90 degrees and inject air
-invert and aspirate

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2
Q

how to minimize discomfort with injections

A

-smallest needle possible
-select the proper site
-stabilize the skin
-smooth and quick poke with a slow release of medication

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3
Q

what angle to administer muscular

A

90

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4
Q

what angle to administer subq

A

45-90

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5
Q

what angle to administer dermal

A

15

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6
Q

subq sites

A

abdomen away from the belly button
outer arm
outer thigh
upper buttock
scapula

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7
Q

rules for giving subq injection

A

rotate sights, do not aspirate, do not massage, no more than 1ml

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8
Q

what is the onset, peak, and duration of rapid-acting insulin

A

O: 15-30 minutes
P: 30 minutes - 2.5 hours
D: 3-6 hours

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9
Q

examples of rapid-acting insulin

A

aspart, glulisine, lispro

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10
Q

what is the onset, peak, and duration of short-acting insulin

A

O: 30-60 minutes
P: 1-5 hours
D: 6-10 hours

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11
Q

examples of short-acting insulin

A

regular insulin

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12
Q

what is the onset, peak, and duration of intermediate-acting insulin

A

O: 1-2 hours
P: 4-12 hours
D: 16 hours

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13
Q

examples of intermediate-acting insulin

A

NPH and isphane

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14
Q

what is the onset, peak, and duration of long-acting insulin

A

O: 3-4 hours
P: Continuous
D: 24 hours

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15
Q

examples of long-acting insulin

A

determir and glargine

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16
Q

where to give IM shots

A

deltoid – less than one ml
ventrogluteal – up to 3 ml
vastus lateralis – up to 2 ml

17
Q

signs of IV infiltration

A

swelling, pallor, coolness, pain

18
Q

what is IV infiltration

A

fluid enters surrounding space

19
Q

what to do with infiltration

A

disconnect, raise the extremity, and apply a warm compress

20
Q

signs of phlebitis

A

pain, edema, erythema, increased temperature, redness traveling the vein

21
Q

risks of phlebitis

A

blood clots

22
Q

when drawing up two insulins which order do you do?

A

regular then NPH