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NURS 2725 Clinical > Injections > Flashcards

Injections Flashcards

1
Q

Intramuscular injections

A

Absorbed faster
Rich blood supply
Larger volume of med absorbed (compared to subcut)

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2
Q

IM injection supplies

A

-Appropriate size syringe

  • appropriate-gauge and -length needle
  • alcohol swab
  • small gauze pad
  • vial or ampule of medication
  • clean gloves
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3
Q

whats the appropriate gauge for an IM injection in adult

A

19-25

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4
Q

whats the appropriate length needle for an IM injection in adult

A

1-1.5 inch

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5
Q

where are IM injections administered in infants (less 18mths)

A

vastus lateralis

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6
Q

what length needles used for IM injections in infants

A

7/8-1 inch

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7
Q

what gauge is used for IM injections in infants

A

25-27

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8
Q

what muscles are IM injections administered in kids

A

deltoid
ventrogluteal
dorsogluteal
vastus lateralis

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9
Q

what length needles used in IM injections kids

A

7/8-11/4 inch

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10
Q

what gauge needles used for IM injections in kids

A

22-25

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11
Q

what muscles are IM injections administered in adults

A

deltoid
ventrogluteal
dorsogluteal
vastus lateralis

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12
Q

what angle should IM injections be admin in all ages

A

90degree

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13
Q

vastus lateralis site

A

in lateral middle third of thigh
between greater trochanter and kneww
when injecting life away from knee

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14
Q

ventrogluteal site

A

Place palm of hand on the greater trochanter, pointing the thumb towards the groin
placing the tip of the index finger on the anterior superior iliac spine
spreading the middle finger back along the iliac crest, and forming a “V” over the muscle.
The “V” is your injection spot

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15
Q

deltoid muscle site

A

thickest part located 2.5-5cm (1-3 finger breadths) below the lower edge of acromion process of the scapula over the midaxillary line

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16
Q

dorsogluteal site

A

located above imaginary line between greater trochanter and posterior superior iliac crest

17
Q

why are vaccines only given at the deltoid and vastus lateralis

A

contain no large vessels

18
Q

what does size and length of a needle for IM injection depend on

A

muscle chosen
type of solution
amt of adipose tissue covering muscle
age of client

19
Q

what signs show that you should use a alt inject site

A

bruising
induration
muscular atrophy
reduced blood flow
signs of infection

20
Q

what have IM injections been associated with

A

adverse effects of pain

21
Q

what should u do if patient expresses concern over a med being given to them

A

dont give med consult with doctor

22
Q

subcut injections

A
  • deposits into the CT (under dermis layer)
  • does not contain many blood vessels
  • absorbed slowly
  • activity impacts rate of absorption
23
Q

what size syringe is used for subcut injection

A

1-3ml

24
Q

what needle gauge is used for subcut injections

A

26-30

25
Q

where are subcut injections admin in any age group

A

anterolateral thigh
upper outer tricep area
upper buttocks
abdomen

26
Q

what needle legnth is most common for subcut injection

A

1/2-5/8inch

27
Q

what angle or degree is a subcut injection given

A

45-90

28
Q

what does the size and legnth of a needle for subcut injections depend on

A

body mass
angle of insertion
planned site
age of client
med injected

29
Q

what is a consideration when injecting sucutaneously into abdomen

A

avoid 2 inch radius around umbilicus

30
Q

whats the max dose given subcut at 1 injections site for adults

A

2ml

31
Q

whats the max dose given subcut at 1 injection site for infants and kids

A

0.5ml

32
Q

where should older adults get subcut injections

A

upper abdomen

33
Q

what shoudl be documented when giving an injection

A

med conc.
dosage
time
date
site of admin
route
withheld doses
response to med
side effects
patietns weight in kg

34
Q

whats the rule when mixing insulin

A

rapid/ short acting before intermediate
only mix from same manufacturer

35
Q

what type of insulin should never be mixed?

A

long acting

36
Q

whats essential to ensure efficacy of vacines

A

proper storage

37
Q

how many times should a med be checked before admin

A

3x

38
Q

where should vaccination admin be recorded

A

clients record
agency record
provincial record

39
Q

how long should a client be observed for adverse evetns

A

15mins

NURS 2725 Clinical (4 decks)

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