Injections Flashcards

1
Q

3 parts of a syringe

A

needle
barrel
plunger

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2
Q

how long should needles be in an adult

A

1-1.5 inches

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3
Q

generally what gauge is needed for IM injection

A

22-25 gauge

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4
Q

what are the “rights” for a patient before injection

A

right patient (2 verifications)
right route
right drug
right dose
right time
right verification

right to refuse

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5
Q

where does an intramuscular injection deliver medication

A

deep into the muscles

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6
Q

what type of injection do we use for most vaccinations

A

intramuscular injection

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7
Q

what angle is used for intramuscular injections

A

90 degree angle

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8
Q

intramuscular injection site for thigh

A

vastul lateralis

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9
Q

where does the vastus lateralis muscle lie

A

between the greater trochanter and the knee

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10
Q

what should you do to vastus lateralis muscle when IM injection

A

lift the muscle away from the bone

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11
Q

IM injection site for the arm

A

thickest part of the deltoid muscle (2.5-5 cm or 1-3 finger breadths below the acromion process)

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12
Q

where does the deltoid muscle die

A

below the lower edge of the acromion process of the scapula over the midaxillary line

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13
Q

IM injection site for the hip

A

ventrogluteal site

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14
Q

when doing hip IM injection, where should second and third fingers be pointing

A

second - toward anterior superior iliac spine
third - toward iliac crest

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15
Q

IM injection site for buttocks

A

dorsogluteal site

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16
Q

when do we normally use thigh IM injection

A

self injections or children 3 and under

17
Q

for what patients can you do a hip injection

A

adults and children older than 7 mos

18
Q

when should you not use upper arm IM injection site

A

when person is very thin or muscle is very small

19
Q

when should you never use the buttock IM injection site

A

for a child under 3 years old bc there is not enough muscle there yet

20
Q

for what medications/vaccines do we commonly use subcutaneous injections

A

heparin
insulin
MMR
Varicella

21
Q

is a long or a short needle used for subcutaneous injection

A

short needle; 5/8 inches long

22
Q

is medication absorbed more quickly or slowly with subcutaneous injection in comparison to IM injection

A

subQ is more slowly

23
Q

where do drugs need to be injected for SubQ injection

A

the fatty tissue just below the skin

24
Q

SubQ injection location for abdomen

A

at or under the level of the belly button about two inches away from the navel

25
SubQ injection location for arm
back or side of upper arm
26
SubQ injection location for thigh
front of thigh
27
Gauge for SubQ injection
25-27
28
what angle might you have to use for SubQ injection
45 degree angle
29
where is intradermal injection inserted
into the dermis just below the epidermis
30
which route has the longest absorption time
intradermal injection
31
which route has the fastest absorption time
intramuscular injection
32
when are intradermal injections commonly used
sensitivity tests (tuberculin and allergy tests) local anesthesia
33
most common sites for intradermal injections
inner surface of the forearm upper back under the scapula
34
should we use alcohol for intradermal injection
no bc it toughens the skin!!
35
what angle should you use for intradermal injection
10-15 degree angle (until the bevel is covered)
36
do you need for aspirate for intradermal injection
NO
37
how do you know when med has been successful inserted for intradermal injection
a wheal appears