injections Flashcards

1
Q

what are the advantages of parenteral route?

A
  • rapid absorption
  • only available means for unconscious patient
  • only available means when vomiting and diarrhea are present
  • concentrate medication in particular area
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2
Q

disadvantages of parenteral route

A
  • pain at injection site
  • point of entry for injection
  • injury to superficial nerves or vessels
  • needle breaking in tissue
  • inadvertent injection of blood vessel
  • hitting bone
  • IRREMOVABLE once injected
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3
Q

diff parts of the syringe

A

hub, hill, shaft, bevel, lumen, point

plunger, flange, barrel, measure dose here, tip

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4
Q

what are the unit conversions for the barrel of a syringe?

A
  • 1mm = 1cc
  • 1 millimeter = 1 cubic centimeter
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5
Q

what are the different types of syringes

A
  • hypodermic syringes
  • insulin syringe
  • tuberculin syringe
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6
Q

hypodermic syringes

A

-1cc - 60cc
- can be preloaded with needle or without needle
- luer lock or plain tip
- calibrated in (whole) cc

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7
Q

insulin syringe

A
  • 1cc
  • preloaded with needle or without needle
  • calibrated in insulin units (IU)
  • usually 26g-28g x 1/4”
  • INSULIN only
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8
Q

tuberculin syringe

A
  • 1cc
  • preloaded with needle
  • calibrated in .10 and .01 mL
  • HS school uses 25g - 28g x 5/8” needle
  • PPD administration (ID)
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9
Q

what are the diff types of syringes

A
  • lengths from 3/8” to 3”
  • from medication, gauge range from 18-27
  • polished carbon steel cut and angle
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10
Q

what sizes does a hypodermic needle come in

A
  • 2 mL
  • 2.5 mL
  • 3 mL
  • 5 mL
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11
Q

relationship between lumen of a needle and the gauge

A
  • lumen size and gauge are inversely related
  • at the lumen gets bigger the gauge gets smaller
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12
Q

diff routes of administration

A
  • intramuscular
  • subcutaneous
  • intradermal
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13
Q

where can an IM injection be administered

A
  • delt and glute
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14
Q

maximum dose that can be given in the delt via IM

A

no more than 1cc

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15
Q

maximum does that can be given in the glute via IM

A

less than 3 cc

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16
Q

maximum dose that can be given for subcutaneous (SC)

A

1 cc

17
Q

needle specifications for IM needle

A
  • 3 cc syringe
  • 1” - 3” needle length
  • 18-23” gauge
18
Q

needle specifications for SC NEEDLE

A
  • 3 cc syringe
  • 1/2” - 5/8” needles length
  • 23-25 gauge
19
Q

needle specifications for ID

A
  • 1cc syringe
  • 3/8” - 5/8” needle
  • 25-27 gauge
20
Q

maximum does that can be given from ID

A
  • 0.1 cc - 0.2 cc
21
Q

what is the angle of administration for an IM injection

A

90 degrees

22
Q

angle of administration for SC

A

45 degrees

23
Q

angle of administration for ID

A

10-15 degrees

24
Q

differences in syringe size for IM, SC, ID

A

IM = 3 cc
SC = 3 cc
ID = 1cc

25
Q

differences in volume of IM, SC, ID injections

A

IM =
delt no more than 1cc
glute less than 3 cc
SC =
less than 1 cc
ID =
0.1 cc - 0.2 cc

26
Q

differences in needle gauge in IM, SC, ID needles

A

IM - 18-23g
SC - 23-25g
ID - 25-27g

27
Q

areas of the skin to avoid when giving an injection

A
  • burned, edematous, cyanotic, or traumatized areas
  • lesions including moles, warts, and scar tissue
  • areas near larger blood vessels, nerves, bones
28
Q

what sheet MUST be given to a PATIENT before a vaccine is administered

A

vaccination information sheet (VIS)

29
Q

what are the differences in aspirating for IM, SC, ID injections

A

NO ASPIRATING FOR ID

30
Q

what are the differences in removing needle for IM, SC , ID

A

ID remove needle SLOWLY because you don’t want to disturb the wheel

31
Q

what are the differences for holding the skin tissue for IM, SC, ID

A

IM = spread the tissue and hold taut
SC = spinach the skin between thumb and forefinger
ID = pull skin taut

32
Q

how long do we keep a patient post injection for observation

A

20 minutes

33
Q

differences for documentation for meds, immunizations, PPD, and adverse reactions

A

MEDS = sf-600

IMMUNIZATION = sf-600 / MRRS / CDC 731 / DD 2766

PPD = sf-600 / MRRS / CDC 731 / DD 2766

adverse reaction same as immunizations and ppd but with VAERS