Injections Flashcards
How are parenternal meds administered?
via injection
What are the 4 parts of a syringe?
- plunger
- Barrel
- Needle hub
- Needle
what is the sterility of the tip, shaft, and hub of the needle?
Sterile
Why do we use blunt fill-filter needles to draw up meds from amps when possible?
- because a larger gauge 18G, 1 1/2 length helps with thicker solutions
- prevents unnecessary blunting of injection needles
- filter glass out of medication
What info do we need to review in the PDM before preparing and administering an injection?
- drug class
- alternate names
- student nurse yes/no
- sub cut route?
- IM?
- dosage
- hazards
- stability
- compatibility
- contraindications
what does parenternal mean?
anything not enteral (not GI tract) ie: oral or GI
What part of the Syringe do we not touch? (keep sterile)
- needle hub/tip
- needle
what part of the syringe do we never touch anything with?
needle
what gauge do we never use in a patient but is used to draw up medication?
blunt fill needles (red) 18G
What needle sizes and gauges are appropriate for subcut?
25-29 G
1/2”-5/8” length
after drawing up medication and putting on the correct needle, what must we do?
Label the syringe!
what is the order of patient safety med checks?
- check 1 before getting medication
- prepare medication
- make label
- check 2
- gather supplies and head to patients’ room
- check 3 at bedside
subcut injection sites
- upper back
- back love handles
- abdomen * (heparin especially)
- back of arms
how far do you inject from the last site?
2-5 cm at least
how to give an injection
- clean skin with swab - center to outwards 15-30 sec
- grasp 2-5”
- go in at either 45 ° (2.5cm grasp) or 90° (5cm of tissue)
- sign mar
When mixing NPH insulin with a rapid/short acting insulin, which do you draw first?
- Draw Air into NPH syringe
- Draw Air into Rapid/short insulin
- Draw short insulin first
- With same syringe draw NPH
*rationalle - b/c there is clear insulin in NPH but not cloudy in clear so can’t put cloudy into clear vial