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Module 2 > Injections > Flashcards

Injections Flashcards

1
Q

Medication vials can be ________ or ________ dose

A

Single or multi

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2
Q

Medication vials can be _________ or ________

A

Plastic or glass (clear or dark)

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3
Q

Medication vials can be ________ or ___________ med

A

Liquid or powder

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4
Q

Always what when dealing with medication vials?

A

Check expiration and date and initial (if multi dose)

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5
Q

When choosing parenteral needles, ensure it is long enough to reach __________ respective to _____________

A

Targeted tissue
Age, weight, and muscle/tissue mass

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6
Q

Parental needles come

A

In various lengths and gauges

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7
Q

The gauge is also referred to as the

A

Diameter

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8
Q

Parental needles have an _______________ when it comes to sizing

A

Inverse relationship (18g is larger than 29g)

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9
Q

When choosing parenteral needles, ensure the needle is long enough to reach ___________ __________

A

Targeted tissue

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10
Q

Factors affecting needle length

A

Age
Weight
Muscle/tissue mass

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11
Q

Dermis (ID) needle length

A

1/2” to 5/8”

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12
Q

Subcut (SQ) anticoagulants needle length

A

3/8” to 5/8”

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13
Q

Subcut (SQ) insulin needle length

A

1/2” to 5/16”

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14
Q

Muscle (IM) needle length

A

1” to 1 1/2”
(Most common in adults)

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15
Q

Gauge of needle should be large enough to deliver

A

Viscosity of medication

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16
Q

Smaller gauge needles use _______ solutions

A

Thinner
(27-20g)
Less painful for the patient

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17
Q

Larger gauge needles use __________ solutions

A

Thicker
(21-18 g)

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18
Q

Filter needle

A

Small filter in hub catches debris
(Always use with ampules)

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19
Q

Blunt fill needle

A

Use with vials (rubber stopper)

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20
Q

If filter or blunt fill needle not available, use what?

A

Smallest gauge needle possible

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21
Q

Why should you never use a filter needle or blunt fill needle to inject into patients?

A

Extremely painful

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22
Q

If you recap blunt or filter needles, ALWAYS use what technique?

A

One handed recap technique

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23
Q

After you recap, then what?

A

Apply new sterile needle before placing syringe in med tray

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24
Q

No blunt/filter needles are allowed in a pts room when used for med admin, but only for

A

Blood specimens

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25
Q

Syringes are all calibrated in

A

mL

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26
Q

1st calibrated line near hub in syringe is

A

Zero

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27
Q

Read syringe volume from

A

Zero to leading ring (In front of rubber stopper)

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28
Q

How do you decide which syringe to use?

A

Always use the smallest syringe needed to correctly deliver the rx’d volume of medication ordered

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29
Q

Label syringes with a

A

Blue label

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30
Q

How long do you clean vial top/inj port

A

15 seconds

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31
Q

“Charging”

A

Injecting equal air and medication equalizing pressure

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32
Q

Multi-dose vials do not always need to ________

A

Charge (oftentimes overcharged)

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33
Q

For single dose vials, you have to withdraw ___________

A

The entire amount

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34
Q

When combining two medications in one syringe, prepare from the _______ first then __________

A

Vial, ampule

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35
Q

When combining two medications in one syringe, meds must be _____________

A

Compatible

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36
Q

Troubleshooting air & bubbles

A

Make sure needle is below fluid level
Withdraw med slowly

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37
Q

For single dose vials, withdraw __________ volume from vial and expect _____ __ ______

A

Entire, air to follow

38
Q

For multi-dose vials, withdraw _________________, leave needle in vial, then _______ med back into the vial via plunger to ensure exact dose

A

More med than you need, then push med back

39
Q

Ampules

A

Single dose medication
Made of glass (clear/dark)
Scored neck (colored)
Need syringe and filter needle

40
Q

When withdrawing from an ampule,

A

Maintain asepsis

41
Q

Hold the ampule ________ and ___________ to dislodge medication from neck

A

Upright, tap the top

42
Q

Place barrier around neck and break _____ from you (ampule)

A

Away

43
Q

Meds come in concentrated forms:

A

Powder, crystals, or liquid

44
Q

reconstitution

A

The process of adding a liquid diluent to a dry or liquid concentrated ingredient solute to make a specific concentration of liquid injectable medication

45
Q

Drugs in _________ form retain potency for a ______ period of time once reconstituted

A

Powder, short

46
Q

Reconstituted volumes do not always equal the amount of diluent because

A

The medication itself has volume

47
Q

The medication label or package inert dictates which diluent to use, typically —

A

NS or sterile water

48
Q

Use sterile technique withdrawing diluent to add to medication using

A

Blunt fill needle

49
Q

Pay attention to what warnings during medication reconstitution

A

Do not shake

50
Q

IM injection sites

A

Deltoid, ventrogluteal, or vastus lateral is

51
Q

When doing injections, avoid—

A

Scars, irritations, bruises, lesions in muscle, etc.

52
Q

Visualize and palpate for _______ of well-developed, ________ muscle

A

“Belly”, relaxed

53
Q

Inject at a rate of

A

1 mL/10 sec !!!!!

54
Q

Wait ________ before removing needle after injecting

A

3-5 seconds

55
Q

Assess ALL parts of the injection equipment before administering, what does this mean

A

Check integrity of needle and ensure volume is correct

56
Q

Why should you not rub or massage post injection?

A

It can displace medication

57
Q

What is the angle for IM injections?

A

90º

58
Q

Deltoid recommended max volume, needle length, and syringe?

A

Max volume- 1mL
Needle length- 1”
Syringe- 3mL

59
Q

Ventrogluteal 1st, vastus lateral is 2nd for

A

Thicker, painful, or irritating meds (Deep IM)

60
Q

Ventrogluteal 1st, Vastus Lateralis 2nd recommendations

A

Max volume - 3mL
Needle length - 1” to 1 1/2”
Syringe - 3 mL

61
Q

What is the recommended method when injecting ventrogluteal or vastus lateral is

A

Z-track method

62
Q

For the deep IM (Z-Track) technique, how should you position the patient?

A

Sims position

63
Q

If blood returns with aspiration,

A

DO NOT INJECT! Start over!

64
Q

Avoid the __________________ muscle!

A

Dorsogluteal

65
Q

When injecting insulin, there are

A

Several location options to inject

66
Q

Subcutaneous injection types

A

Insulin
Anticoagulant
Hormones

67
Q

Insulin has its own unique needle that is

A

Very fragile and permanently attached to the insulin syringe

68
Q

Multi-dose vials of insulin

A

Short, intermediate, long acting

69
Q

Where is the primary/main location to inject anticoagulants?

A

Abdomen

70
Q

Needle used for anticoagulant

A

3/8-5/8” needle and appropriate syringe

71
Q

SQ injection rule of thumb

A

Inject at a 90º angle if you can “bunch” the skin more than 2”. Otherwise, inject at a 45º angle
-SQ tissue can accommodate up to 1.5mL

72
Q

Insulin is administered in

A

Units — NEVER mL!

73
Q

What must you know/verify before administering insulin?

A

Blood glucose level or trends

74
Q

Administer all insulins within _______ of preparation, because it will start to lose its efficacy

A

Minutes

75
Q

Never ________ insulin

A

Shake

76
Q

How do you mix insulin evenly?

A

Rotate/agitate gently in hands to mix

77
Q

Where is insulin administered?

A

In the adipose (SQ) “fatty” areas of arms, abdomen, back or thighs

78
Q

Where is insulins absorption rate faster?

A

Abdomen

79
Q

Alternate/separate injection sites by at least

A

1 inch

80
Q

Do not __________, _____ or __________ any SQ injections

A

Aspirate, rub or massage

81
Q

Insulin syringe size must match the

A

Vial

82
Q

What position is always best for Enoxaparin injection?

A

Reclining/supine position

83
Q

For enoxaparin injections, where do you administer it?

A

Abdomen

84
Q

Administer enoxaparin _______ ____ , NEVER ______

A

Deep SQ, IM

85
Q

Never __________, ________, or ______ an enoxaparin injection

A

Aspirate, massage, rub

86
Q

During the enoxaparin injection process, bunch during ________ injection

A

Entire

87
Q

Do not aspirate or expel _________ _________

A

Nitrogen bubble

88
Q

Intradermal injections are commonly used for

A

Allergy testing and TB testing

89
Q

Where is intradermal injections site?

A

Forearm

90
Q

When doing intradermal injections, ensure a “_______ or ________”

A

Bleb or wheal

91
Q

Injectable rates of absorption (fastest to slowest)

A

IV (IVP)
IM
SQ
ID

Module 2 (15 decks)

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