Injections

Question 1

7 rights

Answer 1

medicine
dosage
patient
time
route
documentation
Frequency

Question 2

triple checks

Answer 2

You must check when…
Obtaining the container
Before pouring the container
After pouring, before patient takes medication

Question 3

Needle stick Injuries

Answer 3

Occurs when the skin is accidentally punctured by a used needle
Health care workers are at increased risk of needlestick injury
Blood borne diseases that could be transmitted include HIV, hepatitis B and hepatitis C

Question 4

Barrel

Answer 4

holds medication

Question 5

Flange

Answer 5

helps injection and prevents syringe from rolling when on flat surface

Question 6

Plunger

Answer 6

movable cylinder used to draw medication into and out of syringe

Question 7

Hub

Answer 7

screw onto top of syringe

Question 8

hilt

Answer 8

attaches needle to hub

Question 9

shaft

Answer 9

inserted into body tissue

Question 10

lumen

Answer 10

opening in shaft of needle

Question 11

bevel

Answer 11

makes narrow slitlike opening in skin

Question 12

point

Answer 12

very sharp to penetrate skin

Question 13

gauge

Answer 13

Range, between 18 and 27
Refers to diameter of lumen (how thick the needle is)

Question 14

Large syringes use?

Answer 14

-Largest one is used to administer medication
-Used for medical treatment
Irrigating wounds
Drawing fluid from cysts

Question 15

How is medical asepsis used when giving injections?

Answer 15

Use medical asepsis when administering medications (needle and inside syringe must remain sterile)
Reduce danger of microorganisms entering patient’s body

Question 16

What is a cc and mL?

Answer 16

CC stands for cubic centimeter and mL stands for millimier, but they refer to the same amount of a liquid

Question 17

To remove medication from vial

Answer 17

Inject amount of air equal to amount of liquid to be removed
Injected air makes the medication flow out easier

Question 18

Advantages to injections

Answer 18

• Absorbed more rapidly and completely than PO meds
• May be only way drug can be given
  Insulin, most immunizations
• MAY BE REQUIRED WITH CERTAIN CONDITIONS
  
  • UNCONSCIOUS PATIENT
  • GASTRIC DISTURBANCE, NAUSEA AND VOMITING

Question 19

Disadvantages to injections

Answer 19

• Risk of infection
• Pain
• To minimize pain of an injection, insert and withdraw needle quickly and smoothly, with draw needle at same angle as that of insertion
  Possibility of infection at injection site

Question 20

Intradermal (top of skin)

Answer 20

10-15 degree angle
Slowest absorption rate
Used for sensitivity test like allergy or TB because reaction is easily visible so close to surface of skin

Question 21

Subcutaneous (fat)

Answer 21

45 degree angle
Absorption is slow
Use 1 inch needle or smaller
1cc or less of medication
Gauge is 25-27 (small)

Question 22

Intramuscular

Answer 22

Absorption is faster
Use 1 inch needle or bigger
Can use more than 1 cc of medication
Gauge is bigger
Aspirate before injecting