Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

CSL Maternity > Injections - CSL notes > Flashcards

Injections - CSL notes Flashcards

1
Q

what is the needle angle for IM injections - infants, toddlers, children, adults

A

72-90 degrees

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

what is the needle angle for SUBQ injections - infants, toddlers, children and adults

A

45-90 degrees

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

IM injection - what is the needle length and gauge size and location for infants and toddlers

A

vastus lateralis
length - 5/8-1 1/4”
gauge - 22-25g

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

IM injection - what is the needle length and gauge size and location for children

A

vastus lateralis or deltoid (preferred)
gauge - 22-25g
length - 5/8 -1 1/4”

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

IM injection - what is the needle length and gauge size and location for adults

A

deltoid (vaccines) or ventrogluteal (general)
gauge - 20-25g oil based medciations - 18-25g
length - 5/8- 1 1/2”

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

subcutaneous injection - what is the needle length and gauge size and location for ages birth - 12 mos

A

anterior aspect of thighs
gauge - 23-25g
length 3/8-5/8”

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

subcutaneous injection - what is the needle length and gauge size and location for ages 12 mos - 18 yrs

A

outer tricep area, anterior aspect of thigh
length 3/8-1”
gauge 25-30g

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

subcutaneous injection - what is the needle length and gauge size and location for ages >18 years

A

outer tricep area, anterior aspect of thigh abdomen, upper back, upper ventral or dorso-gluteal area
length - 3/8-1”
gauge - 25-30g

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

the higher the number after the G on the needle, the ____ the needle

A

thinner

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

what is the second number on the needle

A

length of the needle. usually in inches

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

short needles are usually used for

A

IV injections

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

what are the parts of a medication order –7

A

pt’s name
date and time order is written
name of drug to be administered
dosage of drug
route by which drug is to be administered
freq of administration of drug
signature of person writing order

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

rights of medication admin - 11

A

**know the first 6
1. right medication
2. right pt
3. right dose
4. right route
5. right time
6. right reason
7. right to refuse
8. right assessment data
9. right documentation
10. right response
11. right education

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

the 3 checks of medication admin

A
  1. when nurse reaches container or unit dose package
  2. after retrieval from drawer and compare with MAR
  3. before giving dose medication to pt at bedside or when replacing multidose container in drawer or shelf
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

if medication error - how to fix

A
  1. check pt condition immediately; obtain vitals
  2. notify physician and nurse in charge
  3. proper medication error documentation
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

what are the sites for admin of enoxaparin

A
  1. love handles - anterior and posterior
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

sites for IM injections - 3

A

ventrogluteal
vastus lateralis
deltoid muscle

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

what is CLABSI

A

central line associated blood stream infection

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

CVS stands for

A

central venous catheter

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

what does parenternal route mean

A

medication placed into tissue by injection

21
Q

4 potential routes of parenteral medication admin

A

IV, IM, SQ, intradermal

22
Q

an antagonist medication will do what

A

will block affect

23
Q

an agonist medication will

A

make the effect greater. side effects may be greater

24
Q

waht are some factors that alter drug response in older adults

A

kidneys slow down so not metabolizing med as fast
decrease muscle mass
less adipose tissue
slow down of gi tract
pH goes down
body water goes down
less protein binding sites = toxicity

25
Q

nursing responsibilities in medication admin

A

know the 11 rights
checking meds to make sure they are accurate
know the pt’s baseline, vitals, pain assessment, head to toe
check order, know why pt is getting med, any contraindications
calculations are correct for med
use sterile/clean tech
using gloves when needed
educ pts
monitoring pts after giving med

26
Q

what two meds do you hold skin while injecting

A

heparin, insulin

27
Q

how draw up insulin

A

air in cloudy, air in clear
draw up clear, draw up cloudy

28
Q

what is important to know when giving herapin injections

A
  1. this is high alert med
  2. two nurse check before giving it to pt
  3. inject two inches away from umbilicus
  4. risk of bleeding
  5. review lab values, PTT - partial thrombin time, CBC for platelets
29
Q

what is the antidote for heparin

A

vitamin K

30
Q

3 complications for IV infusions

A
  1. infiltration
  2. phlebitis
  3. infection
31
Q

pt’s IV site is pale, cold, has swelling and pain. what is happening

A

infiltration. fluid from IV has leaked into tissue

32
Q

pt’s IV site is inflamed, has swelling, pus, drainage from IV site, is warm, pt has chills and fever.
what is happening

A

infection at IV site.

33
Q

what is the nursing intervention for infiltration

A

check IV every time you go into room or every hour
discontinue infusion and start a new line if have infiltrations

34
Q

what is nursing intervention of infection

A

hand hygiene, routine IV checks, use aseptic techniques

35
Q

pt’s IV site is red, warm to touch, painful, localized and central to vein. waht is happening

A

phelbitis

36
Q

what are the nursing interventions for phelbitis

A

take out IV, move to another location
put on warm compress to site

37
Q

do nurses pull central lines of pt

A

not unless pt has died

38
Q

do you write in report that an incident report was filled out

A

NO!

39
Q

what do you always check before giving meds

A

pt’s allergies

40
Q

after taking meds out of pixas machine, what do you do

A

make sure meds aren’t expired

41
Q

pt teaching for medications

A
  1. general info - med name, dosage, side effects, adverse effects, intended effects
  2. taking meds - what time, with or without food, what to do if miss dose, compliance, etc
  3. special considerations - waht to do in case of emergency, how to store meds, keep a list of meds, never stop abruptly
  4. teach back method for true understanding of meds
42
Q

routine order means

A

daily meds until doctor discontinues

43
Q

PRN means

A

as needed

44
Q

standing order is

A

running protocols. every pt gets it

45
Q

maximum volume of subcutaneous injection for adult, child

A

adult: 1 mL
child: 0.5mL

46
Q

maximum volume for an adult via IM injection at vastus lateralis, ventrogluteal, deltoid

A

vastus lateralis: 3mL
ventrogluteal: 3mL
deltoid: 1mL

47
Q

maximum volume for a child via IM injection at vastus lateralis.
know 6-12yrs, 0-5yrs, premature infant

A

6-12 yrs - 2mL
0-5yrs - 1mL
premature infant 0.5mL

48
Q

sequence of doing trach suctioning

A
  1. assess lung sounds to know need for suctioning
  2. assess oxygen saturation
  3. assess for any trouble breathing
  4. assess pain
  5. assess cough and if they can bring up mucus themselves
  6. history of deviated septum, history of head trauma, nose bleeds, swelling

CSL Maternity (14 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2024 Bold Learning Solutions. Terms and Conditions