injections study guide Flashcards
What does AIDET stand for?
Acknowledge Introduce Duration Explain Thank you
What are the three checks a nurse uses before administering medication?
1.When reaching for unit does package or containers 2.After retrieval from drawer and comparing with MAR 3.Before giving med to patient or returning medication to cart
What are the 5 rights for safe med administration and the 2 extra rights?
1.Right Medication 2.Right Patient 3.Right Dose 4.Right Route 5.Right Time + 6.Right reason 7.Right Documentation
What are the 6 possible patient identifiers
Name Photograph Birthday Medical Record Number Barcode ID number
What are the 4 main areas where subcutaneous injections ca be given?
- The outer aspect of the arm 2. The abdomen between the lower coastal line and the pelvic arch 3. The anterior thigh 4. Upper ventral/dorsal-gluteal areas
What are the three recommended sites for IM injections?
- Deltoid 2. Ventrogluteal 3. vastas Lateralis
Which site is recommended for vaccines for adults and children who are walking?
Deltoid
Which site is recommended for vaccines administered to infants?
Vastas Lateralis
Which site is recommended for viscous or oily medications in adults?
Ventrogluteal
Why is the Z-track technique recommended for intramuscular injections?
Avoids leak back of medication Along needle track
Give 2 examples of when Z-track technique is recommended
- When giving Iron, to avoid discoloration 2. When PT is receiving injections over extended periods
What type of tissue does a subcutaneous injection get administered into?
Adipose
What insertion angle is used for subcutaneous injection?
45-90 degrees
What are 2 popular medications administered via subcutaneous injection?
1.Insulin 2. Heparin
Between what layers of the skin do intradermal injections go?
The Epidermis and the Dermis
What insertion angle is used for intradermal injection?
5-15
List 3 uses for intradermal injection
1.Tuberculin 2. Allergy Tests 3. Local Anesthesia
What are 4 techniques for reducing discomfort from injections?
- Z track 2. Pressing on injection site prior to injection 3. Not telling the Patient the moment you plan to inject 4. Distracting the patient
What is a PRN order?
As needed
What is a standing order?
Pre-approved actions that can be carried out by the nurse without contacting provider
What is a one time order?
To be given once at the specified time and by the specified route
What is a stat order?
To be given immediately
What equipment is needed for administration of an injection for a client who has no transmission based precautions? 6
- PPE 2. Medication 3. Syringe 4. Antimicrobial Scrub 5. Gauze 6. MAR
Know the parts of the syringe as described in your textbook. 9
Plunger, Barrel, Needle, Shaft, Lumen, Bevel, Threads for Luer Lock, Needle Hub, Safety guard