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Nursing Fall 2014 > Med Admin II > Flashcards

Med Admin II Flashcards

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1
Q

Type of Injection:
Used with irritating
preparations as iron and Vistaril

A

Z track

IM

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2
Q

Preferred method for all IM injections.

A

Z track

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3
Q

Anatomical Site:

Ventrogluteal sites

A

Z track - IM

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4
Q

Landmarks & Injections

  1. Retract tissue laterally and hold while needle is in tissue.
  2. Inject drug slowly
  3. Wait 10 seconds.
  4. Pull needle straight out.
  5. Release skin to its normal position.
A

Z track - IM

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5
Q

Injection Angle/Needle Length

90 degree angle

A

Z track-IM

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6
Q

Considerations

  1. Always Aspirate
  2. Never Massage
  3. Use new needle after drawing medication into the syringe.
  4. Preferred method for all IM injections
A

Z track- IM

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7
Q

Anatomical Site

  1. Below top 2 layers of epidermis, e.e. stratum corneum and stratum lucidum.
  2. Anterior forearm
  3. Lateral & posterior upper arm
  4. Posterior chest
A

Intradermal

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8
Q

Landmarks & Injection

  1. Bevel of needle should be practically visible through the skin.
  2. Create a small wheal or bleb.
  3. Mark skin around wheal with indelible ink.
A

Intradermal

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9
Q

Injection Angle/Needle Length

  1. 5-15 degree angle.
  2. 27G or smaller
  3. 3/8” to 5/8” needle
A

Intradermal

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10
Q

Volume

0.01 - 0.1 mL

A

Intradermal

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11
Q

Considerations

  1. Avoid areas where clothing could irritate skin.
  2. Offers slowest absorption rate.
  3. Used for tuberculin skin test & allergy test
  4. Report hoarseness, wheezing
  5. Do not massage.
A

Intradermal

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12
Q

S.C. or s.q.

A

Subcutaneous

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13
Q

Anatomical Site

  1. Anterior thighs
  2. Abdomen from below navel to iliac crests, excluding midline.
  3. Outer aspects of upper arms.
  4. Flanks
A

Subcutaneous

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14
Q

Anatomical Site
AVOID:
1. Midline of body
2. Areas on body with skin or tissue abnormalities.
3. Bony prominence
4. Areas near nerves or large blood vessels.

A

Subcutaneous

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15
Q

Injection Angle/Needle Length

  1. 45-90 degree angle
  2. 25-27G
  3. 1/2” to 5/8” needle angle must be individualized depending on amount of subcutaneous tissue.
A

Subcutaneous

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16
Q

Volume
Usual: 0.5 to 1mL
Maximum 2mL

A

Subcutaneous

17
Q

Special Considerations

  1. 45 deg angle is used when pt has very little SQ fat.
  2. 90 deg angle is used with most pts.
  3. Insert needle to the hub.
A

Subcutaneous

18
Q

Special Considerations

  1. May pinch if pt is very lean or to stabilize tissue in area lots of SQ fat (“fluffy”). Try not to pinch small area for heparin injections.
  2. Don’t Massage or rub after - esp heparin!
A

Subcutaneous

19
Q

Special Considerations

  1. Do NOT need to aspirate.
  2. After injection, wait a few seconds for medication to penetrate tissue, esp with heparin/lovenox.
A

Subcutaneous

20
Q

Preferred IM site in clients 6+ yo

A

Ventrogluteal

21
Q

Anatomical site: gluteus medius and minimus muscles

A

IM- ventrogluteal

22
Q

Anatomical Site

  1. Palm of opposite hand on greater trochanter
  2. Index finger on anterior superior iliac spine.
  3. Spread middle finger posteriorly as far as possible along iliac crest.
  4. Check sponginess of muscle
  5. Inject in the triangle formed if adequate muscle mass.
A

IM - ventrogluteal

23
Q
  1. 90 deg angle.
  2. 1”- 1.5” long
  3. 22-27G - usually 22G
  4. 18-25G if oil based meds
A

IM - ventrogluteal

24
Q

Volume
1-3mL
Maximum 3mL

A

IM - ventrogluteal

25
Q

Considerations

1. Ideal - supine; also prone, sidelying

A

IM - ventrogluteal

26
Q 
Considerations
Advantages
1. Removed from major nerves and blood vessels
2. Good muscle density
3. Shallow s.c. fatty layer
4. Landmarks are easy to identify
A

IM - ventrogluteal

27
Q

Location: Anterior vastus lateralis muscle

A

IM - Vastus Lateralis

28
Q

Landmark & Injection:
Divide thigh into thirds between greater trochanter and patella - use middle third.
- Boundaries are mid-anterior & mid-lateral thigh

A

IM - Vastus Lateralis

29
Q

Landmark and Injection:

In children: compress muscle and/or lift away from femur

A

IM - Vastus Lateralis

30
Q

Injection Angle/Needle Length:

  1. 90 deg angle
  2. 1”-1.5” long - adult
  3. 5/8”-1” - child
  4. 22-27G usually 22G
  5. 18-25G if oil based meds
A

IM - Vastus Lateralis

31
Q

Volume
Usual 1-3mL
Max 3 mL

A

IM - Vastus Lateralis

32
Q

Considerations

  1. Ideal - supine
  2. Also sitting
  3. Knee slightly flexed
A

IM - Vastus Lateralis

33
Q

Considerations
Advantages
1. Free of major nerves and blood vessels
2. Safest in children LESS than 6yo

A

IM - Vastus Lateralis

34
Q

Location Boundaries:

  1. 3 fingers below acromion process
  2. line parallel to axilla on bottom
  3. on sides lines are parallel to the arm 1/3 and 2/3 of the way around the outer lateral aspect
  4. Completely expose muscle
  5. Choose patient’s non-dominant arm
A

IM - Mid-deltoid

35
Q

Injection Angle/Need Length

  1. 90 deg angle
  2. 1”-1.5” long - adult
  3. Generally shorter unless patient is very large
  4. 5/8” to 1” - child
  5. 22 to 27 G, usually 22G
A

IM - Mid-deltoid

36
Q

Volume

  1. Usual - 0.5mL
  2. Max 2 mL preferably of non-irritating medication
A

IM - Mid-deltoid

37
Q

Considerations

1. Arm at side with elbow flexed to relax muscle

A

IM - Mid-deltoid

38
Q

Advantages

1. Good for small volume, vaccine injections

A

IM - Mid-deltoid

39
Q

Disadvantages

  1. pain more noticeable
  2. holds small volume
  3. Muscle mass small
  4. Brachial and axillary nerves are close by
A

IM - Mid-deltoid

Nursing Fall 2014 (5 decks)

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