Med admin test (parenteral) Flashcards
What are parenteral meds?
They are any medications taken by injection or IV….think needles
What are some things to remember when giving parenteral meds?
Gloves! Use aseptic (clean) technique, and monitor patients response!
Why would you want to monitor the response of parenteral meds more closely?
The onset is a lot faster
Are peg tube meds parenteral?
NO! because they still go through the GI system
Does first pass still occur during parenteral drug admin?
NO, because the drug filtering by the liver doesn’t occur during parenteral meds. This means that the drug is more active in circulation which can lead to more or stronger adverse effects
What 4 parts make up a syringe
needle, a hub, the barrel, and the plunger
What type of needle is typically used for intradermal shots
0.5-1ml syringe with a 1/2 needle or 5/8 inch needle. The gauge can be 25, 26, 0r 27
What angle are intradermal shots given at?
10 to 15 degree angle
For subQ shots what medications are typically given?
Usually subQ shots are for Heparin, Insulin, and Enoxaparin (Lovenox)
How long does it usually take SubQ shots to start working?
Typically 15 to 30 minutes, they’re super quick and effective
what is lipoatrophy?
It’s the breakdown of subcutaneous fat at the site of repeated injections
What is lipohypertrophy?
The thickening of subcutaneous fat at the site of repeated injections
why is Enoxaparin given in pre-filled syringes?
It’s because it is a very specific weight-based dosing
What does choosing the type of needle depend on?
- Route
- Size/condition of the clinet
- Amount of adipose tissue present at the injection site.
What size syringe is typically used for intradermal (ID) injections? (asking what mLs and how it’s calibrated)
A 1mL syringe calibrated in 0.01 increments
What size needle is used for ID injections? (powerpoint)
25 (TB), 26, or 27 gauge with a 3/8- 5/8 inch shaft.
(25 gauge is most common)
What type of syringe is used for a Sub Q injection?
typically its a standard hypodermic syringe or an insulin syringe.
What SIZE syringe is used for a sub Q injection? (so what mLs)
It can be 1mL, 2mL, or 3mL depending on the medication
What size needles are used for sub Q injections (powerpoint)
23, 25, or 27 gauge. And 1/2-5/8 in length
What size needle does an insulin syringe have?
typically it’s a 25 or 27 gauge with a 1/2-5/8 needle
When mixing insulin which two do you mix and in what order
It’s rapid acting/short acting insulin mixed with intermediate insulin. CLEAR THEN CLOUDY
How quickly must mixed insulin be administered?
Within 15 minutes of mixing
When administering heparin what needle do you use?
A tuberculin syringe (SubQ)
How can heparin be administered?
Either IV or SubQ
How long should you hold the syringe in place after giving heparin?
for at least 5 seconds
What is the second fastest absorbed injection route next to IV?
IM (intra muscular injections)
What is the max amount of and IM injection you can give?
3mL but the size of syringe used is 3ml or 5mL
What size needle is used for IM injections?
20-23 gauge and 11/2-2inch needle
What are the preferred sites for IM injections for geri population that are immobile?
Typically the deltoid or ventrogluteal sites
What is an extra step taken when giving an IM injection via z track method? (other than moving the skin)
You’ll draw up 0.2 mL of air to create an air bubble that will help seal off the medication in the tissue`
name 4 nursing diagnosis when administering parenteral meds
- anxiety
- Acute pain
- Deficient knowledge
- risk for trauma
