Medical Administration 2

Question 1

What is the tip of the needle called?

Answer 1

The Bevel

Question 2

Name off the parts of a syringe

Answer 2

Plunger, barrel, needle adapter, needle hub

Question 3

Do you always have to clean the top of the vial with a alcohol prep pad?

Answer 3

Yes

Question 4

What should be used to break an ampule and how should it be broken?

Answer 4

A 4x4 gauze, ampule should be broken away from you

Question 5

What kind of needle should be used when getting medication out of an ampule?

Answer 5

A filter needle

Question 6

How much medication does an ampule contain?

Answer 6

1-10 mL

Question 7

What kind of vials must be labelled with the date it was opened?

Answer 7

Multi-Dose Vials

Question 8

What kind of syringes provide greater patient safety and reduce errors + waste?

Answer 8

Prefilled Syringes

Question 9

Always use what technique during the preparation and administration of injections?

Answer 9

Aseptic Technique

Question 10

Is it okay at times to administer meds from the same syringe to more than one patient?

Answer 10

No

Question 11

Intramuscular (IM) = how many degrees?

Answer 11

90

Question 12

Subcutaneous (SC) = how many degrees?

Answer 12

45

Question 13

Intravenous (IV) = how many degrees?

Answer 13

25

Question 14

Intradermal (ID) = how many degrees?

Answer 14

10 - 15

Question 15

Injection of medication into the correct location can prevent-

Answer 15

Risk of injury to the tissues, nerves, blood vessels, and nodes

Question 16

Parenteral =

Answer 16

Given via injection

Question 17

What muscle is easily accessible, but not well developed in many adults?

Answer 17

The deltoid muscle

Question 18

How many mls can the deltoid muscle take?

Answer 18

2 mLs or less

Question 19

Injecting the deltoid muscle has potential for injury due to-

Answer 19

Axillary, brachial, radial, and ulnar nerves

Question 20

The deltoid is used for-

Answer 20

Small volumes of medication + Routine immunization in adults

Question 21

In order to find the deltoid muscle, you must first-

Answer 21

Find the acromion process (at the top bony joint of the shoulder), the injection site should be about 2 inches below it

Question 22

What muscle is thick and well developed in adults?

Answer 22

The Vastus Lateralis Muscle

Question 23

What muscle extends from a handbreadth above the knee to a handbreadth below the greater trochanter of the femur?

Answer 23

The Vastus Lateralis Muscle

Question 24

What part of the Vastus Lateralis Muscle used for IM injections?

Answer 24

The middle third part

Question 25

What muscle provides the greatest thickness of the gluteal muscle?

Answer 25

The Ventrogluteal Muscle

Question 26

The Ventrogluteal Muscle is free of-

Answer 26

Penetrating nerves + blood vessels

Question 27

The Ventrogluteal Muscle has a-

Answer 27

Narrower layer of fat

Question 28

What is the preferred and safest site for all adults, children, and infants for larger volumes of meds + meds that are more viscous and irritating?

Answer 28

The Ventrogluteal Muscle

Question 29

To locate the Ventrogluteal site, the heel of the hand is placed over-

Answer 29

The Greater Trochanter of the PT’s hip

Question 30

When finding the Ventrogluteal Muscle, what 3 things are supposed to form a V-shaped triangle shape?

Answer 30

The index finger, the middle finger, and the iliac crest

Question 31

What keeps meds from leaking out of the injection site?

Answer 31

The Z-Track Method

Question 32

Creates a zigzag like path through tissues =

Answer 32

The Z-Track Method

Question 33

Should the Z-Track Method be held until all medication has been administered?

Answer 33

Yup

Question 34

For SC injections, what should be done to lower the risk of hypertrophy?

Answer 34

The injection sites should be rotated

Question 35

What are the best sites for SC injections?

Answer 35

The upper arms, anterior aspects of the thighs, and abdomen

Question 36

Should a SC injection be at a 90 degree angle or 45 degree angle?

Answer 36

Depends on amount of fatty tissue of injection site

Question 37

Bevel up or down?

Answer 37

Up

Question 38

Recap a used needle?

Answer 38

Never

Question 39

A TB skin test = what kind of injection?

Answer 39

Intradermal Injection

Question 40

The recommended site for TB testing for all ages =

Answer 40

The Forearm

Question 41

ID = total amount of injectable fluid?

Answer 41

0.1 mL

Question 42

SC = total amount of injectable fluid?

Answer 42

Up to 1 mL Up to 0.5 mL (infants + small children)

Question 43

IM = total amount of injectable fluid?

Answer 43

2-5 mL (Adults) 0.5-1 mL (Children/ infants)

Question 44

Allergy testing may be performed-

Answer 44

Between the scapulae

Question 45

When administering an Intradermal injection, older adults have decreased skin elasticity, so the skin should be-

Answer 45

Held taut to ensure the med is administered correctly

Question 46

ID = Needle Gauge + Length?

Answer 46

25-27 G 3/8” to 5/8”

Question 47

ID Locations?

Answer 47

Upper third of the forearm Outer aspects upper arms Between scapula

Question 48

SC = Needle Gauge + Length?

Answer 48

25-31 G 1/2” to 5/8”

Question 49

SC Locations?

Answer 49

Outer Upper Arms, Anterior Thighs, Upper Outer Gluteal Area, Upper Back, Abdomen

Question 50

What area should be used for PTs with less SC tissue?

Answer 50

The Upper Abdomen

Question 51

IM = Needle Gauge + Length?

Answer 51

18-25 G 1/2” to 1 1/2” (Based on age/size of PT + Site used)

Question 52

IM Locations?

Answer 52

Ventrogluteal, Vastus Lateralis, Deltoid

Question 53

Preferred site for infants because it’s the most developed muscle =

Answer 53

Vastus Lateralis

Question 54

What site is recommended adults for IM injections?

Answer 54

The Ventrogluteal Site

Question 55

What site is recommended for vaccinations in adults?

Answer 55

The Deltoid Muscle

Question 56

Should you ever pull back the plunger of a syringe (for 5–10 seconds) after inserting the needle, prior to injecting the medicine (Aspirate)?

Answer 56

Nope