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Exam 4 Prep > Medical Administration 2 > Flashcards

Medical Administration 2 Flashcards

1
Q

What is the tip of the needle called?

A

The Bevel

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2
Q

Name off the parts of a syringe

A

Plunger, barrel, needle adapter, needle hub

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3
Q

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

A

Yes

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4
Q

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

A

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

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5
Q

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

A

A filter needle

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6
Q

How much medication does an ampule contain?

A

1-10 mL

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7
Q

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

A

Multi-Dose Vials

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8
Q

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

A

Prefilled Syringes

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9
Q

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

A

Aseptic Technique

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10
Q

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

A

No

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11
Q

Intramuscular (IM) = how many degrees?

A

90

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12
Q

Subcutaneous (SC) = how many degrees?

A

45

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13
Q

Intravenous (IV) = how many degrees?

A

25

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14
Q

Intradermal (ID) = how many degrees?

A

10 - 15

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15
Q

Injection of medication into the correct location can prevent-

A

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

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16
Q

Parenteral =

A

Given via injection

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17
Q

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

A

The deltoid muscle

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18
Q

How many mls can the deltoid muscle take?

A

2 mLs or less

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19
Q

Injecting the deltoid muscle has potential for injury due to-

A

Axillary, brachial, radial, and ulnar nerves

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20
Q

The deltoid is used for-

A

Small volumes of medication + Routine immunization in adults

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21
Q

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

A

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

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22
Q

What muscle is thick and well developed in adults?

A

The Vastus Lateralis Muscle

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23
Q

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

A

The Vastus Lateralis Muscle

24
Q

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

A

The middle third part

25
Q

What muscle provides the greatest thickness of the gluteal muscle?

A

The Ventrogluteal Muscle

26
Q

The Ventrogluteal Muscle is free of-

A

Penetrating nerves + blood vessels

27
Q

The Ventrogluteal Muscle has a-

A

Narrower layer of fat

28
Q

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?

A

The Ventrogluteal Muscle

29
Q

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

A

The Greater Trochanter of the PT’s hip

30
Q

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

A

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

31
Q

What keeps meds from leaking out of the injection site?

A

The Z-Track Method

32
Q

Creates a zigzag like path through tissues =

A

The Z-Track Method

33
Q

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

A

Yup

34
Q

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

A

The injection sites should be rotated

35
Q

What are the best sites for SC injections?

A

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

36
Q

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

A

Depends on amount of fatty tissue of injection site

37
Q

Bevel up or down?

A

Up

38
Q

Recap a used needle?

A

Never

39
Q

A TB skin test = what kind of injection?

A

Intradermal Injection

40
Q

The recommended site for TB testing for all ages =

A

The Forearm

41
Q

ID = total amount of injectable fluid?

A

0.1 mL

42
Q

SC = total amount of injectable fluid?

A

Up to 1 mL

Up to 0.5 mL (infants + small children)

43
Q

IM = total amount of injectable fluid?

A

2-5 mL (Adults)

0.5-1 mL (Children/ infants)

44
Q

Allergy testing may be performed-

A

Between the scapulae

45
Q

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

A

Held taut to ensure the med is administered correctly

46
Q

ID = Needle Gauge + Length?

A

25-27 G

3/8” to 5/8”

47
Q

ID Locations?

A

Upper third of the forearm
Outer aspects upper arms
Between scapula

48
Q

SC = Needle Gauge + Length?

A

25-31 G

1/2” to 5/8”

49
Q

SC Locations?

A

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

50
Q

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

A

The Upper Abdomen

51
Q

IM = Needle Gauge + Length?

A

18-25 G

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

52
Q

IM Locations?

A

Ventrogluteal, Vastus Lateralis, Deltoid

53
Q

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

A

Vastus Lateralis

54
Q

What site is recommended adults for IM injections?

A

The Ventrogluteal Site

55
Q

What site is recommended for vaccinations in adults?

A

The Deltoid Muscle

56
Q

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

A

Nope

Exam 4 Prep (11 decks)

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