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TF2 > Medication Administration > Flashcards

Medication Administration Flashcards

1
Q

Parenteral

A

Administration other than through the alimentary tract - by injection using sterile technique

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2
Q

Subcutaneous

A

hypodermic/subcut
Injection into the subcutaneous tissue

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3
Q

Intramuscular

A

IM
Injection into the muscle

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4
Q

Intradermal

A

ID
Injection into the dermis

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5
Q

Intravenous

A

IV
Injection into a vein

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6
Q

Intra-Arterial

A

Injection into an artery

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7
Q

Intracardiac

A

Injection into heart muscle

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8
Q

Intra-osseous

A

Injection into a bone

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9
Q

Intrathecal

A

Intraspinal
Injection into the spinal cord

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10
Q

Three ways that parenteral medications are given?

A

Subcutaneously
Intramuscular
Intravenously

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11
Q

Three parts to a syringe

A

Tip
Barrel
Plunger

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12
Q

What sizes are syringes available in?

A

The range is from 0.3 to 60 mL

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13
Q

What types of needle connections are there?

A

Luer-Lock
Slip Tip

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14
Q

Luer-Lok

A

Threaded grooves that screw onto the needle hub and lock into place

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15
Q

Slip Tip

A

Smooth and slightly tapered tip that inserts into the needle hub and requires a slight twist to secure

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16
Q

Insulin Syringe

A

Non removable needle and measurements are in UNITS
U-100

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17
Q

Tuberculin Syringe

A

Also known as an intradermal syringe
-Narrow (1mL)

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18
Q

Syringe sizes

A

u-100
1mL
3mL
5mL
10mL
20mL
60mL

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19
Q

What are syringes used for?

A

Adding medication to IV solutions
Irrigate wounds
Administering IM or SC injections

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20
Q

Prefilled Syringe

A

Injectable medications frequently supplied in prefilled unit doses

Require special metal or plastic cartridge holder/syringe for administration

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21
Q

Three parts to a needle

A

Hub
Cannula
Bevel

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22
Q

Hub

A

Part of the needle that fits onto the syringe

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23
Q

Cannula

A

Also known as the shaft
Attached to the hub

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24
Q

Bevel

A

Slanted part at the tip of the needle

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25
Q

Three variable characteristics of needle

A

Slant/Length of the bevel (short/long)
Shaft length - Varies 1/2 to 2 inches
Gauge of shaft - Varies from 18 to 28

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26
Q

What are the benefits of a longer bevel?

A

Longer bevel provides the sharpest needles so it causes less discomfort

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27
Q

What are short bevels used for?

A

Intradermal and IV injections

28
Q

Gauge (information)

A

The larger gauge number, the smaller the diameter of the shaft

-16g large for blood products and viscous medicines
-28g tiny needle for thin medications

29
Q

Safety needles

A

Prevent needle stick injuries

30
Q

Ampule

A

Glass container designed to hold a single dose of medication

31
Q

Vial

A

A small glass bottle with sealed rubber cap
Vials come in single dose or multi dose

32
Q

How many times do you check medications before administering?

A

Three checks
- off the shelf
- before withdrawing the medicine
- after putting it back on the shelf

33
Q

Where do needles and used ampules get discarded?

A

In the sharps container

34
Q

Insulin, how do you draw up regular and long acting?

A

Inject air into NPH
Inject air into regular
Draw up Regular
Draw up NPH

Clear before Cloudy

35
Q

What insulin cant be mixed with any other?

A

Lantus and Levemir
(basal or long acting)

35
Q

Which insulins are clear?

A

Very short acting
-Humalog
-Novolog
-Apidra

Short Acting
-Humulin R
-Novolin R

36
Q

What insulins are cloudy?

A

Intermediate acting
-NPH
-Humulin N
-Novalin N

37
Q

What sites can you do SUBCUT injection?

A

Abdomen (2in away from umbilicus)
Lateral and anterior of upper arm/thigh
Scapular area upper back
Upper buttocks

38
Q

What is the only place Heparin can be administered?

A

In the abdomen

39
Q

Why do you need to rotate injection sites?

A

To decrease tissue damage, aid in absorption, and decrease discomfort

40
Q

Lipoatrophy

A

Breakdown of subcutaneous fat at the site of repeated injections

41
Q

Lipohypertrophy

A

Build up of subcutaneous fat at the site of repeated injections

42
Q

What angle do you do SUBCUT injections?

A

45-90 degrees

43
Q

What medicines do you need to have a second nurse check the dose on?

A

Heparin and Insulin

44
Q

What injection sites do you aspirate?

A

ONLY dorsogluteal

45
Q

What is ID used for?

A

Allergy
TB testing
some vaccinations

46
Q

Why is IM used?

A

Speed of absorption and larger medicine volumes

47
Q

Do you massage the site after injection for any method?

A

NO

48
Q

IM sites of injection?

A

Ventrogluteal
Vastus Lateralis
Dorsogluteal
Rectus Femoris
Deltoid

49
Q

What is the maximum volume for an IM injection?

A

(based on site and PT’s muscle development)

50
Q

Volume for large ventrogluteal injection

A

2-3mL

51
Q

Volume for large vastus lateralis injection

A

2-3mL

52
Q

Volume for ventrogluteal injection

A

1-2mL

53
Q

Volume for vastus lateralis injection

A

1-2mL

54
Q

Volume for rectus femoris injection

A

1-2mL

55
Q

Volume for injection for small muscles in infants/small children

A

0.5-1mL

56
Q

Volume for injection for deltoid in small children through older adults

A

0.5-1mL

57
Q

What degree do you administer an ID shot?

A

5-15 degree angle

58
Q

What angle do you administer a IM shot?

A

90 degree angle ONLY

59
Q

ID

A

Intradermal

60
Q

VG

A

Ventrogluteal

61
Q

D

A

Deltoid

62
Q

VL

A

Vastus Lateralis

63
Q

RF

A

Rectus Femoris

64
Q

DG

A

Dorsogluteal

65
Q
A

TF2 (5 decks)

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