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NSG 1101 > needle size and gauge > Flashcards

needle size and gauge Flashcards

1
Q

Intramuscular injection (IM)

A

3 ml syringe; 21-22 gaurge; 1- 11/2 needle

MOST COMMON 22 GAUGE; 11/2

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2
Q

Z-Trach

A

3 ml syringe; 21-22 gauge; 1 1/2 needle

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3
Q

Heparin

A

TB or 1 ml syringe if less than 1 ml
3 ml syringe if greater than 1 ml
25-28 gaurge; 3/8-5/8 needle

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4
Q

Sub Q

A

1-3 ml syringe, or TB syringe or insulin syringe

25-28 gauge; 3/8-5/8 needle

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5
Q

Insulin

A

50U or 100U insulin syringe

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6
Q

What is the first 5 steps of Heprin injection

A
  1. calculate correct dose
  2. draw up correct dose
  3. validate amount with evaluator
  4. changes needle
  5. apply clean gloves
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7
Q

Last 5 steps of insulin injection?

A
  1. Bunches the SQ tissue between thumb and index finger of nondominant hand
  2. Holds syringe like a dart between thumb and index fingerof dominant hand
  3. Insert needle at 90 degree angle while holding skin bunch
  4. Does not aspirate. Inject medication slowly but smoothly
  5. Quickly removes needle; apply pesure with alcohol swab; does not massage
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8
Q

What are the 5 middle steps of Heprin injection

A
  1. select site
    verbalize abdominal landmarks, unsing nrg terms
    1” away from umbilicus
    1” away from iliac crest
    1” away from symphysis pubis
  2. cleanse are with alcohol swab using circular motionfrom inside out; allow to dry
  3. hold swab between 4th & 5th finers of nondominant hand
  4. remove needle cap by pulling it straight off
  5. bunches the SQ tissue between thumb & index finger of dominant hand
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9
Q

Last 5 steps of Heprin injection

A
  1. hold syringe like a dart between thumb and index finger of dominant hand
  2. insert needle at 90 degree angle while holding skin bunch
  3. Do not aspirate. inject medication slowly but smoothly
  4. after injecting medication, wait 10 sec before withdrawing needle
  5. quickly remove needle; apply pressure with alchol swab; do not massage
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10
Q

First 5 steps of insulin injection

A
  1. calculate correct dose
  2. cleanse rubber stoppers of insulin vials with alcohol swab
  3. ratate N vial between palms before withdrawing; do not shake vial
  4. remove cap; inject air into cloudy (NPH), not letting needle come into contact with insulin
  5. inject air into clear; invert vial & withdraw clear insulin
    VALIDATE AMOUNT WITH EVALUATOR
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11
Q

5 middle steps of insulin injection

A
  1. insert needle into cloudy insulin, drawing up prescribed amount ; recap needle and VALIDATE AMOUNT WITH EVALUATOR
  2. administer according to SQ injection procedure, using nursing terminology
    outer aspect of upper arms
    anterior aspect of the thighs
    abdomen:
    1” away from umbilicus
    1” away from iliac crest
    1” away from symphysis pubis
  3. cleanse area with alcohol swab, using circular motion from inside out; allow area to dry
  4. hold swab between 4th-5th fingers of nondominant hand
  5. remove needle cap by pulling it straight off
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12
Q

First 5 steps IM

A
  1. calculate correct dose
  2. draw up correct dose
    use correct syringe
    use correct needle
    VALIDATE WITH EVALUATOR
  3. select the site for IM injection stating anatomical landmarks
  4. apply clean gloves
  5. cleanse area with alcohol swab, using circular motion form inside out
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13
Q

5 middle steps IM

A
  1. holds swab between fingers of nondominant hand
  2. removes needle cap
  3. hold syringe like a dart between thumb and index finger of dominant hand
  4. spread the skin taut between thumb and index finger of nondominant hand
  5. insert needle at 90 degree angle
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14
Q

Last 4 steps of IM

A
  1. release skin & grasp lower end of syringe barrel
  2. aspirate by pulling back on plunger
  3. inject medicine slowly
  4. withdraw needle & apply gentle pressure at the site with alcohol
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15
Q

First 5 steps Z-track

A
  1. calculate the correct dose
  2. daw up correct dose
    use correct syringe
    use correct needle
    VALIDATE WITH EVALUATOR
  3. select the site for IM injection stating anatomical landmarks
    Identify: VENTRAL GLUTEAL OR DORSAL GLUTEAL ASN ONLY AVAILABLE SITES
  4. apply clean gloves
  5. cleanse area with alcohol swab, using circular motion from inside outward
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16
Q

5 middle steps of Z-track

A
  1. hold swab between fingers of nondominant hand
  2. remove needle cap
  3. hold skin to the side about 1”
  4. hold syringe like a dart between thumb & index finger of dominant hand
  5. insert needle 90 degree angle while maintaing traction
17
Q

Last 5 steps of Z-track

A
  1. aspirate by pulling back on plunger
  2. inject medicine slowly
  3. waint 10 sec after injecting medicine before withdrawing needle
  4. withdraw needle & allow skin to slide over injection track
  5. apply pressure to the site with alcohol swab; do not massage
18
Q

First 5 steps of IV prep

A

1 calculate correct rate

  1. chect solution for color, clarity & exp date
  2. time tape the IV by putting adhesive tape along the side of the volume markings
  3. put tape at top of IV with date/time, pt’s name, room #, hourly rate of fusion
  4. hang IV container of IV pole
19
Q

6 middle steps of IV prep

A
  1. remove tubing from package & straighten, maintaining aseptic technique
  2. slide roller clamp up until it’s just below the drip chamber, close roller clamp
  3. insert tubing spike into IV bag
  4. squreeze/release drip chamber until 1/3 full
  5. prime tubing, inverting Y-injectionports, removing air bubbles once primed
  6. turn roller clamp to off position
20
Q

Last 8 steps of IV prep

A
  1. write date, time & intials on piece of tape; secure tape to IV tubing just below drip chamber
  2. check pt ID band
  3. put on clean gloves
  4. swab end of saline lock with alcohol swab for 15-30 sec
  5. connect IV to hub of saline lock
  6. open the roller clamp on IV tubing, adjust to perscribed infusion rate
  7. secure a loop of IV tubing to pt’s arm with tape
  8. remove gloves
21
Q

First 6 steps of IV piggyback

A
  1. calculate the correct rate
  2. check the solution for color, clarity & exp date
  3. check pt ID band
  4. hang bag on IV pole
  5. remove tubing from package & straighten, maintaining aseptic technique; close roller clamp
  6. insert tubing spike into IV bag
22
Q

Last 5 steps of IV piggyback

A
  1. prime tubing, allowing only a drop or two to be lost
  2. swab the Y-injection port for 15-30 sec above the mainline IV clamp
  3. lower mainline IV on extension hook
  4. open roller clamp on IVPB to wide open position
  5. set mainline roller clamp to IVPB calculated rate by counting drops in IVPB chamber

NSG 1101 (12 decks)

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