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NUR 103 > Needles/Injections > Flashcards

Needles/Injections Flashcards

1
Q

Aspirate with intradermal?

A

Never

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2
Q

Needle gauges used for intradermal?

A

25-29

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3
Q

Needle length for intradermal?

A

1/4-5/8 inch

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4
Q

Syringe size for intradermal?

A

1 mL (TB syringe)

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5
Q

Angle of injection for intradermal?

A

5-15 degrees, bevel up

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6
Q

Sites for intradermal injection?

A

inner forearm, upper back (rare)

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7
Q

Volume for intradermal?

A

Dose usually 0.1 mL

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8
Q

Possible meds for intradermal?

A

TB/other skin tests

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9
Q

Aspirate with SubQ?

A

Rarely

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10
Q

Needle gauges used for SubQ?

A

25-31

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11
Q

Needle length for SubQ?

A

1/2-5/8 inch

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12
Q

Syringe size for SubQ?

A

1-3mL

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13
Q

Angle of injection for SubQ?

A

45-90 degree (90 in obese pt)

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14
Q

Sites for SubQ injection?

A

abdomen, upper outer arms, upper outer thighs, upper back

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15
Q

Volume for SubQ?

A

0.5-1 mL

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16
Q

Possible meds for SubQ?

A

Insulin, heparin, lovanox

17
Q

Aspirate for IM injections?

A

Yes! Except immunizations

18
Q

Needle gauge for IM injection?

A

20-25

19
Q

Needle length for IM injection?

A

5/8-3 inches (depends on site and size of pt)

20
Q

Syringe size for IM injections?

A

3 mL

21
Q

Angle of injection for IM?

A

90 degrees (unless very thin, than 45 degrees)

22
Q

Sites for IM injection?

A

Deltoid, dorsogluteal, ventrogluteal, vastis lateralis

23
Q

Volume for IM (deltoid)?

A

up to 1 mL

24
Q

Volume for IM (dorsogluteal, ventrogluteal, vastis lateralis)

A

up to 3 mL (5 mL max!!!)

25
Q

Possible meds for IM?

A

Immunizations, demoral, flu shots, vitamin b12, rabies

26
Q

Aspirate Z-Track Method?

A

ALWAYS!

27
Q

Needle length for Z-Track?

A

At least 1 1/2 inch (3inch for obese pt and certain meds)

28
Q

Syringe size for Z-Track?

A

3 mL

29
Q

Angle of injection for Z-Track?

A

90 degrees after skin pulled over

30
Q

Site for Z-Track injection?

A

Large muscle (Dorso- or ventro- gluteal)

31
Q

Volume for Z-Track?

A

3 mL

32
Q

Possible meds for Z-Track?

A

Imferon (antianemic) and Vistaril (antianxiety, antihistamine, sedative/hypnotic)

33
Q

What is the safest site for IM injection?

A

Ventrogluteal

34
Q

What is the second safest site for IM injections?

A

Vastus Lateralis

35
Q

What IM site is used for newborns, infants, and children?

A

Vastus lateralis

36
Q

Which IM site can be used for pts 7 mo and older?

A

Ventrogluteal

37
Q

Which IM site should never be used on infants/children and is used as last resort for adults? Why?

A

Dorsogluteal r/t sciatic nerve

38
Q

Which IM site is never used on infants or small children and only used on older children (and adults) with enough muscle mass?

A

Deltoid

NUR 103 (5 decks)

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