Parenteral Administration -02/03 Flashcards

Learning Objectives -List 7 different sites of parenteral administration -Explain why each site is used -Describe how each technique is performed -Identify some common concerns that can occur with injection sites

1
Q

List the 7 parenteral sites

A

-Intradermal (ID)
-Subcutaneous (SQ)
-Intramuscular (IM)
-Intravenous (IV)
-Intraosseous (IO)
-Epidural
-Intraperitoneal (IP)

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2
Q

PA = ?

A

Parenteral Administration

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3
Q

ID injections - PA

A

Skin is held but taut between the thumb & forefinger

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4
Q

What number blade is the flur clipped with for an ID injection - PA

A

40 - skin is wiped carefully with a moistened gauze

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5
Q

What gauge needle is used for ID injections - PA

A

25-27-gauge neddle attached to a syringe

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6
Q

At what angle are ID injections given at - PA

A

10 degree angle, with the bevel up, until the bevel disappears into the dermis & inject solution

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7
Q

T or F: injection site sarcoma should be considered when selecting an injection site (SQ)

A

true

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8
Q

T or F: the bevel should be facing upwards when inserting the needle into the base of the ‘tent’ (SQ)

A

true

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9
Q

T or F: IM injections are appropriate for administering small volumes of drugs

A

true

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10
Q

What gauge needle is used for IM injections

A

22-25 gauge needle

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11
Q

how many cm is the needle inserted into the epaxial muscle for IM injections

A

1-2 cm, pointing slightly away from the spine

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12
Q

T or F: for IM injections the solution should be given at a slow to moderate rate

A

true

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13
Q

how should we administer IM injections in the semimembranosus/semitendinosus sites

A

needle should be inserted bevel up, into the muscle, aimain caudally, injection should be done at a moderate pace

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14
Q

how should we administer IM injections at the quadricep site

A

needle should be inserted bevel up, into the muscle at a perpendivular angle, solution should be injected at a moderate pace

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15
Q

T or F: large volumes can be administer over a short time for IV injections

A

true

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16
Q

T or F: with IV injections we can administer caustic, irritating, & hypertonic solutions safely

A

true

17
Q

What equipement is typically needed for IV injections

A

syringe & needle, winged infusion set, catheter

18
Q

Common sites & their restraint methods for IV injections

A

-Cephalic vein (sternal or sitting recumbency)
-Medial saphenous vein (lateral recumbency)
-Lateral saphenous vein (standing)

19
Q

T or F: alcohol should be used to aid in visualization of the vein

A

true

20
Q

how should we administer IV injections

A

the needle is inserted bevel up into vein until a “flash” of blood is noted in the hub of the needle (while aspirating we WANT to see blood flow into the hub of the needle)

21
Q

What should we do after an IV injection?

A

apply firm pressure to the site for a few minutes after the needle has been withdrawn

22
Q

T or F: medications & fluids can be delivered into the bone through IO (intraosseous) injection

A

true

23
Q

what type of patients would we give IO injections to

A

-Neonates
-Circulatory collapse
-Small patients

24
Q

T or F: IO injections allow for rapid absorption

A

true

25
Q

Common sites used for IO injections

A

-Femur - trochanteric fossa
-Tibial tuberosity
-Humerus - greater tubercle
-Illiac wing or ischium

26
Q

what is the purpose of epidural injections

A

analgesic & anesthetic injections

27
Q

What do epidural injections provide

A

analgesia & muscle relaxation caudal to the black while minimizing sedative effects

28
Q

where are epidural injections commonly given

A

in the lumbosarcal junction (L7 - S1)

29
Q

T or F: epidurals can rude the pain associated with vaginal manipulation & decrease the force of contractions

A

true

30
Q

T or F: epidural catheters can be placed for long-term anelgesic adminstration

A

true

31
Q

what is the peritoneal space

A

the abdominal cavity

32
Q

when are IP injections given

A

used in neonates when IV or IO access is difficult

33
Q

IP injections are usually used for what

A

peritoneal lavage (peritonitis or pancreatitis)

34
Q

T or F: absorption with IP injections are more rapid than SQ

A

true - still the least desirable method

35
Q

what gauge needle or catheter is used for IP injections

A

18-22 gauge needle or cathered

36
Q

how are IP injections given

A

the needle or catheter is inserted into the abdominal cavity, a few cm caudal to the umbilicus