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IM 2 Exam 2 > Parenteral Injection > Flashcards

Parenteral Injection Flashcards

1
Q

Equipment for Parenteral injections (8)

A
  1. Exam Gloves
  2. Medication
  3. Alcohol Swabs
  4. Appropriate Syringes
  5. Needle to withdraw
  6. Needle to Inject
  7. Medication Labels
  8. Clean medication drawer
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2
Q

How long do you clean the top of the medication vial

A

15 secs

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3
Q

What must be done after using a Multi-dose vial?

A

Date, initial, and leave in the med room

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4
Q

What do you assess for to decide on which needle length to use? (3)

A
  • Age
  • Weight
  • Muscle/Tissue mass
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5
Q

What is the needle length for Dermis (ID) injections

A

1/2” to 5/8”

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6
Q

What is the needle length for Subcut (SQ) anticoagulants?

A

3/8” to 5/8”

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7
Q

What is the needle length for Subcut (SQ) insulin ?

A

1/2”- 5/16”

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8
Q

What is the needle length for Muscle (IM) injections?

A

1”-1 1/2”

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9
Q

Which gauges do you use for thinner solutions

A

Smaller gauges (27-20g)

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10
Q

Which gauge needles do you use for thicker solutions?

A

Larger needles (21-18g)

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11
Q

What type of needle do you use for ampules

A

Always use a filter needle

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12
Q

Never use what types of needle use on a patient? (2)

A

Filter needles and blunt fill needles

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13
Q

Are blunt/filter needles allowed in patient rooms

A

Only with blood withdrawal

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14
Q

Do you take the vial of insulin into a patient to scan?

A

No, Insulin is a multi-dose vial

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15
Q

If you combine two medications, the medications must be?

A

Compatible

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16
Q

Steps to preparing an injection (single dose vial) (6)

A
  1. Clean the top of the vial for 15 seconds with alcohol pad
  2. inject air equal to amount of medication to be withdrawn
  3. Withdraw the entire amount from the vial by inverting vial
    4 Prepare to deliver the exact amount of medication by wasting excess
  4. Remove BF needle & attach sterile needle
  5. Label syringe with blue label
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17
Q

Steps for withdrawing from an ampule (6)

A
  1. Apply gloves, prepare syringe, & attach filter needle
  2. Hold the ampule upright and tap the top to dislodge the medication from neck
  3. Place barrier around neck and break away from you
  4. Withdraw all medication- dispose of excess medication
  5. Connect correct needle
  6. Place glass ampule and syringe/needles in sharps container
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18
Q

What are the three sites for IM injections

A

Deltoid, Ventrogluteal, vastuslateralis

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19
Q

what spots on the muscle should you avoid for injections (4)

A

-Scars
- Irritations
- Bruises
-Lesions

20
Q

What is the rate of the injection

A

1 mL/ 10 secs

21
Q

How long should you wait before removing the injection needle

A

3-5 seconds

22
Q

Why should you not rub or massage the injection site?

A

Medication migration

23
Q

what is the angle of injection (IM)
what is the angle of remove (IM)

A

90 degrees
90 degrees

24
Q

Deltoid
Max Volume recommended?
Recommended Needle Length?

A

1 mL
1”

25
Q

Ventrogluteal/ Vastus Lateralis
Maxium Volume Recommended?
Recommended Needle Length?

A

3 mL
1”-1 1/2”

26
Q

What must you do when administrating Leg IM injections

A

Always aspirate No Blood Return

27
Q

When can you inset SQ injections at 45 degrees

A

When you can bunch the skin

28
Q

What type of Insulin in Glargine?

A

Long acting

29
Q

What type of insulin in detemir

A

Long acting

30
Q

What type of insulin in NPH

A

Intermiediate

31
Q

What type of insulin in Lispro

A

Rapid

32
Q

What type of insulin is aspart

A

Rapid

33
Q

What type of insulin is glulisine

A

Rapid

34
Q

What type of insulin is Admelog

A

Rapid

35
Q

What must you do before giving insulin

A

Know the Glucose level

36
Q

Always administer insulin when

A

First

37
Q

Always prepare insulin

A

Last

38
Q

Where do you administrator insulin? (4)

A

Fatty areas of the arms, abdomen, back, or thighs
Separate injection site by 1”
Avoid areas of brusing or Lipodystrophy
Avoid the linea alba and umbilicus

39
Q

What are the steps to administrator insulin (4)

A
  1. Bunch the selected site
  2. Inject at a 90 degree (to the hub) and release bunch
  3. Wait 3-5 seconds and withdraw at same angle
    4.Engage safety device and place in sharps box
40
Q

Enoxaparin injections steps

A
  1. Select site, cleanse with alcohol and let dry
    2.bunch during entire injection
  2. inject at 90 degree into love handle to hub
  3. Do not aspirate or expel nitrogen bubble
  4. Waite 3-5 secons & withdraw at same angle
  5. Engage safety device and place in sharps box
41
Q

Steps to intradermal injections

A
  1. Select site ( free of tattoos, blemishes, hair, scarring, bruises)
  2. cleanse area
  3. Stretch middle 1/3 middle of forearm tight
  4. inject at 5-15 degree angle until bevel needle barely disappears under skin
  5. Inject and ensure a bleb or wheal
  6. Withdraw and release skin
42
Q

Steps to mix 2 medications (5)

A
  1. Charge Vial A
  2. Charge Vial B
  3. Invert vial B and withdraw med
  4. Invert Vial A and withdraw med
  5. Change needle
43
Q

Requirement of orders (5)

A
  1. Patient name
  2. Drug name
  3. Proper dose
  4. Frequency
  5. Route
44
Q

What is the maxium amount of volume for subq

A

1 mL

45
Q

What does enoxaparin to patients

A

To prevent blood clots

IM 2 Exam 2 (2 decks)

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