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Module 2 Exam 1 > Parenteral Injection > Flashcards

Parenteral Injection Flashcards

1
Q

What are the different classifications of med vials?

A
  • Single or multidose
  • Plastic or glass
  • Liquid or powder
  • Sealed top and rubber injection port
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2
Q

What must you always check on med vials?

A

Expiration date

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3
Q

What do you do after using a multi dose vial?

A

Date and initial it

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4
Q

What is a gauge?

A

The diameter of needle

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5
Q

When choosing a needle, what must you ensure that it can reach?

A

The targeted tissue

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6
Q

Needle size for Dermis (ID) Injection

A

0.5” to 5/8”

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7
Q

Needle size for SQ anticoagulants and insulin

A

Anti: 2/8” to 5/8”
Insulin: 1/2” to 5/16”

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8
Q

Needle size for IM injection

A

1” to 1.5”

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9
Q

Which needle type/size is most common for adults?

A

IM (1” to 1.5”)

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10
Q

What gauges of needle is considered small and which ones are large?

A

Small: 27g - 20g
Large: 21g - 18g

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11
Q

What types of needles are used for ONLY withdrawing needles?

A

Filter and Blunt filled needles

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12
Q

Why are filter needles called that and what should you always use these with?

A
  • There’s a small filter in them to catch any debris
  • Ampules, it is best practice
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13
Q

What should you use blunt filled needles with?

A

Vials (Rubber stopper)

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14
Q

For withdrawing meds, if there are no Blunt filled needles, what should you use?

A

Filter needle, or smallest possible needle

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15
Q

After withdrawing medications, what should you do?

A

Throw away the needle and replace with a new and sterile injection needle

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16
Q

When throwing away a blunt/filtered needle used for med withdrawal, what can you do and how do you do this?

A
  • You CAN recap if you want
  • IF you do ALWAYS use only one hand
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17
Q

What types of needles are not allowed in a pt’s room except for certain scenarios?

A
  • Blunt/Filter
  • ONLY when used for blood specimens
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18
Q

How do you decide which syringe you use?

A

Use smaller possible needle needed to administer med

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19
Q

How can you keep syringe’s sterility?

A

Never place it down

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20
Q

What is the first check of med preparation?

A

Acknowledge HCP orders

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21
Q

What is the second check of med prep?

A

Take med from Pyxis and verify against eMAR screen

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22
Q

What must you check on the meds?

A

Expiration date and package integrity

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23
Q

How do you clean the med injection port?

A

Use an alcohol swab for 15 seconds

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24
Q

What must you do for Multi-Dose vials?

A

Date and initial them

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25
Q

What is the third checkoff med admin?

A

Verify/scan the vial/ampule at the bedside

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26
Q

5 steps of preparing single dose vial meds?

A
  • Selects proper syringe and BF needle
  • Clean the top if vial and then inject air equal to amount of meds needed to be withdrawn (“Charge” the vial)
  • Withdraw the entire amount from the vial
  • Prepare the exact amount of med
  • Remove the BF needle and attach the appropriate sterile needle
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27
Q

Can you mix 2 meds in one syringe?

A

Yes as long as theyre compatible

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28
Q

If getting meds from a vial and an ampule, which one do you get first?

A

Vial and then the ampule

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29
Q

How many uses are ampule meds?

A

Single

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30
Q

Ampiles have ___ necks

A

scored

31
Q

For ampules, blunt or filter needles? and why?

A

Filter, to avoid glass shards

32
Q

How do you take meds from an ampule? 4 steps

A
  • Hold the ampule upright and tap the top to dislodge med
  • Place a barrier around the neck and break away from you
  • Withdraw all medication
  • Place everything in the sharps box
33
Q

What’s a med reconstitution

A

A med that must be made with a fluid/diluent

34
Q

What is the med’s concentrated form?

A

Solute: The powder crystals or liquid

35
Q

Reconstitution

A

Adding a diluent to a solute to make a specific concentration of a liquid injectable

36
Q

How long do meds keep their potency after reconstituted>

A

Not long, administer them soon

37
Q

What are the 2 typical diluents?

A

NS or sterile water

38
Q

3 possible muscles for IM injections?

A
  • Deltoid
  • Ventrogluteal
  • Vastus Lateralis
39
Q

What should you avoid when giving IM injections?

A
  • Scars
  • Irritations
  • Bruises
  • Lesions
40
Q

What should you assess just before giving an injections?

A

Needle and volume

41
Q

For IM injection, what rate should med be administered?

A

1mL/10 sec

42
Q

For IM injections, how long do you wait before removing the needle?

A

3-5 secs

43
Q

Why cannot you not rub an injection site just after?

A

Cause it’ll misplace the med

44
Q

Angle for IM injection

A

90 degrees

45
Q

Max recommended med for Deltoid injection?

A

1 mL

46
Q

Largest needle size for deltoid injection?

A

1”

47
Q

Which muscle is recommended for thicker and more painful IM meds?

A

Ventrogluteal first and then Vastus Lateralis 2nd

48
Q

Max volume recommended for abd and thigh IM injection?

A

3mL

49
Q

Largest needle size for abd and leg IM injection?

A

1” to 1 1/2”

50
Q

Recommended syringe for IM abd and leg IM injections?

A

3mL

51
Q

Why’ doe we do the Z track method?

A

it moves the muscle so that the muscle can get trapped

52
Q

What needle and syringe do you use for insulin?

A

The ones they come with :)

53
Q

Insulin is injected in ____ tissue?

A

SubQ

54
Q

What is the SQ main site location?

A

Abdomen

55
Q

Recommended needle for Anticoagulant SQ meds?

A

3/8” to 5/8”

56
Q

Max volume of injectable SQ med?

A

1.5 mL

57
Q

Angle for SQ injections?

A

45 degrees unless you can bunch up the skin, then you can do 90 degrees

58
Q

what do you do FIRST when going to inject insulin?

A

Confirm BS

59
Q

How is insulin measured?

A

units

60
Q

How fast do you have to inject insulin after prepping it?

A

Minutes

61
Q

Why cannot you not shake insulin needles?

A

It may create air bubbles

62
Q

Where is insulin absorbed the fastest?

A

the abdomen

63
Q

How far should insulin injections be from each other?

A

1”

64
Q

How far should you inject from the lines alba and umbilicus

A

at least 2”

65
Q

Angle for insertion of insulin/

A

90 degrees

66
Q

SQ injection site?

A

Abdomen

67
Q

How do you position pt’s for SQ injections?

A

Reclining/Supine

68
Q

What’s the region for SQ injection?

A

“Love Handles”

69
Q

Angle for deep SQ injection?

A

90 degrees

70
Q

Where do you administer intradermal (ID) injections?

A

Middle 1/3 of forearm

71
Q

Angle for ID injections

A

5 to 15 degrees, only go until bevel enters

72
Q

What matters about ID injections that normally does not about others?

A

Bevel direction, it must be facing up

73
Q

Fastest to slowest injection rates of absorption

A
  • IV
  • IM
  • SQ
  • ID
74
Q
A

Module 2 Exam 1 (4 decks)

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