Parenteral Injections Flashcards
Parenteral Injection Equipment (minimum)
-Exam Gloves(Not sterile)
-Medication (vials/ampules/pre-packaged others)
-Alcohol Swabs (a lot)
-Appropriate Syringe(s) and Needle(s)
~ Needle to withdraw (blunt/filter)
~ Needle to inject (sharp gauges)
-Medication Labels
-Clean Medication Drawer
If a vial is dark, what can you conclude from the vial?
sensitive to light and needs to be given quickly after drawn
With a liquid or powder med that is given through injections, what do you do exclusively for this med?
reconstitute with diluent (water or sterile water)
What should you always remember to do when preparing medication from a vial? (5)
-Ensure Sealed top
-A secure rubber injection port
-Clean the top before use
-CHECK EXPIRATION!
-Time, Date and Initial Multi-dose vial upon opening
Medication Vials variations
-Single or multi-dose
-Plastic or glass (clear or dark)
-Liquid or powder med (reconstituted with diluent)
What is a gauge?
“diameter”
What type of a relationship does the needle size and the gauge number?
inverted
When the needles are bigger, the number/gauge is
smaller
When the number/gauge is bigger, the needle and bevel are
smaller
Viscosity means
thickness
How to choose parenteral needles?
- Long enough to reach _targeted tissue__ of patients respective to age, weight, and muscle/tissue mass ( to deposit the medicine correctly
- The gauge (diameter) of the needle should be large enough to deliver the viscosity of the medication
Intradermis (ID) needle length
1/2 to 5/8”
Anticoagulants
thin the blood
does not dilute the blood
Subcutaneous anticoagulant (SQ) needle length
3/8 to 5/8”
Subcutaneous insulin (SQ) needle length
1/2 to 5/16”
Muscle (IM) needle length
1 to 1 1/2”
What needle length is most common in adults?
1 to 1 1/2”
Smaller gauge needles are used for __________ solutions.
- What gauge is used?
thinner
- 20-27 g
Larger gauge needles are used for __________ solutions.
- What gauge is used?
thicker
- 18-21 g
Non-Parenteral Needles are used for ____________ meds.
Withdrawing
Non = not for patient
What are the types of non-parenteral needles?
Filter needle
Blunt fill needle
Filter needles
small filter in hub catches debris
What needle do you always use with ampules?
= If not available, use what?
Filter needle (for preventing glass particles from being aspirated)
= use the smallest needle (29g)
What needle do you always use with vials (rubber stopper)?
= If not available, use what?
Blunt fill needle
= use smallest gauge available, or filter needle