Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

Pharm 313 > Parenteral Med Admin > Flashcards

Parenteral Med Admin Flashcards

1
Q

3 parts of syringe

A

tip, barrel, and plunger

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

slip tip vs leur lock

A

slip tip= no thread/grooves

leur lock = screws on like light bulb

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

2 parts not touch on syringe

A
  1. tip without needle on it

2. plunger that will go back into barrel

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

Tuberculin syringe, volume, needle

A
  • always 1 ml volume

- needle typically 25 g, 5/8” length (small length and gauge needle)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

Insulin syringe, measurement

A
  • only used to draw up insulin

- measured in UNITS not ml

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

Carpuject

A
  • prefilled syringe usually with controlled substance

- usually contains IV meds but can use with IM

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

Shaft of needle

A

length of needle

  • colors do coordinate with size but varies by manufacturer
  • 5/8, 1, 1 1/4
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

gauge of needle size

A

diameter of needle

  • smaller gauge needle = larger diameter
  • larger gauge needle = smaller diameter
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

When to use larger gauge needle?

A

-increase viscosity of medication = increase size of gauge (smaller #)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

Bevel of needle

A

diagonal slant in tip of needly

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

Bevel up =

A

hole facing up

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

when can you recap a needle?

A

-unused , clean needle after draw up med

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

one hand scoop technique

A
  • lay cap flat on surface
  • insert needle into cap laying flat on surface
  • pick up needle and pull cap onto needle until you hear snap
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

blunt fill needles

A

used to fill syringe and draw up med

-not as sharp

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

Needles for drawing up vs administering med?

A
  • use blunt needle to draw up med

- switch to appropriate length and gauged needle for administration

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

what does changing between blunt need and administration needle prevent?

A

irritation on patient skin from medication outside of needle

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

when reading the measurement on syringe what do you look at?

A

be in middle of first black line, not the hump

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

Can you lay an uncapped needle down?

A

no, change by holding in hand

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

filter needle

A

mechanism inside to filter glass out from glass ampoule

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

when should you use safety needles?

A

at all times in general patient care

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
21
Q

example of med in ampoule

A

Vitamin K

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
22
Q

Ampoule Steps

A
  1. TAP top to get med below neck
  2. wrap neck in ALCOHOL WRAPPER or gauze
  3. break neck AWAY from body
  4. FILTER NEEDLE inserted into solution, instill air
  5. invert needle or leave on table
  6. pull back to dose, remove needle
  7. tap to remove air
  8. remove excess air or med
  9. scoop to recap
  10. change to ADMIN NEEDLE
  11. Discard ampoule in SHARPS
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
23
Q

Which way do you break ampoule?

A

away from you

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
24
Q

which part of ampoule do you break?

A

neck

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
25
Q

What is unique about a vial?

A

Pressurized system that you can instill air into

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
26
Q

Vial steps

A
  1. remove vial COVERING
  2. clean with ALCOHOL swab with FRICTION
  3. fill syringe with AIR EQUIVALENT to dose
  4. insert needle into MIDDLE of rubber stopper
  5. INSTILL AIR
  6. INVERT vial while providing stability
  7. pull back on plunger to desired dose with tip in fluid
  8. remove needle/ tap for air bubble
  9. recap with scoop
  10. change to ADMIN NEEDLE
  11. discard blunt needle to SHARPS
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
27
Q

reconstituting meds- how to mix it?

A

follow manufacturer instruction for type of liquid and final concentration

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
28
Q

Mixed dose insulin- 2 types?

A

Regular and NPH

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
29
Q

Mixed dose insulin steps

A
  1. INSTILL air in BOTH vials with vial flat on table to needle in not in liquid, have ANOTHER NURSE CHECK calculation
  2. draw up REGULAR insulin , have ANOTHER NURSE CHECK
  3. Draw up NPH insulin , have ANOTHER NURSE CHECK
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
30
Q

which insulin can you push back into vial?

A

1st, regular

-if push second in = contamination

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
31
Q

Regular insulin=

A

clear
fast acting
“pure”

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
32
Q

NPH insulin=

A

cloudy
slow acting
contaminated

33
Q

insulin pens

A
  1. DIAL dose
  2. INSERT need SubQ
    WAIT UNTIL dial returns to ZERO
  3. remove needle from patient once dial at zero
34
Q

Intradermal administration: site, volume, equipment, angle

A

site: inner forearm
volume: 0.1-0.5 ml
equipment: gloves, tb syringe, needle (26-28 gauge, 1/4-5/8 length), alcohol swab
angle: 5-15 degrees

35
Q

When using an alcohol swab how to clean skin?

A

circle from inside to out

36
Q

Intradermal needle gauge

A

26-28

37
Q

intradermal needle length

A

1/4-5/8

38
Q

Bevel for intradermal?

A

BEVEL UP

39
Q

Needle should be ____ under skin for intradermal injection

A

visible

40
Q

What do you create with intradermal injection?

A

WHEAL

-if no wheal, start over

41
Q

Intradermal- massage or no massage?

A

do NOT massage

42
Q

what do you do with used needle after administering to patient?

A

activate safety feature, place in sharps container immediately

43
Q

Sub Q administration:site, volume, equipment, angle

A

site: deltoid, 1” lateral from umbilicus, scapula, love handle, front of thigh
volume: up to 1 mL typically (can also use up to 3 mL syringe)
equipment: TB/insulin syringe, needle (25-27 gauge, 1/2-5/8” length), gloves, alc swab
angle: 45 to 90 degrees

44
Q

general steps before any injection:

A
  1. prepare med
  2. gather supplies
  3. identify site
  4. don gloves
  5. cleanse site with alcohol swab
45
Q

Which 2 injection methods can have the same syringe and needle size?

A

Sub Q and intradermal

46
Q

How to administer SuBQ injection

A
  1. BUNCH skin
  2. hold needle like DART
  3. pierce at 45 or 90 degree QUICKLY
  4. do NOT ASPIRATE
  5. INJECT med SLOWLY
  6. QUICKLY REMOVE
47
Q

Which injection method do you bunch skin for?

A

Sub Q

48
Q

Sub Q onset

A

w/in a 1/2 hour

49
Q

Intramuscular Injection site, volume, equipment, angle

A

site: deltoid, vastus lateralis, ventral gluteal, dorsal gluteal
volume: up to 4 mL depending on muscle
equipment: gloves, 1-5 ml syring, needle 21-25 g, 1-3 inch, alc swab
angle: 90 degree

50
Q

Who is responsible for choosing the needle size and gauge?

A

Nurse

51
Q

sub q needle size selection below waist vs above waist

A

below waist = > 1 .25- 1.5”

above waist = 1”

52
Q

palpating deltoid for injection

A
  • place 3 fingers BELOW ACROMION PROCESS (base)
  • imaginary line to AXILLA (point of triangle)
  • injection site = center of triangle
53
Q

palpating Vastus lateralis for injection

A

-1 hand on greater trochanter
-1 hand on knee
-midline of anterior thigh and midline of lateral thigh
injection site = middle third of thigh

54
Q

palpating ventral gluteal for injection

A
  • palm/heel of hand on greater trochanter with thumb pointing to peepee
  • index finger on anterior superior illiac spine
  • middle finger extended up to iliac crest
  • injection site= w/in triangle formed by index and middle finger
55
Q

test for ventral gluteal

A

place heel on ground and move toes left to right, feel muscle move

56
Q

preferred injection site below waist for IM

A

ventral gluteal

57
Q

least preferred injection site below wait for IM

A

dorsal gluteal

58
Q

palpating dorsal gluteal for injection

A

one hand on trochanter and one hand on posterior illiac spin
-imaginary line /w 2
injection site= 1/2 way on imaginary line above and out

59
Q

When to use dorsal gluteal IM site?

A

only if directed by manufaturer

60
Q

IM admin

A
  1. pull skin TAUT
  2. hold needle like DART
  3. INSERT QUICKLY at 90 degree
  4. stabilize needle
  5. ASPIRATE for blood
  6. no blood= SLOW AND STEADY inject med
  7. QUICKLY REMOVE
  8. SAFETY/SHARPS
  9. MASSAGE site with ALC swab
  10. remove gloves
61
Q

CDC, immunization, aspiration

A

CDC says do not have to aspirate for immunizations

62
Q

Ztrack, when to use?

A

method used w/ irritating medications to decrease pain by trapping medication in muscle

63
Q

Z trak steps

A
  1. DISPLACE skin LATERALLY
  2. while holding skin aside DART at 90 degree into skin
  3. ASPIRATE
  4. no blood = inject slow and steady
  5. WAIT 10 SECONDS
  6. QUICKLY REMOVE needle
  7. cover with swab- NO MASSAGE
  8. dispose needle
64
Q

IM Complications

A
  • pain
  • damdage to tissue: sterile abscess, hematoma, muscle contraction, bruising, skin discoloration
  • nerve damage
  • bone injury
  • speed shock
  • infection
65
Q

when does speed shock occur?

A

complication from IM injection when medication goes into vein or artery

66
Q

which type of injection do you massage site with alc swab afterwards?

A

IM

67
Q

Which injections = no massage after

A

z track, sub q, intradermal

68
Q

intradermal needle gauge

A

26-28 g

69
Q

intradermal needle length

A

1/4 - 5/8

70
Q

subq needle gauge

A

25-27

71
Q

subq needle length

A

1/2 - 5/8

72
Q

sub q angle admin

A

45 or 90

73
Q

intradermal angle admin

A

5-15

74
Q

IM needle gauge

A

21-25

75
Q

IM needle length

A

1-3 inch

76
Q

IM needle angle admin

A

90

77
Q

IM syringe volume

A

up to 4 mL

78
Q

Sub q syringe volume

A

up to 1 mL

79
Q

intradermal syringe volume

A

up to 1 mL

Pharm 313 (26 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2024 Bold Learning Solutions. Terms and Conditions