parenteral med admin

Question 1

Equipment needed for parenteral med. admin (6)

Answer 1

-exam gloves
-medication
-alcohol swabs
-medication labels
-appropriate syringes and needles
-clean med tray

Question 2

how do you clean a med. tray?

Answer 2

wear gloves and use wipes to clean the inside of the tray. Then place clean towel in tray

Question 3

the needle needs to be long enough to reach _______ _______ of patient respective to age, weight, and muscle/tissue mass

Answer 3

targeted tissue

Question 4

why does the needle need to reach the targeted tissue?

Answer 4

certain meds have to go to a certain tissue to be effective. If not could cause tissue damage.

Question 5

what size needle do you use for a dermis injection?

Answer 5

1/2 in. - 5/8 in.

Question 6

what size needle do you use for a subQ insulin injection?

Answer 6

1/2 in. - 5/16 in.

Question 7

what size needle do you use for a subQ anticoagulants injection?

Answer 7

3/8 in. - 5/8 in.

Question 8

what size needle do you use for an intramuscular injection?

Answer 8

1 in. - 1.5 in.

Question 9

the gauge of the needle should be large enough to deliver ________ of med.

Answer 9

viscosity

Question 10

filter needles are

Answer 10

needles with a small filter in the hub to catch debris, must use with ampules

Question 11

blunt fill needles are

Answer 11

typically used with vials

Question 12

must remove and replace with parenteral needle _______ going to a patients room

Answer 12

before

Question 13

What are your three checks

Answer 13

1. prescribers orders
2. when pulling meds out of pyxis
3. compare every med to EMAR in the patients room

Question 14

what is reconstitution?

Answer 14

adding liquid diluent to concentrated solute

Question 15

what do you select syringe and needle based off?

Answer 15

med, volume, and site

Question 16

max volume in the deltoid

Answer 16

1 mL

Question 17

max volume in the ventragluteal

Answer 17

3 mL

Question 18

Recommend needle for the deltoid

Answer 18

1 in.

Question 19

recommended needle for the ventragluteal

Answer 19

1-1.5 in

Question 20

why do you have to use a 3 mL syringe on the ventragluteal?

Answer 20

because to have to aspirate

Question 21

what do you do if you get a blood return when aspirating?

Answer 21

start over

Question 22

where do you do a intradermal injection

Answer 22

mid-third of forearm

Question 23

what do you need to see when doing an intradermal injection

Answer 23

bevel

Question 24

what do you administer insulin in

Answer 24

units

Question 25

what do you do to a insulin vial

Answer 25

roll not shake