Parenteral medication Administration - exam 2 Flashcards
when it comes to medication vials what is most important?
- check expiration
- always date and initial multi dose vials
the smaller the number the larger the
needle
when choosing parenteral needles we want the needle to be what?
long enough to reach the targeted tissue
smaller gauge needles are used for
thinner solutions
larger gauge needles are used for
thicker solution
non-parenteral needles are used for
withdrawing meds
filter needle
small filter in hub catches debris
what kind of needle do we use when using ampules?
filter needle
blunt filled needle
primarily used for withdrawing medications
what must we never do with a blunt fillled needle?
never use on a patient
what needle will cause tissue damage if used?
blunt filled needle
allowed only when used for blood withdrawal
blunt filled needle
1st calibrated line near hub is
zero
with a single dose medication we inject â equal to amount of medication to be withdrawn
air
when giving two different medications to a patient the two meds must be
compatible
Single dose: we withdrawal entire - from vial
volume
multi dose vial: withdraw more - than you need
med
why do we need a filter needle when withdrawing from an ampule?
filter out anything that does not need to go into the vein
when opening an ampule which direction do you open it?
away from you
reconstitution
process of adding a liquid diluent to a dry or liquid concentration ingredient solute to make a specific concentration of liquid
drugs in power from retain potency only for a short period of time once reconstituted
short shelf life
reconstituted volumes - - always equal the amount of diluent because the medication itself has volume
do not
prior to administration what should the nurse decide?
selecting appropriate site for medication
after scanning the medication barcode what should you do?
always look at the screen to acknowledge and address all pop-ups
what are two things that must be done before administering a med
verify integrity of needle and volume
what must you do immediately after injection?
discharge safety mechanism
never recap
used needles
what do you never leave at the bedside?
medications
three locations where we mainly give shots?
- deltoid
- ventrogluteal
- vastus lateralis
we want the muscle to be what when giving a med
relaxed
location for smaller volumes, less irritating medications - vaccines, B-12
deltoid
max volume recommended- 1ml
deltoid
recommended needle length
1 inch
3 mL syringe gives more
control
what angle do we insert the needle at the deltoid location?
90 degrees
location for thicker, painful, or irritating meds
ventrogluteal or vastus lateralis
maximum volume recommended for ventrogluteal
3 mL
recommended needle length for ventrogluteal
1 inch to 1 1/2 inch
recommended syringe for ventrogluteal
3 ml
what is the purpose of the ztrack method?
locks medication in place
what do we do first after inserting the needle for a VG/VL site?
aspirate
if blood returns with aspiration what do we not do?
inject the medication, you must start over
during the deep IM technique what rate do we push?
1 mL 10 seconds
during deep Im how long do we wait until we release the z track
3-5 seconds
needles are very fragile and permanently attached to syringe
insulin
at what angle do we inject insulin?
90 degree angle with bunching of the skin
what do we check before giving insulin?
blood sugar
where do we always administer enoxaparin ?
abdominal
what position is best for a pt when administering enoxaparin
reclining/supine
enoxaparin needs to be given deep
subq
true or false
we need a longer length needle when administering enoxaparin
true; best absorption
what do we never do with SQ enoxaprin injections?
- aspirate
- massage
- rub or massage
which injection do we bunch the entire time?
SQ enoxaparin injections
never expel what from the enoxaparin needle?
nitrogen bubble
what is a must when giving a TB injection?
a bleb or wheal
