Parenteral Medications

Question 0

What are some other routes physicians can access parenterally?

Answer 0

Intracardiac - in the heart
Intrapericardiac - in the pericardium of the heart
Intrathecal - spinal cord
Intraosseous - into the bone

Question 1

What are the types of parenteral routes?

Answer 1

ID - intradermal
IM - intramuscular
SQ- subcutaneous
IV - intravenous

Question 2

What are advantages of parenteral routes?

Answer 2

Rapid absorption 
Used in emergency situations
Desired dose is more accurate
Prevents gastric irritation
Unconscious, NV, dysphasia

Question 3

Disadvantages of parenteral medications?

Answer 3

Aseptic techniques
Painful, possible tissue damage
Irritating to skin
Once injected impossible to retrieve

Question 4

TB syringe

Answer 4

1 ml
Calibrated in 10ths
Intradermal injection
0.1ml

Question 5

Insulin syringe

Answer 5

30, 50, 100 units
Very small dose
Subcutaneous

Question 6

Intramuscular

Answer 6

3ml, 5ml, 10ml, 20ml, 30ml
Deltoid 
Ventrogluteal
Vastis Lateralis
Deltoid

Question 7

What are 50ml syringes used for?

Answer 7

Mixing or irrigation

Question 8

What are tubex syringes used for?

Answer 8

Narcotics

Question 9

What anticoagulant is usually prefilled?

Answer 9

Lovenox

Question 10

A passive safety syringe does what?

Answer 10

Pulls back on its own

Question 11

What does an active safety syringe do?

Answer 11

The nurse has to pull it back manually.

Question 12

What are the 3 parts of a syringe?

Answer 12

Tip or hub
Barrel
Plunger

Question 13

What are the 3 parts if the needle?

Answer 13

Tip
Cannula
Hub

Question 14

What are the lengths for the shaft of the needle?

Answer 14

1/2-2

Question 15

What is the gauze size of the shaft of a needle?

Answer 15

18-28

Question 16

What is a filter needle used for?

Answer 16

Prevents aspiration of glass

Question 17

What must you never do after using a needle?

Answer 17

Recap

Question 18

What is an ampule?

Answer 18

Glass container designed to hold meds

1-10ml sizes

Question 19

Where do you break ampule at?

Answer 19

The neck

Question 20

What must you always use to draw medication out of an ampule?

Answer 20

Use a filter needle

Question 21

What is the max amount allowed to be used in an intradermal needle?

Answer 21

0.5ml

Question 22

When does a bleb disappear on a TB test?

Answer 22

24-48 hours

Question 23

What angle do you inject a TB syringe?

Answer 23

15 degrees

Question 24

What is the limit of med that can be drawn up in a subcutaneous injection?

Answer 24

2 ml

Question 25

How many inches do you pinch for a 45 degree angle? 90 degree angle?

Answer 25

1 | 2

Question 26

What are the most common sites for insulin injections?

Answer 26

``` Upper arm (backside) Abdomen ```

Question 27

Why is insulin mainly injected in the abdomen?

Answer 27

It's a faster route of absorption

Question 28

What is the needle length and gauge size for a subQ injection?

Answer 28

25g 5/8

Question 29

What do you do after you swab injection site?

Answer 29

Let air dry

Question 30

Do you aspirate for a subQ injection?

Answer 30

No

Question 31

How long do you keep the needle in the skin after you inject?

Answer 31

5-10 seconds

Question 32

How long after do you assess a patient when they receive an injection?

Answer 32

30 minutes

Question 33

What has to be documented in EMR?

Answer 33

The site of injection

Question 34

Where do intramuscular injections occur?

Answer 34

In the muscle

Question 35

Do we aspirate?

Answer 35

Yes

Question 36

If we see blood return, what do we do?

Answer 36

Slowly take the needle out and dispose of. Start again.

Question 37

What are some complications of IM injections?

Answer 37

Abscesses Necrosis Nerve damage Pain

Question 38

What is the most amount that can be injected in an IM site?

Answer 38

3ml

Question 39

Needles gauge size and length

Answer 39

21-23g 1 - 11/2 length

Question 40

Deltoid ml amount

Answer 40

0.5 - 1 ml

Question 41

How many mls dorsogluteal?

Answer 41

1-3ml

Question 42

How many mls for ventrogluteal

Answer 42

1-3ml

Question 43

How many mls for vastus Lateralis?

Answer 43

1-3ml