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Nursing 101 & 102 > Parenteral Medications > Flashcards

Parenteral Medications Flashcards

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0
Q

What are some other routes physicians can access parenterally?

A

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

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1
Q

What are the types of parenteral routes?

A

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

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2
Q

What are advantages of parenteral routes?

A 
Rapid absorption 
Used in emergency situations
Desired dose is more accurate
Prevents gastric irritation
Unconscious, NV, dysphasia
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3
Q

Disadvantages of parenteral medications?

A

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

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4
Q

TB syringe

A

1 ml
Calibrated in 10ths
Intradermal injection
0.1ml

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5
Q

Insulin syringe

A

30, 50, 100 units
Very small dose
Subcutaneous

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6
Q

Intramuscular

A 
3ml, 5ml, 10ml, 20ml, 30ml
Deltoid 
Ventrogluteal
Vastis Lateralis
Deltoid
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7
Q

What are 50ml syringes used for?

A

Mixing or irrigation

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8
Q

What are tubex syringes used for?

A

Narcotics

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9
Q

What anticoagulant is usually prefilled?

A

Lovenox

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10
Q

A passive safety syringe does what?

A

Pulls back on its own

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11
Q

What does an active safety syringe do?

A

The nurse has to pull it back manually.

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12
Q

What are the 3 parts of a syringe?

A

Tip or hub
Barrel
Plunger

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13
Q

What are the 3 parts if the needle?

A

Tip
Cannula
Hub

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14
Q

What are the lengths for the shaft of the needle?

A

1/2-2

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15
Q

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

A

18-28

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16
Q

What is a filter needle used for?

A

Prevents aspiration of glass

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17
Q

What must you never do after using a needle?

A

Recap

18
Q

What is an ampule?

A

Glass container designed to hold meds

1-10ml sizes

19
Q

Where do you break ampule at?

A

The neck

20
Q

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

A

Use a filter needle

21
Q

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

A

0.5ml

22
Q

When does a bleb disappear on a TB test?

A

24-48 hours

23
Q

What angle do you inject a TB syringe?

A

15 degrees

24
Q

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

A

2 ml

25
Q

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

A

1

2

26
Q

What are the most common sites for insulin injections?

A 
Upper arm (backside)
Abdomen
27
Q

Why is insulin mainly injected in the abdomen?

A

It’s a faster route of absorption

28
Q

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

A

25g 5/8

29
Q

What do you do after you swab injection site?

A

Let air dry

30
Q

Do you aspirate for a subQ injection?

A

No

31
Q

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

A

5-10 seconds

32
Q

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

A

30 minutes

33
Q

What has to be documented in EMR?

A

The site of injection

34
Q

Where do intramuscular injections occur?

A

In the muscle

35
Q

Do we aspirate?

A

Yes

36
Q

If we see blood return, what do we do?

A

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

37
Q

What are some complications of IM injections?

A

Abscesses
Necrosis
Nerve damage
Pain

38
Q

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

A

3ml

39
Q

Needles gauge size and length

A

21-23g 1 - 11/2 length

40
Q

Deltoid ml amount

A

0.5 - 1 ml

41
Q

How many mls dorsogluteal?

A

1-3ml

42
Q

How many mls for ventrogluteal

A

1-3ml

43
Q

How many mls for vastus Lateralis?

A

1-3ml

Nursing 101 & 102 (19 decks)

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