PARENTERAL MEDICATIONS

Question 1

angle of intradermal

Answer 1

10-15 degrees

Question 2

angle of intravenous

Answer 2

25 degrees

Question 3

angle of subcutaneous

Answer 3

45 degrees

Question 4

angle of intramuscular

Answer 4

90 degrees

Question 5

a type of syringe consisting of a hollow cylinder, usually of glass or plastic, a tightly fitting piston, and a hollow needle ( hypodermic needle ), used for withdrawing blood samples, injecting medicine, etc.

Answer 5

hypodermic

Question 6

• 1cc syringe
• used for subcutaneous or intradermal injections of medicines, vaccines, or other substances

Answer 6

tuberculin

Question 7

100 units syringe for insulin

Answer 7

insulin

Question 8

recommended for immunization programmes because they are designed to prevent re-use by locking automatically after a single use

Answer 8

ADS / auto-disable syringe

Question 9

push the hypodermic needle to the syringe end

Answer 9

non-luer lock / luer slip

Question 10

requires the hypodermic needle to be screwed on, rotating the needle clockwise can achieve a very tight fit bond between the needle and the syringe

Answer 10

luer lock

Question 11

recommended needle size for ID

Answer 11

23-27 gauge

Question 12

recommended needle size for SQ

Answer 12

24-26 gauge

Question 13

recommended needle size for IM

Answer 13

20-22 / 23-26 gauge

Question 14

where to store syringes and needles after use?

Answer 14

puncture-proof disposal containers

Question 15

true or false: never bend of break needles before disposal

Answer 15

true

Question 16

true or false: you should recap needles after use

Answer 16

false - never recap used needles

Question 17

how to properly recap needle/

Answer 17

one-handed scoop method / fishing method

Question 18

a way to minimize discomfort and pain when administering injections is to apply ___ compress

Answer 18

cold

Question 19

• slow absorbing
• can deliver only small amount of drug
• breaks skin barrier

Answer 19

intradermal

Question 20

sites for ID injection

Answer 20

• beneath scapula
• upper chest
• inner lower arm

Question 21

formula for skin test

Answer 21

0.9 cc saline + 0.1 cc drug

Question 22

true or false: massage ID site after injecting

Answer 22

false

Question 23

• onset of drug reaction faster than oral
• requires sterile technique
• breaks skin barrier
• more expensive than oral
• slower than IM

Answer 23

subcutaneous

Question 24

some meds injected subcutaneously:

Answer 24

• insulin
• growth hormone
• epinephrine
• heparin

Question 25

common sites for SQ injection

Answer 25

• outer aspect of upper arm
• anterior aspect of the thighs
• abdomen

Question 26

guideline for administering insulin through SQ

Answer 26

needle should remain embedded for 5 seconds after pushing the plunger

Question 27

what should you do when there is bleeding after SQ injection?

Answer 27

apply pressure

Question 28

• pain from irritating drugs is minimized
• larger volume can be administered
• rapidly absorbed

Answer 28

intramuscular

Question 29

common sites for IM injection

Answer 29

• ventrogluteal
• vastus lateralis
• rectus femoris
• deltoid
• dorsogluteal

Question 30

max volume of meds for large muscle

Answer 30

3 ml

Question 31

max volume of meds for babies, elderly, emaciated px during IM

Answer 31

2 ml

Question 32

a technique in which the provider slightly pulls and holds pressure on the skin when giving an injection, which leaves a zigzag path behind when they remove the needle and release the skin

Answer 32

z-track method

Question 33

best site for IM injections for infants, toddlers and children

Answer 33

vastus lateralis

Question 34

• rapid effect
• limited to highly soluble drugs
• drug distribution inhibited by poor circulation

Answer 34

intravenous

Question 35

___ equipment and drug solution are essential for all parenteral therapy or administration

Answer 35

sterile