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N242 > Parenteral Medications > Flashcards

Parenteral Medications Flashcards

1
Q

needle length for subQ at 45 degrees and 90 degrees?

A

45- 5/8 inches

90- 1/2 inch

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2
Q

needle length for subQ peds?

A

less than 1/2 inch

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3
Q

needle length for subQ butterfly?

A

3/4 inch (19mm)

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4
Q

needle length for IM?

A

3/4-1.5 inches

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5
Q

needle length for ID?

A

1/8-5/8 inches

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6
Q

volume allowed for subQ?

A

0.5-1.5mL

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7
Q

volume allowed for subQ peds?

A

<0.5mL

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8
Q

volume allowed for SubQ butterfly?

A

2-3mL

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9
Q

volume allowed for IM?

A

2-5mL

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10
Q

needle length for IM peds?

A

5/8-1 inch

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11
Q

volume allowed for IM peds?

A

1mL max

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12
Q

volume allowed for ID?

A

0.01-0.10mL

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13
Q

gauge size for subQ?

A

25-27G

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14
Q

gauge size for subQ peds?

A

25-30G

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15
Q

gauge size for SubQ butterfly?

A

24G

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16
Q

gauge size for IM?

A

22G

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17
Q

gauge size for ID?

A

25-27G

18
Q

gauge size for IM peds?

A

25-30G

19
Q

what to be watch for with ID injections?

A

you want a bleb to appear. this proves it went into dermis, and not subQ tissue

20
Q

which is the best site for ID injections? and what do you wanna make sure you dont do?

A

inner forearm or upper back (dont pinch)

21
Q

best site for SubQ’s?

A

fatty part of body: lower abdomen, back of arm, upper thigh

22
Q

what is the best site for LMWH SubQ’s?

A

“love handles”

23
Q

best site for IM?

A

ventrogluteal muscle, vastus lateralis, deltoid

24
Q

best side for IM peds?

A

vastus lateralis, ventrogluteal muscle (can be given via deltoid after 18mths)

25
Q

what IM site is least painful and why?

A

ventrogluteal: least painful cause least nerve endings

26
Q

what is ID injections used for?

A

for TB and allergy testing

27
Q

what is the Z-track method?

A

method for pulling skin during an IM injection. it prevents leakage of meds into subQ tissue, seals medications in the muscle, and minimizes irritation

28
Q

what do you need to ensure when inserting an IM injection?

A

keep needle inserted for 10 seconds to allow it to disperse evenly

29
Q

When the nurse administers the IM she sticks herself with the needle. What does she do first?

A
  • Cleans with soap and water
  • Cleans with alcohol swab
  • Apply sterile dressing if necessary
  • Notify manager or CNL
  • Go to ER within 2hrs
  • report incident
30
Q

what do you do if you get splashed with blood or bodily fluids?

A
  • Rinse mucous membranes well with tepid water or saline
  • go to ER within 2hrs
  • notify manager/supervisor
  • report incident
31
Q

what do you do if a dirty needle or sharp hits you or a splash on non intact skin?

A

Wash the affected body part with soap & water only

  • do not squeeze wound
  • do not use any disinfectant -apply sterile dressing if necessary
32
Q

List ways that infection can be prevented during an injection

A
  • ampules should not sit open
  • needle should not touch any contaminated outer surface
  • avoid touching plunger or inner part of barrel
  • wash skin site thoroughly and swab center outward to 5cm/2in radius
  • wash your hands!
33
Q

does subQ or IM absorb meds slower and why?

A

meds absorb slower in subQ then IM because the tissue doesnt contain as many BV’s as in muscle. IM has a rich blood supply!

34
Q

what syringe size do you use for SubQ?

A

1-3mL

35
Q

what syringe size do you use for subQ peds?

A

weight based

36
Q

what syringe size do you use for IM adults?

A

2-3mL

37
Q

what syringe size do you use for IM peds?

A

0.5-1mL

38
Q

what does the bevel do?

A

it creates a narrow slit when injected into tissue that quickly closes after needle is removed to prevent leakage of meds. blood or serum

39
Q

true or false, for intradermal you should feel resistance

A

yes you should because if you dont, the needle is too deep

40
Q

in which case is the deltoid site for IM’s ideal?

A

for small volumes (2mL or less)

41
Q

what are 3 landmarks for ventrogluteal IM admin?

A
  • place palm of hand over greater trochanter of patient’s hip (use left hand for right hip and right hand with left hip)
  • point thumb towards patients groin
  • point index finger to the anterior superior iliac spine and middle finger toward the buttocks
42
Q

how do you mix two meds in one syringe?

A
  • Check compatibility (chart)

- Draw up vial first (inject air to create positive pressure) then ampoule second using filter needle

N242 (4 decks)

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