Parenteral Medicaton Administration And Calculations For ID, SubQ And IM Routes

Question 1

Parenteral equipment

Answer 1

Exam gloves
Medication (vials/ampules/other)
Alcohol swabs
Appropriate syringes and needles
Needle (withdraw)
Needle (to inject)
Medication labels
Clean medication drawer

Question 2

Medication vials

Answer 2

Single or multi- dose
Plastic or glass (clear or dark)
Liquid or powder med
Sealed top
Secure rubber injection port

Question 3

What are some things to do BEFORE use when handleing medication vials?

Answer 3

Clean top before use
CHECK EXPIRATION DATE

Question 4

What to do upon opening multi- vials?

Answer 4

DATE AND INITIAL

Question 5

Parenteral needles

Answer 5

ID
SQ
IM

Question 6

What sizes do parenteral needles range?

Answer 6

29 g- 18 g

Question 7

There is an enlargement of beveled edge

T/f

Answer 7

True

Question 8

Why do we need to make sure that the parenteral needles are long enough?

Answer 8

So that it can reach targeted tissue of pt respective to age weight and muscle/ tissue mass

Question 9

Dermis (ID)

Answer 9

1/2 to 5/8 “

Question 10

Sub cut (SQ) anticoagulants

Answer 10

3/8” to 5/8 “

Question 11

SUBcut SQ insulin

Answer 11

1/2 to 5/16”

Question 12

Muscle IM

Answer 12

1” to 1 1/2”

Question 13

What is the most common parenteral needle in adults ?

Answer 13

Muscle IM

Question 14

Gauge diameter of needle should be blank enough to deliver viscosity of medication

Answer 14

Large

Question 15

What size gauge needles are for thinner solutions?

Answer 15

27-20 g

Question 16

What size gauge needles are for thicker solutions

Answer 16

21-18 g

Question 17

What kind of needles are used for withdrawing meds?

Answer 17

Filter needle
Blunt fill

Question 18

Filter needle

Answer 18

Small filter in hub catches debris

Question 19

What do you use with a filter needle?

Answer 19

Always use with ampules , which is best practice

Question 20

What do you use if filter needles are not available?

Answer 20

Use the smallest gauge needle

Question 21

What is the best practice when drawing medication from ampule?

Answer 21

Using a filter needle

Question 22

What are blunt fill needle used with?

Answer 22

Vials- rubber stopper

Question 23

What do you use if blunt fill needle is not available?

Question 24

Should you use nonparenteral needles when withdrawing medication?

Answer 24

No replace with sterile needle for administration

Question 25

Why should you never use non parenteral needles when injecting?

Question 26

Can you recap blunt/ filter needles?

Answer 26

It is YOUR CHOICE

Question 27

What should you do when choosing to recap blunt/filter needles?

Answer 27

Always use the one handed recap technique and

Question 28

What needles are not allowed in a pt room when used for MED ADMIN?

Answer 28

Blunt/filter needles

Question 29

Blunt and filter needs are only allowed when used for blood withdrawal t/f

Answer 29

True

Question 30

What calibrated line near hub is zero?

Answer 30

1st

Question 31

What are the three most commonly used syringes?

Answer 31

3,5, and 10

Question 32

T/f the most holy and sacred parts are the ends of the syringes?

Answer 32

False. At the tip

Question 33

How do you know which syringe to use?

Answer 33

Smallest syringe possible to deliver the prescribed med (plus a little extra room)

Question 34

What do you do first before preparing the medications?

Answer 34

Perform hand hygiene and don gloves

Question 35

What do you put on a blue label of a syringe?

Answer 35

Med, dose, time and initial

Question 36

What should you do before preparing parenteral medication in the med room

Answer 36

Perform hand hygiene and don gloves

Question 37

What is required for ALL preparing all parenteral routes

Answer 37

Gloves

Question 38

T/f take original med vial/ampule with syringe to verify at bedside (exception is insulin)

Answer 38

True