seminar 4 injections Flashcards

1
Q

how would you know if you need a bigger syringe for an injection you are giving

A

if the syringe is more than 2/3/75 % full than a bigger syringe should be used

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2
Q

what determines the gauge of needle that you would use during an injection

A

-Viscosity of medication
-location of injection
-Type of injection (ie SC or IM)

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3
Q

what things need to go on a syringe label

A

-2 client identifiers
-Name of medication
-dose/volume
-route

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4
Q

which size of syringe would you typically use for a subQ injection

A

usually a 1-3 mL syringe

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5
Q

how much fluid is usually injected with a subQ injection

A

usually less than 1 mL

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6
Q

when would you administer a SubQ injection at a 45 degree angle

A

if 2.5 cm of tissue can be grasped at the site

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7
Q

when would you administer a SubQ injection at a 90 degree angle

A

if 5 cm of tissue can be grasped at the site

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8
Q

Do you rotate subQ injection sites

A

Yes and rotate body site completely if it is not insulin

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9
Q

what are good locations for subQ injections

A

anywhere that you can pinch an inch

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10
Q

where is the preferred site for heparin injections

A

usually in the abdo (other sites can be used) and at least 5cm away from umbilicus

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11
Q

what angle is heparin injected at

A

90 degrees

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12
Q

what order do you draw insulin

A

-for inserting the air go cloudy to clear
-for drawing the insulin clear to cloudy
(remember R-N so regular insulin which is clear to NPH insulin which is cloudy)

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13
Q

what are the sites in order of how fast they absorb that insulin is injected

A

abdomen is the quickest then arms then thighs then buttox

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14
Q

how many mL do you need to prime a subQ butterfly with

A

prime with 0.21 mL

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15
Q

how long can a subQ butterfly be used for?

A

can be used for up to 7 days

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16
Q

what size of syringe do you use for an IM injection

A

usually a 1-3 mL syringe

17
Q

what is the prefered site for an IM injection in adults

A

Ventrogluteal

18
Q

how many mL is typically administered in an IM injection

A

usually 3mL

19
Q

what structures would you use to landmark an IM injection into the ventrogluteal area

A

-greatertrochanter (the bump of your hip)
-Iliac crest
-anterior superior iliac spine (the ridge thats in front of the iliac crest

20
Q

how many mL can be injected to the deltoid

A

up to 2 mL

21
Q

how do you landmark for a deltoid injection

A

inject 3-5 cm below the acromion process

22
Q

how many mL can be injected into the vastus lateralis

A

up to 3 mL

23
Q

how do you landmark for a vastus lateralis injection

A

inject into the outer middle third of the thigh

24
Q

how many mL can be injected into the rectus femoris

A

up to 3 mL

25
Q

where do you inject if you want to inject into the rectus femoris

A

the front of the thigh

26
Q

do you ever inject into the dorso gluteal area

A

no not a site of injection that is used anymore

27
Q

what are some risks associated with IM injections

A

Pain
Tissue necrosis
Hitting bone
injury to blood vessels

28
Q

what are some risks associated with SC injections

A

-accidental injection into IM or IV
-lipohypertrophy
-infection

29
Q

what is lipohypertrophy

A

when fat tissue builds up from giving an injection in the same spot to many times

30
Q

what does the gauge on the needle refer to

A

The diameter of the inner lumen of the needle

31
Q

what is the best gauge to use for an IM injection

A

22 G