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242 > Week 3 - 5 > Flashcards

Week 3 - 5 Flashcards

1
Q

If you had to mix a medication and draw up from a vial and an ampule, which would you draw up from first?

A

The vial and then the ampule because the ampule is single use

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2
Q

What parenteral medication delivery provides the quickest medication absorption and why?

A

IM because of the increased amounts of blood vessels

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3
Q

At what angle do you insert an IM injection?

A

90 degrees

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4
Q

At what angle do you insert a SCBF?

A

30 degrees

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5
Q

At what angle do you insert a SC injection?

A

45 degrees

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6
Q

At what angle to do insert an intradermal injection?

A

5-15 degrees

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7
Q

When would be the only instance when you DO NOT aspirate during an IM injection?

A

If it is a vaccination/immunization

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8
Q

For IM injections, which site is appropriate for a large and more irritating medication?

A

Ventrogluteal

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9
Q

Which muscle is best for pediatrics of all ages?

A

Vastus lateralis

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10
Q

What site should not be used in children who have not yet started walking?

A

The Ventrogluteal as this muscle will be under developed

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11
Q

How do you landmark the deltoid muscle?

A

It is three finger widths below the acromion process

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12
Q

How do you landmark the vastus lateralis muscle?

A

It is one hand length above the knee or one hand length below the greater trochanter

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13
Q

What is a risk of using the Ventrogluteal site for a pediatric patient who has not yet started walking?

A

The sciatic nerve takes up much of the dorsogluteal space, if hit temporary or permanent paralysis may occur

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14
Q

Where do you dispose of a needle after use?

A

Sharps container

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15
Q

What type of needle should you use when drawing up from an ampule?

A

A blunt tip filter needle

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16
Q

What type of needle should be used when drawing up from a vial?

A

A blunt tip needle

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17
Q

What length of needles should be used for IM injections?

A

1 - 1 1/2 “

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18
Q

What length of needle should be used for subcutaneous injections?

A

5/8 - 1/2 “

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19
Q

What method is best practice for IM injections?

A

The Z track method

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20
Q

What is the Z track method and why is it important?

A

When you pull on the skin near the injection site before injection is given, creates a Z pattern where the needle was inserted and prevents the medication deposited in the muscle from entering and irritating the subcutaneous tissue

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21
Q

True or false: bevel down

A

False

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22
Q

Why is rotating injection sites important?

A

To prevent lipohypertrophy

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23
Q

Approximately what gauge should be used for an IM injection, what sizes for viscous, and what sizes for aqueous solutions?

A

A larger gauge for viscous- about 18-21 and a bit smaller for aqueous about 20-25

24
Q

How much medication is being deposited in an intradermal injection?

A

0.01-0.1 mL

25
Q

What size needles are ID needles?

A

3/8 - 5/8” usually

26
Q

In IM injections; how much medication can safely be deposited in a well-developed muscle?

A

2-5 mL (usually 3)

27
Q

How do you landmark the Ventrogluteal muscle?

A

Place heel of hand over greater trochanter, thumb points towards groin and point index finger to anterior superior iliac spine and middle finger toward iliac crest

28
Q

What is it important to do before administering a parenteral medication?

A

Palpate for any lumps or bumps and clean site with antiseptic swab

29
Q

What sites are used for subcutaneous injections?

A

The abdomen (2.5 inches away from belly button), the anterior thigh and the lateral aspect of the upper arm

30
Q

What areas are used for the SCBF?

A

Abdomen, upper lateral arm, anterior thigh, below the collar bones

31
Q

How many mLs are needed to prime the one link needle free Iv connector?

A

0.28 mL

32
Q

How many mLs are necessary to prime the maxzero needle-free iv connector?

A

0.4 mL

33
Q

What is lipohypertrophy?

A

The scar tissue that forms from continuously using the same injection site over time

34
Q

How do you prevent a needle stick injury?

A

Activate the safety and dispose immediately

35
Q

What precautions do you need to take post-needle stick injury?

A

Let wound bleed freely
Contact supervisor
Go to hospital within two hours

36
Q

Where is a common infusion pump site in children?

A

Abdomen

37
Q

Which drugs are often given via infusion pump?

A

Insulin
Heparin
Deferoxamine

38
Q

How often do infusion pump sites need to be changed?

A

Every 1-2 days

39
Q

How old can kids be to use auto inject syringes?

A

5-6 years old

40
Q

What is the purpose of ID injection?

A

TB and allergy testing

41
Q

Why is TB and allergy testify done ID?

A

Minimal blood vessels which means very slow medication absorption, the medications are very potent

42
Q

How do you know if you’ve entered subcutaneous tissue during an ID injection?

A

No bleb forms or the site bleeds when the needle is withdrawn

43
Q

What forms from an ID injection?

A

A 1/4” bleb

44
Q

What is the parenteral route of choice for chronic pain?

A

SCBF

45
Q

How often should the SCBF be changed?

A

Once per week

46
Q

What information should be included on the label of the SCBF?

A

Date, drug and drug concentration, initials

47
Q

What length of IM needle should be used for a thin person?

A

5/8 - 1/2”

48
Q

What length IM needle should be used for an average person?

A

1”

49
Q

What length needle should be used for a patient over 70kg?

A

1 - 1 1/2”

50
Q

What length IM needle should be used for a patient over 90kg?

A

1 1/2”

51
Q

What are advantages to using the Ventrogluteal site?

A

It is deep and situated away from any major blood vessels

52
Q

What speed should you inject IM injections at?

A

10 sec / mL

53
Q

How long do you leave the needle in the skin to allow proper dispersion of med?

A

5-10 sec

54
Q

When preparing insulin, what do you do with the medication first?

A

Roll the vial in hand to suspend medication

55
Q

Can you mix insulin? If so which medication do you pull up first?

A

If compatible, pull up rapid acting or short acting insulin first to prevent contaminating it with long acting

56
Q

Complications from IM injections include:

A

Pain
Scar tissue
Hitting nerve/blood vessel

57
Q

To reduce pain associated with IM injection:

A

Bevel up, Z track, ensure muscle relaxation

242 (6 decks)

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