Week 3 Injections and Medication Administration

Question 1

what are the 6 rights of medication administration?

Answer 1

Patient, medication, dose, route, time, documentation

Question 2

what must you do with the patient before giving medication? (5)

Answer 2

properly identify, discuss allergies (new and old), ask for concerns, obtain consent, MUST educate patient about vaccine prior to injections (VIH, indications for injection)

Question 3

what is a VIS?

Answer 3

vaccine information sheet: gives info about a vaccine to educate the patient prior to injection

Question 4

what must you do RIGHT with medication?

Answer 4

make sure you have the right one

Question 5

what must you do RIGHT with dose

Answer 5

ensure you have the correct dose.

Question 6

What must you do RIGHT with route/site?

Answer 6

get the right injection site: interdermal, sub cutaneous (sub Q), intermuscular, intravenous

Question 7

interdermal injections are commonly used for

Answer 7

TB or allergy test

Question 8

Sub Q injections are commonly used for (3)

Answer 8

some vaccines, insulin, heparin

Question 9

what are the four CHECKS of medication preparation?

Answer 9

Order, integrity, concentration, expiration date

Question 10

What is the order check?

Answer 10

is what is ordered/written what i am holding?

Question 11

what is the integrity check?

Answer 11

is the vial intact, does the color of the medication look right?

Question 12

what is the concentration check?

Answer 12

is this the correct concentration?

Question 13

what is the expiration date check?

Answer 13

is the medication expired?

Question 14

VIS is required by…obtained by? signature?

Answer 14

federal law. obtained by CDC website. do not have to get signature

Question 15

a larger gauge needle is more…

Answer 15

thin

Question 16

what are the three parts of the needle?

Answer 16

hub (fits on syringe hub), shaft (connects to the hub), bevel (slanted tip)

Question 17

what are the three parts of a syringe?

Answer 17

tip (goes into needle hub), barrel (holds the fluid), plunger

Question 18

the 3mL syringe is used for which two types of injections?

Answer 18

SQ and IM injections

Question 19

the 1 mL syringe is used for which type of injections?

Answer 19

intradermal

Question 20

the 23 or 25 gauge one inch needle is often used when giving..

Answer 20

IM injections

Question 21

the 25 gauge 5/8 inch needle is often used for giving…

Answer 21

SQ injections

Question 22

rank the relative depths of intradermal, Sub Q and intramuscular injections

Answer 22

Intradermal most superficial, Sub Q middle, Intramuscular deepest

Question 23

what should the needle angle be for intramuscular injections?

Answer 23

90 deg

Question 24

what should the needle angle be for Sub Q injections?

Answer 24

45-90 deg. if a person has more fat do in closer to 90 deg

Question 25

what should the needle angle be for intradermal injections?

Answer 25

15 degrees

Question 26

medications injected into which site are absorbed the fastest why?

Answer 26

intramuscular, more vascular

Question 27

what is an ampoule?

Answer 27

a medication vial with a glass neck that has to be broken to get the medicaiton

Question 28

how do you withdraw medication from an ampoule?

Answer 28

use a filter needle to draw the medication and then change to a regular needle to adminster the medication to the patient

Question 29

how do you give an injection from a vial

Answer 29

1. remove cap of vial to expose sterile rubber seal
2. wipe surface of rubber seal with an alcohol wipe
3. attach needle to syringe
4. fill syringe with air to the amount of medication needed.
5. Place needle in vial and expell all the air
6. invert vial and allow air pressure to fill the syringe
7. inject any air in the syringe into the vial
8. change needle to appropriate size

Question 30

for a IM injection, of a person weighing less than 130lb what size needle?

Answer 30

5/8 to 1 in

Question 31

for a IM injection of a 130-152 lb what size needle?

Answer 31

1 in

Question 32

what three muscular groups are safe to use for IM injections?

Answer 32

deltoid, vastus lateralis (antero-lateral thigh), ventrogluteal (lateral butt)

Question 33

what are the four needle lenghts

Answer 33

1/2 5/8 1 and 1 1/2 in

Question 34

what are the four sizes (gauge) of needles

Answer 34

21, 23, 25, and 27 gauge

Question 35

what muscle is used most often for IM injections?

Answer 35

deltoid (generally only 1 mL)

Question 36

what are the three techniques to give IM injections?

Answer 36

Z-track, pinch and grasp method, spreading the skin taut between thumb and forefinger method

Question 37

when cant you use Z-track

Answer 37

not for infants or adults receiving vaccines, small muscle masses would not benefit from the Z-track

Question 38

what is the Z-track method?

Answer 38

skin is pulled to the side, injection is given, skin is released. medication is trapped

Question 39

what is the pinch and grasp method?

Answer 39

grasp/pinch muscle to give injections

Question 40

what is the spread the skin taut method?

Answer 40

spread skin with thumb and index finger and give injections

Question 41

what must you do prior to injecting all IM medications (except vaccines)

Answer 41

aspirate (ensures you are not injecting into a blood vessel, you pull back on needle before you push to check for blood)

Question 42

where can a SQ injection be given?

Answer 42

upper arms (upper outer triceps), abdomen, anterior aspect of thigh

Question 43

when giving a SQ injection what should you do to the skin?

Answer 43

pinch!

Question 44

do you aspirate in SQ injections?

Answer 44

no

Question 45

do you ever recap a needle after an injection?

Answer 45

no

Question 46

what size needle for ID?

Answer 46

25-27 gauge, 3/8 to 5/8 inch

Question 47

what is the max amount of fluid injected for ID?

Answer 47

0.1 mL (use a 1 mL syringe)

Question 48

what is a bleb?

Answer 48

a bubble that confirms succesfull ID injection

Question 49

where is the most common site for ID injections?

Answer 49

forearms: 3-4 fingers below antecubital area, 1 hand width above wrist

Question 50

for all allergy medicaiton administartions the patient must stay in the office for how many minutes after injection?

Answer 50

15 minutes

Question 51

what are the hallmark symptoms of anaphylaxis?

Answer 51

shortness of breath, tongue, lip or throat swelling