Week 4: Injection/ Topical Medications Flashcards
What is included in parental medications routes?
Intramuscular, intravenous, subcutaneous, intradermal
What are the four types of syringes?
Leur-lok, tuberculin, insulin 100 U and insulin 50 U
What are the parts of a needle?
Bevel (tip of needle), shaft (middle of needle), the hub and the gauge number
What are the important parts of a syringe?
Plunger , barrel and tip
Needles come in what sizes?
From 0.6-7.6 cm
What are the sites for Intramuscular (IM) injections?
Ventrogluteal, vastus lateralis site, deltoid site
What IM injection site is ideal for paedeatric patients and can go up to a volume of 5mL?
Vastus lateralis site (middle ish of thigh).
- Thick and well-developed
What is the max child volume for the vastus lateralis site?
1mL
How should patients getting vastus lateralis site be seated?
Supine, lying on side or standing
What IM injection site has no major blood vessels or nerves and additionally less fat? How should pt. be placed when medication is to be adminstered?
Ventrogluteal (side of butt)
- Fetal position with knee up
What is the volume for injection of the ventrogluteal site?
1-3mL
No more than ___ mL should be injected in the deltoid site?
1mL. But pp says 3mL
Where are routine immunizations usually adminstered?
Deltoid site
What IM sites are avoided in infants and children?
Deltoid site
What is the max amount of mL to be injected Subcutaneously (SC)?
No more than 1mL should be injected in any one site
What are the common sites for a SC injection?
A- outer aspect of posterior upper arm
B- abdomen 2 inches (4-5cm) from umbillicus
C- Anterior aspect of thighs
D- Scapular area
E- Upper dorsogluteal
Insulin is injected subcutaneously, where is it most quickly absorbed?
Abdomen or back of arm
Insulin is injected subcutaneously, where is it most quickly absorbed?
Abdomen or back of arm
How do you aspirate when using two viles? (mixing medications)
Aspirate a volume of air equivalent to first medications dose. Inject act into vial A insuring needl edoes not touch solution. Withdraw needle and aspirate a volume of air equivalent to second medication’s dose. Inject air into vial B. Withdraw med from vial B into syrgine then insert needle back into vial A and withdraw correct amount of med there.
What are the four types of insulin?
Rapid acting, short acting, intermediate acting or long acting
What is the only type of insulin that can be given IV?
Short (Regular) acting
When mixing medicaitions from a vial and ampule, what medication do you prepare first?
Vial.
- Then you withdraw med from ampule using same syringe
When mixing two insulins, what one should you prepare first?
Prepare short or rapid acting insulin first to prevent it from being contamined with longer acting insulin
When mixing two insulins, what one should you prepare first?
Prepare short or rapid acting insulin first to prevent it from being contamined with longer acting insulin
What are the 2 types of insulin pens?
Prefilled and reusable
- Reusable it most typically used
What are the 2 types of insulin pens?
Prefilled and reusable
- Reusable it most typically used
Common gauge sizes for insulin needles?
29 to 32
Insulin pen errors
- Failing to check expiry date
- Dialing back to zero
- Not pushing dial hard enough
- Removing needle as soon as dial hits zero
- Shaking pen to mix insulin
- Not priming new pen needle
- Failing to remove both caps on needle of pen
Because of the sciatic nerve location, the _____ muscle is NOT recommended as an injection site
Dorsogluteal
-Pt. may experience paralysis of leg if nerve is hit
Gauge and size of needle for deltoid site?
23-38. 5/8 to 1 inch needle
How would you locate the ventrogluteal muscle?
Patient lie either supine or lateral position, place heel of hand over greater trochancter of patient’s hip with wrist perpendicular to femuar
Why is the Z track method used for medication administrations?
- Used for pulling skin during IM injections where prevents leakage of medication into subcutaneous tissue, sealing the medication in the muscle and minimizes irritation
How far should you pull skin for Z-track method? How long do you keep the needle in after med is injected?
2.5-3.5 cm (1 or so inches)
10 seconds
Reconstitution
Adding a solvent or diluent to a medication in powdered form to dissolve it and form a solution
Reconstitution
Adding a solvent or diluent to a medication in powdered form to dissolve it and form a solution
