Week 4: Injection/ Topical Medications

Question 1

What is included in parental medications routes?

Answer 1

Intramuscular, intravenous, subcutaneous, intradermal

Question 2

What are the four types of syringes?

Answer 2

Leur-lok, tuberculin, insulin 100 U and insulin 50 U

Question 3

What are the parts of a needle?

Answer 3

Bevel (tip of needle), shaft (middle of needle), the hub and the gauge number

Question 4

What are the important parts of a syringe?

Answer 4

Plunger , barrel and tip

Question 5

Needles come in what sizes?

Answer 5

From 0.6-7.6 cm

Question 6

What are the sites for Intramuscular (IM) injections?

Answer 6

Ventrogluteal, vastus lateralis site, deltoid site

Question 7

What IM injection site is ideal for paedeatric patients and can go up to a volume of 5mL?

Answer 7

Vastus lateralis site (middle ish of thigh).
- Thick and well-developed

Question 8

What is the max child volume for the vastus lateralis site?

Answer 8

1mL

Question 9

How should patients getting vastus lateralis site be seated?

Answer 9

Supine, lying on side or standing

Question 10

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?

Answer 10

Ventrogluteal (side of butt)
- Fetal position with knee up

Question 11

What is the volume for injection of the ventrogluteal site?

Answer 11

1-3mL

Question 12

No more than ___ mL should be injected in the deltoid site?

Answer 12

1mL. But pp says 3mL

Question 13

Where are routine immunizations usually adminstered?

Answer 13

Deltoid site

Question 14

What IM sites are avoided in infants and children?

Answer 14

Deltoid site

Question 15

What is the max amount of mL to be injected Subcutaneously (SC)?

Answer 15

No more than 1mL should be injected in any one site

Question 16

What are the common sites for a SC injection?

Answer 16

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

Question 17

Insulin is injected subcutaneously, where is it most quickly absorbed?

Answer 17

Abdomen or back of arm

Question 17

Insulin is injected subcutaneously, where is it most quickly absorbed?

Answer 17

Abdomen or back of arm

Question 18

How do you aspirate when using two viles? (mixing medications)

Answer 18

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.

Question 19

What are the four types of insulin?

Answer 19

Rapid acting, short acting, intermediate acting or long acting

Question 20

What is the only type of insulin that can be given IV?

Answer 20

Short (Regular) acting

Question 21

When mixing medicaitions from a vial and ampule, what medication do you prepare first?

Answer 21

Vial.
- Then you withdraw med from ampule using same syringe

Question 22

When mixing two insulins, what one should you prepare first?

Answer 22

Prepare short or rapid acting insulin first to prevent it from being contamined with longer acting insulin

Question 22

When mixing two insulins, what one should you prepare first?

Answer 22

Prepare short or rapid acting insulin first to prevent it from being contamined with longer acting insulin

Question 23

What are the 2 types of insulin pens?

Answer 23

Prefilled and reusable
- Reusable it most typically used

Question 24

What are the 2 types of insulin pens?

Answer 24

Prefilled and reusable
- Reusable it most typically used

Question 25

Common gauge sizes for insulin needles?

Answer 25

29 to 32

Question 26

Insulin pen errors

Answer 26

• 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

Question 27

Because of the sciatic nerve location, the _____ muscle is NOT recommended as an injection site

Answer 27

Dorsogluteal
-Pt. may experience paralysis of leg if nerve is hit

Question 28

Gauge and size of needle for deltoid site?

Answer 28

23-38. 5/8 to 1 inch needle

Question 29

How would you locate the ventrogluteal muscle?

Answer 29

Patient lie either supine or lateral position, place heel of hand over greater trochancter of patient’s hip with wrist perpendicular to femuar

Question 30

Why is the Z track method used for medication administrations?

Answer 30

• Used for pulling skin during IM injections where prevents leakage of medication into subcutaneous tissue, sealing the medication in the muscle and minimizes irritation

Question 31

How far should you pull skin for Z-track method? How long do you keep the needle in after med is injected?

Answer 31

2.5-3.5 cm (1 or so inches)
10 seconds

Question 32

Reconstitution

Answer 32

Adding a solvent or diluent to a medication in powdered form to dissolve it and form a solution

Question 32

Reconstitution

Answer 32

Adding a solvent or diluent to a medication in powdered form to dissolve it and form a solution