week 9-injections

Question 1

Parenteral meds

Answer 1

ID, SC, IM, IV.

these meds are absored more quickly than oral meds and are irretrivable once injected

Question 2

a nurse typically uses a syringe ranging from

Answer 2

1-3ml in size for injections

Question 3

the larer-sized syringes (10, 20, and 50 ml)

Answer 3

are not used to admin drugs directly but can be useful for adding meds to IV solutions or for irrigating wounds

Question 4

insulin syringe

Answer 4

has a unit scale specially desgned for insulin and is the only syringe that should be used to adim insulin.

Question 5

the tuberculin syringe was

Answer 5

originally used to test TB, can also admin drugs to infants.

Question 6

the larger non luer-lok syringe is often used

Answer 6

for irrigation (lavage)

Question 7

three parts of a needle

Answer 7

1. hub
2. cannula
3. bevel

Question 8

longer bevels provide

Answer 8

the sharpest needle, cause less discomfort, and are commonly used for subcut or IM injections

Question 9

short bevels

Answer 9

for ID AND IV because a long bevel can becom occluded if it rests against the side of a blood vessel

Question 10

the larger the gauge number

Answer 10

the smaller is the diameter of the shaft. smaller gauges cause less damage and are ideal for daily injections

Question 11

for IM injections

Answer 11

the needle should be long enough to reach the muscle but not so long that it penetrates to underlying blood vessels or bone.

Question 12

usually 2.5 cm needle is used

Answer 12

for the avg. person

Question 13

SUBCUT injection needle

Answer 13

25 to #27 gauge and 16 mm long

Question 14

ampule

Answer 14

glass container for single dose

Question 15

vial

Answer 15

small glass bottle with a sealed rubber cap

Question 16

if multidose vials are used

Answer 16

they should be used for the same client

Question 17

a vial of insluin that does not have the added protein (hum R) should never be

Answer 17

contaminated with insulin that does not have the added protein (hum N)

Question 18

when you inject air into the vial make sure the needle

Answer 18

does not touch the insulin.

Question 19

inject air into HUM N and then

Answer 19

air into HUM R and then withdraw HUM R and then HUM N

Question 20

ID injections

Answer 20

into the dermal layer just below the epidermis. usually only a small amount is injected (.1 ml) USED FOR allergy testing and TB.
COMMON SITE is the flexor of the forearm
NEEDLE SIZE- #25 - #27 and a needle that is 12 mm to 16 mm long

Question 21

SUB CUT injections

Answer 21

• just beneath the skin
• COMMON SITES- abdomen, upper arms, top of thighs. (they have good circulation)
• only small doses are used (less than 1 ml)
• SIZE NEEDLE-#23- #25 and 16 mm long

Question 22

one method nurses use to determine length of needle (SUB CUT)

Answer 22

is to pinch the tissue and sleect a needle length that is half the width of the skinfold.

Question 23

to determine angle of insertion (SUB CUT)

Answer 23

45 degree angle is used when 2.5 cm tissue can be pinched and 90 dgress when theres 5 cm of tissue pinched

Question 24

insulin should be injected in what angle?

Answer 24

90 degrees.

Question 25

aspiration is not performed with

Answer 25

insulin admin

Question 26

IM injections

Answer 26

• are absorbed quicker than SUB CUT injections because of greater blood supply
• can also hold larger volumes of fluid without the discomfort

Question 27

SITE FOR IM

Answer 27

3ml- in the butt
1-2 ml with less developed muscles.
.5- 1 ml in the deltoid
NEEDLE SIZE- 3- 5ml

Question 28

IM- ventrogluteal site

Answer 28

gluteus medius muslce, which lies over the gluteus minius.
preferred site for IM injections because here are no large nerves or vessels and it is sealed off by bone.
MARK IT BY USING THE TOCHANTER

Question 29

IM- vastus lateralis site

Answer 29

usually thick and well developed in both adults and children.
BEST FOR IM INJECTIONS FOR INFANTS 1YR OR YOUNGER. because theres no major blood vessels or nerves.

Question 30

IM- dorsogluteal site

Answer 30

historically used but stopped because it can hit a nerve and artery.

Question 31

IM- rectus femomris site

Answer 31

quads-

can cause some discomfort

Question 32

IM- deltoid site

Answer 32

no more than 1 ml

FOUR OR THREE FINGERS STARTING ON THE ACROMINON PROCESS. AND THEN USING THE ARMPIT TO FORM A TRIANGLE

Question 33

Z-TRACK

Answer 33

found less painful and decreases leakage

Question 34

longstanding recommendations

Answer 34

1. aspirate

2. slow injections to lessen discomfort