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Nursing 317 > Week one > Flashcards

Week one Flashcards

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1
Q

What are the three types on injections

A

intramuscular
Subcutaneous
Intradermal

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2
Q

Name the types of syringes

A 
Hypodermic
Insulin
Tuberculin
Larger syringes for wound irrigation
Safety syringes (0.5-60 mL)
plain-tip, luer lock
Reusable plungers
Pre-filled cartridges
Pre-filled syringes
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3
Q

What size needle is used for intradermal injections

A

25-27 gauge

3/8 to 5/8”

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4
Q

What size needle is used for Subcutaneous injections

A

25-27 gauge

3/8 to 5/8”

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5
Q

What size needle is used for intramuscular injection

A

20-25 guage

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6
Q

what is the length of the needle used for an IM injection into the deltoid

A

1-1.5”

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7
Q

what is the length of the needle used for an IM injection into the VL

A

5/8 -1”

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8
Q

What is the length of the needle used for an IM injection to the VG

A

1-1.5”

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9
Q

What are three needle safety rules

A

DO NOT recap needle after injection
use the safety syringe as directed to cover the needle
discard in a puncture proof container

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10
Q

List the general steps for giving an injection

A
  • check physician orders (drug dose route and frequency)
  • make sure you have the right needle and correct site for injection
  • Draw up drug and complete first and second check
  • check identity of the client
  • provide privacy
  • explain procedure and medication
  • 3rd check at bedside
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11
Q

How long do you wipe the top of a medication vial?

A

15 seconds

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12
Q

What are some important tips when using an ampule

A

Tap ampule
Snap the neck with alcohol wipe away from self
use a filter needle
place a new needle

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13
Q

What must you remember when using an insulin pen

A

always prime the needle with 2 units, repeat until you see insulin through the needle
and use at a 90 degree angle

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14
Q

What are the IM injection sites

A

Ventrogluteal
Deltoid
Vastus Lateralis

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15
Q

When is VG preferred?

A

Good for large volume, viscous and irritating medications

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16
Q

What are the landmarks of the VG injection

A

Gluteus medius and minimus
Anterior superior iliac spine
dorsal crest of the iliac spine

17
Q

What are the landmarks for a VS injection

A

Greater trochanter of the femur and the lateral femoral condyle

18
Q

How much can you inject to the deltoid

A

less than 2 mL

19
Q

Subcutaneous tips

A
  • avoid 2” around the umbilicus
  • not on the outer thigh
  • hold skin across injection site or pinch skin
  • inject over several seconds
20
Q

Things to remember when injecting insulin and heparin

A 
Check dose and type
don't aspirate
wait before withdrawing needle
don't rub
rotate sites
Heparin- change needle before giving
21
Q

what is the angle for an intradermal injections

A

5-15 degrees

22
Q

What are parenteral routes

A

IV, ID injections, Subcut, and IM injections

23
Q

what is the usual dose for a skin test (ID)?

A

usual does is given from a 1-mL syringe, with a 25-30 gauge needle and is usually 0.1 mL

24
Q

what is the usual dose for Subcut injections?

A

Nonirritating substances up to 1mL with a 25-30 gauge needle

25
Q

What is a benefit of using IM injections?

A

IM injections are selected to deliver medication for faster absorption

26
Q

What is the usual does for IM injections?

A

Doses up to 3 mL may be injected into a single site depending on the pt. skin integrity and muscle size

27
Q

What zone should be avoided when giving subcut injections?

A

2 inch zone around the umbilicus

28
Q

What are the landmarks for giving an IM into the deltoid muscle

A

the Acromion, Head of humerus,

29
Q

What are the landmarks for giving an IM injection in the ventrogluteal site

A

Tubercle of iliac crest and the greater trochanter of the the femur

30
Q

what are the landmarks for giving an IM injections in vastus lateralis site

A

greater trochanter of femur and the patella

31
Q

Why is the dorsogluteal area not recommended for child or adult?

A

because of potential nerve and vessel potential

32
Q

what is the approximate needle length for intradermal injections

A

3/8 - 1/2 inch

33
Q

What is the approximate needle length for subcutaneous injection

A

3/8 - 5/8 inch

34
Q

What is the approximate needle length for intramuscular injection

A

5/8- 2 inches

35
Q

What are some examples of possible diseases contracted from a contaminated needle stick

A

Hepatitis B and C

HIV

Nursing 317 (2 decks)

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