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02-CSL
Sub Q; IM; ID
| Question | Answer |
|---|---|
| Where are the injection sites for Sub-Q? | Abdominal fat (prefered site, avoid 2" area around umbilicus), lateral and posterial of upper arm or thigh, scapular area of the back, upper ventral dorsal of the gluteal areas |
| What makes Sub-Q a prefered method of medication administration? | Primarily used for slow absorption of medications |
| What is the max amount of medication to be delivered per injection site? | 2 mL according to the book; 1 mL according to the video |
| What will be your needle selection for this type of injection? | 0.5-3 mL syringe, 25-29 gauge, 3/8-5/8" needle |
| What angle will you use for this type of injection? | 45 or 90 degree |
| What are you going to do for aseptic techniques in preperation for giving the injection? | Clean the injection site and the top of vials with seperate antimicrobial wipes |
| What do you need to know about aspirating before an injection is given? | You may aspirate to ensure you are not injecting the medication directly into the vain. Do NOT aspirate with anticoagulant medications. |
| Why would you massage the area after Sub-Q injection and when would you not massage the area? | massage to aid absorption unless contraindicated. Do not massage for insulin or heparin, this may lead to tissue irritation. |
| What are the three types of syringes? | tuberculin, insulin and 3 mL |
| The larger the number of the needle... | The smaller the needle is. |
| What do you need to consider when you are selecting the size of the needle that you need? | route, injection site, pt size, viscosity of the meds |
| Do hormones have a high or a low viscosity? | High (they are thick, you would need a larger needle to administer) |
| What are the injection sites for IM? | ventrogluteal (prefered site), dorsal gluteal, vastus lateralis, deltoid |
| What makes IM injections a prefered method of administration? | Promotes rapid absorption and provides an alternative route when sub-q tissue becomes irritated by the drug; absorption rate will depend on the circulatory state of the pt. |
| What is the max amount of medication to be given at one site for an IM injection? (according to the book) | 5 mL (adults), 3 mL (children), 1 mL (infants) |
| What will be your needle selection for IM? | 1-5 mL syringe, deltoids: 23-25 gauge and 5/8-1" needle; vastus lateralis and gluteus muscles: 18-23 gauge, 1-1 1/2" needle |
| What do you need to remeber when mixing a reconstituted powder? | Rub between the palms of your hands. Do not shake as this may cause air bubbles. |
| When opening a new vial, what should you write on it? | Date, time, initials |
| Do you document the method of prepairing a medication from a vial? | no |
| When do you need to use a filter straw? | When obtaining medication from an ampule to avoid contamination of the medication with glass fragments |
| What safety measure should you use when prepairing medication from an ampule? | Use a paper towel or a gauze pad to break the top away from yourself and others, dispose of the top into a sharps container. |
| What extra sterilaziation technique will you use when handling a straw filter? | Do not touch the sides of the filter |
| Do you document the method of prepairing medication from an ampule? | No |
| What do you need to do before you mix medication from two vials? | make sure that the medications are compatable! |
| What step will you take to aid in sterile technique when mixing medications from two vials? | Wipe the tops of each vial with seperate alcohol swabs. |
| Do you document preperation of mixing medications from two vials? | No. |
| What angle will you use to administer an IM injection? | 90 degree |
| When giving an injection, the site should be free from | lesions, scars, bony prominances, large muscles, and nerves. |
| How many times and when should you check that you have the correct medication? | 3. When removing the medication from the drawer, when checking medication against the MAR, and when withdrawing the medication |
| What are the 5 rights? | The RIGHT drug, dose, time, route, patient |
| After giving a pt an injection what should you do? | Monitor for the desired and side effects of the medication, assess the patient, place call light within the pt's reach. |
| Do you document after giving an injection? | Yes, document the name of the drug, time, route and who administered the medication. |
| What two things do you want to ensure you do or don't do after giving an IM injection? | 1. Wait 10 seconds before removing the needle. 2. Do not massage the area. |
| Where would an ID injection be given? | Inner aspect of forearm or Scapular area of back |
| Why would you give an ID injection? | o Sensitivity tests o Slow absorption |
| The needle information for a ID injection is | o 0.01-0.1 mL o 25-27G / 3/8 – ½ “ |
| What are you testing for with an ID shot? | • TB screen / allergies • Syringe 1mL or TB |
| Would you aspirate or massage an ID? | Nope |
| What degree of angle would you give an ID? | • 10-15 degrees |
Created by:
wendymercer
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