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Preparing Injec. Med
Chap. 35
| Question | Answer |
|---|---|
| INJECTABLE MEDICATIONS CAN BE PREPARED BY WITHDRAWING FROM _________ OR ________ INTO A STERILE SYRINGE, USING PREFILLED SYRINGES, OR USING NEEDLELESS INJECTION SYSTEMS. | AMPULES AND VIALS |
| A GLASS CONTAINER USUALLY DESIGNED TO HOLD A SINGLE DOSE OF A DRUG. VARY IN SIZE FROM 1 TO 10 ML OR MORE. MOST HAVE COLORED MARKS AROUND THE NECK, INDICATING WHERE THEY ARE PRESCORED FOR EASY OPENING. WHAT AM I? | AN AMPULE |
| A SMALL GLASS BOTTLE WITH A SEALED RUBBER CAP. COME IN DIFFERENT SIZES, FROM SINGLE TO MULTIDOSE. USUALLY HAVE A METAL OR PLASTIC CAP THAT PROTECTS THE RUBBER SEAL, WHICH MUST BE REMOVED TO ACCESS THE MEDS. WHAT AM I? | A VIAL |
| TO ACCESS THE MEDICATION IN AN AMPULE, YOU MUST DO WHAT? | BREAK IT AT THE CONSTRICTED NECK. |
| ONCE THE AMPULE IS BROKEN, THE FLUID IS ASPIRATED INTO A SYRINGE USING WHAT TYPE OF NEEDLE? | FILTER NEEDLE. THIS PREVENTS ASPIRATION OF ANY GLASS PARTICLES. |
| TO ACCESS THE MEDICATION IN A VIAL, YOU MUST DO WHAT? | THE VIAL MUST BE PIERCED WITH A NEEDLE. IN ADDITION, AIR MUST BE INJECTED INTO A VIAL BEFORE THE MEDICATION CAN BE WITHDRAWN. |
| FAILURE TO INJECT AIR BEFORE WITHDRAWING THE MEDICATION WILL DO WHAT? | LEAVES A VACUUM WITHIN THE VIAL THAT MAKES WITHDRAWAL DIFFICULT |
| WHAT MUST YOU DO TO WITHDRAWAL MEDICATION THAT IS DISPENSED AS A POWDER? | A LIQUID (DILUENT)MUST BE ADDED TO A POWDERED MEDICATION BEFORE IT CAN BE INJECTED |
| THE TECHNIQUE OF ADDING A DILUENT TO A POWDERED DRUG TO PREPARE IT FOR ADMINISTRATION IS CALLED___________ | RECONSTITUTION |
| WHAT ARE THE COMMONLY USED DILUENTS? | STERILE WATER OR STERILE NORMAL SALINE |
| IN PREPARING A SINGLE-DOSE VIAL, HOW MUCH WATER SHOULD BE ADDED? | 1.5 ML OF STERILE WATER BE ADDED TO THE DRY POWDER, PROVIDING A DOSE OF 2 ML. IN SOME INSTANCES, THE ADDITION OF A SOLUTION DOES NOT INCREASE THE VOLUME. IT IS IMPORTANT TO FOLLOW THE MANUFACTURER'S DIRECTIONS |
| IN PREPARING A MULTIDOSE VIAL, HOW MUCH WATER SHOULD BE ADDED? (AN EXAMPLE) | A DOSE OF 750 MG OF A CERTAIN DRUG IS ORDERED. ON HAND IS A 10-G MULTIDOSE VIAL. THE DIRECTIONS FOR PREPARATION READ: "ADD 8.5 ML OF STERILE WATER, AND EA ML WILL CONTAIN 1-G OR 1000-MG" TO DETERMINE THE AMT TO INJECT, THE NURSE CALCULATES AS FOLLOWS: |
| CONTINUE IN PREPARING A MULTIDOSE VIAL: CALCULATION | 1 ML = 1000 MGX ML = 750 MG(CROSS MULTIPLY)X = 750 X 1/1000X = 0.75THE NURSE WILL GIVE 0.75 ML OF THE MEDICATION |
| AFTER DRAWING THE MEDICATION WITH A FILTERED NEEDLE, IT IS ________ | REPLACED WITH A REGULAR NEEDLE FOR INJECTION |
| IT IS IMPORTANT TO REMEMBER THAT WHEN POWDERED DRUGS HAVE BEEN RECONSTITUTED, WHAT SHOULD BE WRITTEN ON THE LABEL OF THE VIAL? | THE DATE AND TIME. BECAUSE MANY OF THESE DRUGS HAVE TO BE USED WITHIN A CERTAIN TIME PERIOD FOLLOWING RECONSTITUTION |
| A NURSE CAN MIX MEDICATIONS IN ONE SYRINGE TO SPARE THE CLIENT FROM BEING STUCK TWICE. HOWEVER, BEFORE DOING THIS, THE NURSE MAKE SURE OF WHAT? | THAT THE TWO DRUGS ARE COMPATIBLE. IF THE NURSE IS UNSURE OF THE COMPATIBILITIES, THEY SHOULD CONSULT A PHARMACIST BEFORE MIXING THE DRUGS. |
| WHAT TYPES OF INSULIN SHOULD NEVER BE MIXED? | LANTUS AND LEBEMIR. |
| HOW MANY NURSES CHECK INSULIN DOSES PRIOR TO ADMINISTERING IT TO A CLIENT? | TWO |
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