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VNSG 1227 Exam 4

Chapter 35 Injections

all glass containers containing medication Ampules
Patient is NPO, or digestive juices counteract with the drug Parenteral route is used when
free of hair, lesions, inflammation, rashes, moles, and freckles the injection site should be free from
The intradermal route is used for TB testing
use a small needle, with a 5-15 degree angle of insertion (25, 27, or 29 gauge) Intradermal Route
injects small amount of medication (0.5-1mL) into tissue below the dermal layer Subcutaneous Route
usual sites upper arm, thigh, or abdomen Subcutaneous Injections
a 45-90 degree angle with a 25-27 gauge needle that is 3/8 to 1/2 inch long Subcutaneous route
used to be absorbed slowly for sustained action IM route
most frequently used sites are deltoid, ventrogluteal, vastus lateralis and rectus femoris IM route
90 degree angle with a 19-23 gauge needle at 1-3 inches long IM injections
absorption time depends on the drug IM medications
large enough for subcutaneous and most IM injections 3mL syringe
used for U100 strength insulin, calibrated in units U-100 syringe
1mL in size, calibrated to measure as small as 0.01mL drug doses TB syringe
require a special holder for the cartridge and needle Unit dose cartridge
surfaces that must remain sterile needle, tip, inner barrel, and plunger
the larger number, the smaller the needle. Needles are available in 13-30 gauges
what kind of needles should be used when drawing medication from a ampule filter needles
_____is discarded and new needle is attached to syringe for injecting meds into patient Filter
Ampules, vials, mix-o-vials, and unit dose cartridges Parenteral Solutions available in
vials may contain up to 1-50mL
color change, precipitation, clouding to invisible chemical changes rendering the drug inactive a reaction when drugs combine that are incompatible
Created by: nursekk