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MT Parenteral Meds
MT NHCC Parenteral Admin of Meds
| Question | Answer |
|---|---|
| What is the definition of Parenteral medications? | Injected or infused into a body part, NOT absorbed through GI tract. |
| What is Intradermal? | into dermal layer *we won’t do |
| What is Subcutaneous? | between dermis & muscle – “Bevel up” |
| What is Intramuscular? | 90º angle – straight down/in |
| What are 4 reasons for administering medication by injection? | 1. Properties of drug inactivated or altered by GI tract (Insulin), Client unconscious, Unable to swallow, Desire faster effect |
| What are the advantages of administering medication by injection? | Rapid absorption, Predictable results, Dose Accuracy, Give when PO not an option, Emergency meds |
| What are the disadvantages of administering medication by injection? | Can’t take it back, Adverse Reactions more severe (depends on drug), May be erratic absorption, May cause permanent damage – hit nerve, Anxiety – fear, Expense – alchohol swab, sterile equip, sterile drugs |
| What are the reasons for erratic absorption of medication by injection? | edema, adipose tissue, poor circulation |
| What is the needle length for a Standard IM injection? | 1 - 1 ½ “ |
| What is the guage for a Standard IM injection? | 20 - 22 g |
| What is the hub? | end of needle attaches to syringe – outside doesn’t have to be sterile |
| What is the volume of a TB syringe? | .5cc or less |
| What is the TB syringe used for? | skin testing, diagnostic testing, very accurate |
| What size does an Insulin syringe come in? | 100 unit / 50 unit |
| What is the volume of regular syringes? | 5 – 10cc |
| which parts of a syringe, must remain sterile? | Avoid touching – plunger it goes into barrel, bevel and needle must be sterile |
| What type of Asepsis needs to be followed when giving an injection? | wash hands, clean tops of vials, cleanse site thoroughly, gloves on non-dominant hand |
| What safety precautions should be practiced when giving an injection? | avoid needle sticks, Never Recap Needle, Always wear Gloves, Don’t use your teeth put cap down and slide it in |
| What should you do if you Stick self b/4 client? | new needle |
| What should you do if you Stick self after client ? | bleed it, incidence report |
| When should the Deltoid muscle be used for injections? | Only use w/ very muscular people. Acromial process |
| Where is the Vastus lateralis? | Front/side of thigh – NOT rectus femorus which is the front center thigh |
| Where is the Ventrogluteal? | Greater Trochanter / anterior superior iliac spine |
| Where is the d. Dorsogluteal? | Major sciatic nerve, blood vessels |
| When giving injections in the abdomen how far should you stay from the umbilicus? | 2” |
| What is an example of a drug that comes in an ampule? | Lasix |
| How should a filter needle be used with an ampule? | use filter needle only to draw drug out - never inject with this, switch back to needle use – 19 g |
| How do you correctly mix 2 meds in a syringe? | Be sure drugs are compatible, Air into Vial A – needles don’t touch solution, Air into Vial B – withdraw solution B, Change needle if A is multi dose, Withdraw solution vial A, Change needle & administer med |
| What skin sites should you avoid using for an injection? | Bruises, rash, tattoo, moles |
| What size needle should be used for an intradermal injection? | ¼ - ½ inch |
| What guage should be used for an intradermal injection? | 26-27 |
| What angle should be used for an intradermal injection? | 15 degree, almost flat |
Created by:
2007Nurse
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