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Med Admin Unit 3
| Question | Answer |
|---|---|
| route of drug administration other than oral or through the GI tract | parenteral route |
| Preparation and administration of injections follow the principles of ____________ and infection control. (not sterile, but clean) | asepsis |
| Parts of a syringe: | barrel, plunger, tip |
| part of syringe that holds medication | barrel |
| part of syringe within the barrel - moves back and forth to withdraw and instill the medication | plunger |
| part of syringe where needle is attached | tip |
| Syringes are calibrated in the following measurements: | mL, cubic centimeters (cc), units, minums (rare) |
| most commonly used syringes: | 1 mL, 3 to 5 mL |
| Needles come in what gauges: | 18-27 gauge |
| The tip of the needle is: | beveled or slanted |
| A filter in a needle provides a: | barrier for debris |
| The smaller the gauge, the __________ the diameter of the needle. | larger |
| To determine needle gauge, look at the: | type of medication; depth of tissue; volume of prescribed drug; viscosity of the drug; size of the client |
| Rocephin should be given with a higher-gauge needle because it is: | thick |
| When inserting an IV, the bevel/slant on the needle should face _______. | up (goes in easier) |
| When giving an injection, the bevel/slant should face ____________. | doesn't matter - goes in like a dart |
| Filter needles are used when getting medication from ___________ so the __________ will be filtered out. | ampules; glass |
| Types of syringes/needles: | Intradermal; Subcutaneous; Subcutaneous (Insulin); Intramuscular |
| Intradermal syringes come in sizes: | 1 mL |
| Intradermal syringes are calibrated to: | 0.01 mL or minums |
| Intradermal needle sizes are: | 25, 26, or 27 gauge |
| Intradermal needle lengths are: | 1/2 or 5/8 inch |
| Subcutaneous syringes come in sizes: | 1, 2, 2.5, or 3 mL |
| Subcutaneous syringes are calibrated to: | 0.1 mL |
| Subcutaneous syringes come in sizes: | 23, 25, or 26 gauge |
| Subcutaneous needles lengths are: | 1/2 or 5/8 inch |
| Subcutaneous Insulin syringes come in size: | 1 mL |
| Subcutaneous Insulin syringes are calibrated in: | units |
| Subcutaneous Insulin needles come in sizes: | 25, 26, or 27 gauge |
| Subcutaneous Insulin needles come in sizes: | 1/2 or 5/8 inch |
| Intramuscular (IM) syringes come in size: | 3 mL |
| IM syringes are calibrated in: | 0.2 mL |
| IM needles come in sizes: | 20, 21, 22, or 23 gauge |
| IM needle lengths are: | 1 1/2 or 2 inches |
| Some intradermal injections include: | TB Tests; allergy tests |
| Some subcutaneous injections include: | Heparin (blood thinner); some vaccines; Levonox (give in love handles - forms knots in rectus abdominus) |
| If you aspirated Heparin, the site would: | hemorrhage (because it is a blood thinner) |
| Do not aspirate any: | subcutaneous injections |
| If an accidental needle stick happens, you must: | report the injury to a supervisor (charge nurse); document the injury in writing; identify the client, if possible; obtain HIV and Hep B virus client status results, if it is legal; |
| If an accidental needle stick happens, you must: (1 of 2) | report the injury to a supervisor (charge nurse); document the injury in writing; identify the client, if possible; obtain HIV and Hep B virus client status results, if it is legal; obtain counseling on the potential for infection; receive the |
| (2 of 2) | most appropriate post exposure prophylaxis; be tested for the presence of antibodies at appropriate intervals; monitor for potential symptoms and obtain medical follow-up |
| An ampule must be _______ to withdraw the medication. | broken |
| Before breaking, tap the top of an ampule to get the medicine all: | to the bottom to be withdrawn |
| To break an ampule: | cover with gauze; put thumbs together at neck of ampule; break glass away from yourself |
| To withdraw medicine from an ampule: | invert the ampule; insert filtered needle into ampule (try not to touch the sides); pull back on plunger until correct volume is drawn; remove the needle from the ampule |
| To get all of the air bubbles out of the syringe, | tap the barrel of the syringe near the hub |
| ____________ with needle to put lid back on (recap). | Scoop |
| After filling a syringe from an ampule, remove the filter needle and apply _____________. | a sterile needle |
| Glass or plastic container of perenteral medication with a self-sealing rubber stopper that must be pierced with a needle or a needless adapter to remove medication | vial |
| process of adding liquid to a powdered substance | reconstitution |
| liquid that is added to a powdered substance for reconstitution | diluent |
| When reconstitution is necessary for a medication, the lable on the medication will show: | type of diluents to add; amount of diluents to use; dosage per volume after reconstitution; directions for storing the drug |
| Type of prefilled syringe | Carpujet (can be reused - only dispose of cartridge |
| When it is necessary to combine more than one drug in a single syringe, __________ amounts must be withdrawn for each drug container. | exact |
| Before mixing any drugs, the nurse needs to: | consult a drug reference or drug compatibility chart because some drugs interact chemically when combined. |
| injections that go between the layers of the skin | intradermal injections |
| injections that go beneath the skin but above the muscle | subcutaneous injections |
| injections that go in muscle tissue | intramuscular injections |
| injections that are instilled into veins | intravenous injections |
| type of injections used for diagnostic purposes | intradermal injections |
| Itradermal injections give ________ volumes of medication | small (0.01 - 0.05) |
| Injection sites for intradermal injections | inner aspect of the arm (sweet meat) |
| Injection locations sometimes used for allergy testing (for allergy testing) | back and upper chest |
| TB syringe | 1 mL; calibrated in 0.01 mL increments; 25 - 27 gauge needle used; 1/2 inch needle used |
| Medication in subcutaneous injections usally acts within: | 30 minutes of administration |
| Volume of subcutaneous injections: | up to 1 mL |
| Injection sites for subcutaneous injection: | back of arm or abdomen (anywhere there is fat). |
| BEST place for subcutaneous injection: | back of arm |
| For an obese person, subcutaneous injections should be given at an angle of: | 90° |
| Thin or average size patients may need have subcutaneous injections held at an angle of: | 45° |
| Bunch, or pinch, the skin for this type of injection: | subcutaneous |
| Hormone requred for clients with diabetes: | insulin |
| Isulin is administered with: | an insulin syringe (calibrated in units) |
| Insulin syringes hold volumes of: | 0.3, 0.5 and 1 mL |
| The standard dosage strength of insulin is: | 100 Units/mL |
| Low dose insulin syringes are used to deliver insulin in: | 30-50 Units or less |
| A standard insulin syringe can administer up to: | 100 Units of insulin |
| Insulins tend to bind and become: | equilibrated |
| When injected within 15 minutes of combining, unique characteristics of each insulin are: | offset by each other |
| Regular (additive free) insulin is combined with: | intermediate-acting insulin (such as Humulin) |
| Heparin is an: | anticoagulant (blood thinner) |
| Heparin is administered: | subcutaneously or intravenously |
| After drawing out heparin from vial, this must be done before administering to pt. | change needle (can't have heparin on outside of needle when admistering) |
| Heparin injection sites should be: | rotated |
| Do not ___________ the plunger once the needle is in place when administering heparin. | aspirate |
| Massaging the site of heparin injection is: | contraindicated because this can increase the tendency of local bleeding |
| Intramuscular injections should be given at an angle of: | 90° |
| Injection sites for intramusclar injections: | dorsogluteal site, gluteus maximus (common), ventrogluteal site (preferred), vastus lateralis site, rectus femoris site, deltoid site |
| Injections into the dorsogluteal site should be given in the: | Upper Outer Quadrant (UOQ) of the buttocks. |
| To find the UOQ of the buttocks | "bless the butt" Choose a cheek and divide into quadrants to find the upper outer area |
| The gluteus maximus is a _________ muscle and can hold a fair amount of medication. | large |
| Do not give injections in the gluteus maximus of children younger than: | 3 years of age (use thigh) |
| Preferred site for IM injection; uses gluteus medius and gluteous maximus in hip | vertrogluteal site |
| The ventrogluteal site has no __________ and is a safe injection site for ___________. | nerves or blood vessels; children |
| Injection site in the outer thigh | vastus lateralis |
| The vastus lateralis has no large: | nerves and blood vessels |
| The vastus lateralis (outer thigh) is a desirable site for injections for: | infants and small children; thin or debilitated patents |
| To identify the vastus lateralis, find the greater ___________ and point the fingers _________. | trochanter; down |
| The ________________ is the antrior aspect of the thigh. | rectus femoris |
| The rectus femoris is used on ____________. This location causes __________. | infants; pain |
| The injection site on the lateral aspect of the upper arm is the: | deltoid site |
| The deltoid site is the __________ used IM site. | least |
| The deltoid is a ____________ muscle. This site is used only for ___________. | smaller; adults |
| The deltoid site is limited to _____ mL of solutions during injections. | 1 |
| To identif the deltoid site correctly, locate the ______________ of the shoulder and the belly of the deltoid is _____ finger-breadths below that. | acromion process; 3 |
| Technique for manipulating tissue to seal medication (especially an irritant) in the muscle. It is done so medication doesn't seep out and will stay in the muscle/skin. | Z-track |
| _______ is given with the Z-track technique. | Iron |
| To reduce injecton discomfort, use the ________ gauge needle that is appropriate. Change the needle before administering a drug that is __________ to the tissue. | smallest; irritating |
| To reduce injection discomfort, select a site that is ___________. Injection sites should be ___________. Numb the skin with an _________ before the injection. | free of irritation; rotated; ice pack |
| To reduce injection discomfort, insert and withdraw the needle slowly and ___________. Use the Z-track method for ____________ injections. Apply pressure to the site during needle withdawal. _______ the site afterward. | steadily; intramuscular; massage |
| To find the ventrogluteal site, place the palm on the greater ____________, place index finger on anterior iliac spine, spread middle finger as far as possible toward the ________________. The center of the "V" is the injection site. | trochanter; posterior iliac crest |
| When giving a ventrogluteal site, the patient should be: | laying down to recieve the shot. |
| Nursing implications when giving injections: | acute pain; anxiety; fear; risk for trauma; deficient knowledge; ineffective therapeutic regimen management |
| Gerontological considerations with injections - Older adults have decreased ___________; older adults with diabetes have _______________ interfering with their ability to self administer insulin, so they should be provided ______________. | subcutaneous fat; visual problems; prefilled insulin syringes |
| Dementia and musculoskeletal deformities _________ techniques for positioning clients when selecting and identifying site landmarks appropriately. | complicate |
| When an older adult has a change in mental status or behavior coincidng with the administration of a new drug, consider: | the possibility of an adverse drug effect. |
| Activate _________________ as soon as injection is given. | safety injection equipment |
| This should be used as a diluent with Rocefin to numb the skin (since Rocefin is thick and will be painful going in). | Lidacaine |
| This is commonly given in ampules. | Vitamin K |
Created by:
akgalyean
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