Unit III-J
Quiz yourself by thinking what should be in
each of the black spaces below before clicking
on it to display the answer.
Help!
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| What is the range of syringe size? | 0.5-60mL
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| What syringe size range is usually adequate for a SQ or IM injectin? | 1-3mL
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| What is the capacity of a TB syringe? | 1mL
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| Most insulin syringes are designed to be used with what type of Insulin? | U-100 strength insulin
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| What are the three things that determine which needle to use? | 1. size
2. weight
3. type
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| What are the six steps for mixing med from two vials? | 1. Aspirate the volume of air equivalent to the dose of the first med.
2.Inject the air into vial A
3. Aspirate air equivalent to the dose of 2nd medication.
4. Inject air into Vial B
5. Wdraw medication from Vial B
6. Wdraw med from Vial A
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| What should be done before drawing up insulin dose? | gently roll all cloudy insulin preps bewteen the palms of the hands to resuspend the insulin
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| Why should insulin vials never be shaken? | Shaking creates air bubbles and results in inaccurate dosing
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| When should insulin be mixed with another drug? | Never. Unless it is approved by the prescriber.
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| What two types of Insulin should never be mixed with other Insulin? | glargine (Lantus)
detemir (Levemir)
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| Which Insulin should be admin.within 15 minutes before a meal? | rapid-acting insulins mixed with NPH insulin
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| When injecting LMWH, what are the sites of injecting? | right or left sides of the abdomin at least 2 inches from the umbilicus (<3 handles)
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| What are sites recommended for SQ injection? | Fatty places. (upper Arms, belly, thighs, top of butt, upper back)
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| What do you do when there is an air bubble in a prefilled syringe of LMWH | Nothing. Do not expel the air.
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| What needle and syringe is used for U-100 Insulin? | U-100 Insulin syringe
25-31 gauge needle
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| When giving U-500 Insulin what syringe should be used? | 1 mL TB syringe
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| What does rotating the (insulin) injections within the same site usually do? | Provides more consistency in the absorption of insulin.
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| No injection site should be used again for at least how long (when injecting Insulin)? | at least 1 month
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| List the sites of insulin injection according to rate of absorption (quickest to slowest) | Abdomen
Arms
Thighs
Buttocks
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| Why is the Z-track method used? | to minimize local skin irritation by sealing the medication in muscle tissue
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| An IM injection given Z-Tracks has what kind of muscle as it's preference? | large deep muscle (ventrogluteal muscle)
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| How long after injecting (using ztrack method) do you keep the needle inserted? | 10 seconds. to allow the med to disperse evenly rather than channeling back up the track of the needle.
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