Injections
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| What is a non-Luer-lok syringe | a needle that slips onto the tip
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| What is a Luer-lok syringe | a needle the twist on the tip and locks into place
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| A needle has how many parts | 3
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| What is the hub of the needle | It fits into the tip of the syringe
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| What is the shaft of the needle | it connects to the hub
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| What is the bevel of the needle | the slanted tip
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| When giving an injection to an average adult for an intradermal what size gauge and length of a needle would you use | Gauge:25-27
Length: 3/8-5/8 of an inch
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| When giving an injection to an average adult for an subcutaneous what size gauge and length of a needle would you use | Gauge 25-27
Length 3/8-5/8 of an inch
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| When giving an injection to an average adult for intramuscular what size gauge and length of a needle would you use | Gauge: 20-25
Length: 1-1.5 inches
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| What is an ampule | contain single doses of injectable medication in a liquid form and are available in sizes from 1 to 10 mL or more.
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| What is a vial | is a single-dose or multi-dose plastic or glass container with a rubber seal at the top
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| When mixing two insulin's which one do you put in first | Regular insulin first to prevent contaminating the regular insulin with the modified insulin
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| How is modified insulin given | subcutaneously
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| What are examples of subcutaneous medications | epinephrine, insulin, allergy medications, opioids, and heparin. Because subcutaneous tissue contains pain receptors, the patient often experiences some discomfort.
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| Where are the best sites for subcutaneous injections | outer aspect of the upper arms, the abdomen from below the costal margins to the iliac crests, and the anterior aspects of the thighs.
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| What is the normal gauge, inch of needle, and angle for a normal size adult for a subcutaneous injection | 25-gauge 5/8-inch needle inserted at a 45-degree angle or a 1/2-inch needle inserted at a 90-degree angle deposits medications into the subcutaneous tissue of a normal-size patient
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| What is the normal gauge, inch of the needle, and angle for a normal size child for a subcutaneous injection | usually requires a 26- to 30-gauge ½-inch needle inserted at a 90-degree angle (Hockenberry and Wilson, 2011).
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| After administering a subcutaneous injection when should you return to check on the patient | 15-30 mins and ask patient if they are experiencing any pain, numbness, or burning at the site of the injection and evaluate the patients response to the medication. Inspect the site of administration and note bruising or induration. Knows about med
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| What symptoms would you expect from a patient that is experiencing hypoglycemia from insulin | confusion, shakiness, cold sweats, blurred vision
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| What are intradermal injections used for | Primarily used for skin testing's
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| How should you administer a intradermal injection | use a TB or small syringe with a short (⅜ to ⅝ inch), fine-gauge (25 to 27) needle. The angle of insertion for an ID injection is 5 to 15 degrees. Inject only small amounts of medication (0.01 to 0.1 mL) intradermally
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| When giving an intradermal injection which way is the bevel pointed | it is pointed up
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| After giving an intradermal injection when should you go and check on the patient and what should you look for | 15-30 mins and ask if they are experiencing pain, numbness, or tingling at injection site. Ask patient about skin testing and signs of hypersensitivity.
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| What is considered immediate attention for an severe reaction to an intradermal injection | Wheezing, decreased blood pressure, increased pulse, or dyspnea
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| What gauge needle is needed for aqueous injections for intramuscular | 20- to 25-gauge needle
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| What gauge needle is needed for a viscous or oil- based solution for an intramuscular injection | 18-21
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| What gauge needle is needed for a child for intramuscular injection | 22-25
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| An adult that is thin requires what size needle for intramuscular injections | 5/8-1 inch
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| A patient that weighs over 70kg will need what size needle for intramuscular injections | 1-1.5 inch
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| A patient that weighs over 90kg will need what size needle for intramuscular injections | 1.5 inch
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| What are the 3 common sites for IM injections | ventrogluteal muscle involves the gluteus medius and minimus and is safe for adults and children . The vastus lateralis muscle used in adults and is the preferred site for administration of biologicals to infants, toddlers, and children. Deltoid adults
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| How do you use the Z-track method | Pull the overlying skin and subcutaneous tissues approximately 2.5 to 3.5 cm (1 to 1½ inches) laterally to the side with the ulnar side of the nondominant hand. Hold the skin in this position until you have administered the injection.
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