Medications: Intravenous, Insulin Administration

Question 1

Insulin- in basic terms what is it?

Answer 1

Insulin is a hormone produced by the pancrea

Question 2

What does insulin enable cells to do?

Answer 2

It enables cells to use carbohydrates

Question 3

Two issues relative to insulin in patients with diabetes include:

Answer 3

No insulin production

Insufficient insulin production.

Question 4

Insulin varies in what:

Answer 4

Insulins vary in their onset and duration of action

Question 5

Insulins are classified as:

Answer 5

1. rapid acting
2. short acting
3. intermediate acting
4. long acting

Question 6

Patients treated with more than one insulin require what?

Answer 6

Patients treated with other insulins may require the mixing of the two insulins in one syringe.

Question 7

Before administering insulin, be aware of:

Answer 7

Before administering any insulin, be aware of the onset time, peak, and duration of effects and ensure that proper food is available

Question 8

The scale commonly used for insulin is

Answer 8

U100

which is based on 100 units of insulin contained in 1mL of solution

Question 9

U100: what is it based on

Answer 9

which is based on 100 units of insulin contained in 1mL of solution

Question 10

What is insulin also calibrated in:

Answer 10

An insulin syringe is also calibrated in units.

Question 11

How does IV administration of drugs get to the body?

Answer 11

Intravenous (IV) administration of medications delivers the drug directly into the bloodstream

Question 12

What kind of effect do medications administered intravaneously have?

Answer 12

Medications administered intravenously have an immediate effect.

Question 13

What is the most dangerous route of administration?

Answer 13

The IV route is the most dangerous route of administration

Question 14

Why is ____the most dangerous route of administration?

Answer 14

The IV route is the most dangerous route of administration because the drug is placed directly into the bloodstream, it cannot be recalled, and its actions cannot be slowed

Question 15

What route of administration is used most frequently in emergency situations?

Answer 15

IV administration is the route used in most emergency situations when immediate onset of action is required

Question 16

When medication is administered by infusion, the patient receives it at what rate?

Answer 16

the patient receives it at a defined rate (mL/hr) over a defined period of time

Question 17

How does Sodium Chloride run intravaneously?

Answer 17

IV fluid, such as 0.9% or 0.45% Sodium Chloride may run continuously at a defined hourly rate

Question 18

Other medications, such as insulin, vasopressors (increase blood pressure), heparin, or sedatives, are titrated (increased or decreased) depending on…

Answer 18

depending on specific parameters such as the patient’s clinical presentation, blood pressure, or laboratory values

Question 19

What do meds administered via IV Bolus or Push involve?

Answer 19

This involves a single injection of a concentrated solution directly into an intravenous line

Question 20

Medications via an Intravenous Bolus or Push administration rate is?

Answer 20

Although the administration rate varies, many drugs are administered over a 2-minute time frame.

Question 21

Medications via Intermittent Intravenous
Infusion

Answer 21

The drug is mixed with a small amount of an intravenous solution, such as 50 to 100 mL of saline or dextrose, and administered over a short period at the prescribed interval

Question 22

How is medications via intermittent IV infusion usually administered?

Answer 22

The administration is most often performed using an intravenous infusion pump,

Question 23

What does the infusion pump require the nurse to do?

Answer 23

The administration is most often performed using an intravenous infusion pump, which requires the nurse to program the infusion rate (mL/hr) and prescribed volume into the pump.

Question 24

Medications via Intermittent Intravenous Infusion may also be administered by?

Answer 24

Administration may be achieved by gravity infusion,

Question 25

What does gravity infusion require?

Answer 25

requires the nurse to calculate the infusion rate in drops per minute (gtt/min).

Question 26

Drop factor

Answer 26

represents the number of drops per mL a specific IV tubing set delivers

Question 27

Who is drop factor determined by?

Answer 27

drop factor is determined by the manufacturer and printed on the IV tubing packaging