Asepsis & Injections Flashcards

(72 cards)

1
Q

medical asepsis aka clean technique

A

includes procedures for reducing the number of organisms and preventing their transfer

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2
Q

medical asepsis examples

A
HH
barrier technique
admin of a PO med
supp.
routine environmental cleaning
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3
Q

surgical asepsis aka sterile technique

A

procedures used to eliminate all microorganisms from an area; sterilization destroys all microorganisms and their spores

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4
Q

surgical asepsis examples

A

procedures requiring penetration of skin (central IVs)
when the integrity of the skin is broken (from incisions or burns)
injections
procedures requiring insertion of devices or surgical instruments into normally sterile body cavities (catheter)
specimen collection

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5
Q

wound dressing can be either technique depending on (3)

A
  1. depth of laceration and levels of affected tissue
  2. how fresh the wound is (time)
  3. diabetes/immunosuppressed may be sterile for longer
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6
Q

parenteral means

A

administered in a route other than the digestive tract

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7
Q

purpose of parenteral meds

A

different absorption
some meds only designed for certain routes
vomiting, etc

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8
Q

IM

A

into the body of a mm

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9
Q

IM absorption time

A

10/15 to 30 mins

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10
Q

intradermal (ID)

A

intot he dermis just under the epidermis

TB skin test, allergy testing

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11
Q

subQ (s/c)

A

into the tissues just under the dermis of skin ie. heparin, insulin

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12
Q

SC absorption

A

30 mins

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13
Q

IV

A

into a vein

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14
Q

IV absoption

A

immediate to 5 mins

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15
Q

S/C injection size and gauge

A

3/8 to 5/8, 25 gauge

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16
Q

IM needle size and gauge

A

1-1/2 inch and 22 guage

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17
Q

factors in our choice of needle/syringe

A
quantity of med
body size of pt
tissue type to be injected
route of admin
viscosity of fluid
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18
Q

SC amount of fluid

A

0.5-2 mL

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19
Q

does s/c need aspiration

A

NO

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20
Q

1.00 cc is called

A

TB syringe

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21
Q

for anything under 1 cc except insulin, use this guage/size

A

27 gauge and 1/2 inch

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22
Q

subQ injections for meds that are

A

isotonic, nonirritating, nonviscous, and water soluble

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23
Q

max SC amount for infants and children

A

0.5 mL

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24
Q

SC injection for child

A

usually 26-30 guage
1/2 inch
at 90 degrees

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25
best site for pts with little peripheral subQ tissue
upper abdomen
26
SUB Q angles, generally
25 guage 5/8 " at 45 degrees | or 1/2 inch at 90 degrees
27
norms for graspin 2 inches of skin
90 degrees with 1/2 inch
28
norm for graspin 1 inch
45 degrees with 5/8 inch
29
best site for s/c injections and why
abdomen quickest absorption rate 2" out from umbilicus
30
why do we rotate sc sites
to prevent formation of indurations and abscesses
31
sc sites
``` upper back upper buttocks upper arm abdomen anterior thigh ```
32
injections asespsis
sterile technique for all injections
33
preventing infection during injection (4)
1. prevent contamination of solution 2. prevent contamination of needle 3. prepare skin 4. reduce transfer of microorganisms (HH)
34
7th right
evaluation
35
peak of insulin has risk of
hypoglycemis
36
insulin function
stimulate the synthesis of glycogen from glucose, fats from lipids, and proteins from aa's
37
insulin ___ blood sugar
reduces
38
risk of hyperglycemia WHEN
pre-onset, onset, & duration
39
insulin absorbed most slowly in
thighs
40
WITHDRAW what kind of insulin first?
short-acting
41
WITHDRAW what insulin second? "have to wait longer for 2nd"
intermediate or long acting
42
heparin you ALWAYS (2)
squeeze & leave a bubble at the top!!
43
LMWH's
more prophylactic measure, normal hep more for tx | require less frequent lab monitorying
44
heparin syringe/needle used
TB | 1 cc, 25-27 guage, 5/8 "
45
hep always admined in
abdomen, two inches left or right of umbilicus
46
hep expected therapeutic lab work
under the normal range; means they are undercoagulating (what you want to prevent clots)
47
assess before giving hep
``` nosebleeds blood in urine bruising gum bleeding check lab work (APTT, PTT, INR) ```
48
IM thin adult
5/8 to 1"
49
average IM
1 inch
50
over 70kg IM
1.5 inch
51
obese over 70kg
1.5 inch
52
vastus lateralis site needle LENGTH
5/8-1 inch
53
ventrogluteal ALWAYS length
1.5 inch
54
deltoid length
1-1.5 inch
55
infant length for IM
1 inch
56
toddler length IM
1- 1.25 inches
57
older child
1.5-2 inches
58
IM site for ALL children (recommended)
VG
59
site for up to 12 mo (ie. immunizations)
anterolateral thigh
60
site for 12-18 mos and older (ie. immunizations)
deltoid
61
normal adult mm tolerates mL of fluid
2-5 (ie in VG)
62
but.. right answer is NEVER inject more than __ mL IM for adults (and why)
3 mL, anything over is not well absorbed by body
63
older adult or thin adult tolerates MAX
2 mL
64
older infant tolerates MAX
1 mL
65
child with larger muscles tolerates MAX
2 mL
66
keep skin
taught
67
best practice is to use
z-tracking
68
aspiration?
YES always ecxept for vaccine admin
69
VG site involves the (mm)
gluteus medius and minimus & is safe for ALL
70
preferred site for infant immunization
vastus lateralis
71
why is VL good?
absence of major nn & blood vessels drug absorption rapid mm is thick and well developed
72
deltoid should use volumes of
0.5-1 mL due to potential for injury