Chapter 20 Part 2 Flashcards by William Kerns

drug

amount/dosage

patient

time

route

5 rights of drug administration

How well did you know this?

Not at all

Perfectly

show assistant drug container before drawing it up

check 3 times

never use unlabled or expired

right drug

How well did you know this?

Not at all

Perfectly

once when getting out of pixus or off shelf

when drug is removed from container (drawn up)

when container is replaced

check 3 times

right drug

How well did you know this?

Not at all

Perfectly

measure carefully and accurately

use correct size syringe

right amount/dosage

How well did you know this?

Not at all

Perfectly

ask patients name

check wristband

birthdate

right patient

How well did you know this?

Not at all

Perfectly

physician or practitioner determined

NOT rad tech

right time

How well did you know this?

Not at all

Perfectly

oral

sublinguil

topical

parenteral

right route

the way administered

How well did you know this?

Not at all

Perfectly

most common route

make sure they are conscious

head elevated

oral

How well did you know this?

Not at all

Perfectly

under tongue

allow to dissolve

never swallowed

nitroglycerin common one

sublingual

How well did you know this?

Not at all

Perfectly

directly on skin

unit dosage device (transdermal patch)

precise dose released over time

topical route

How well did you know this?

Not at all

Perfectly

by injection or route other than digestive tract

intramuscular(ex: epi-pen)

intradermal(ex: TB)

subcutaneous

intravenous(ex: IV)

parenteral

How well did you know this?

Not at all

Perfectly

if drug is injected incorrectly may cause nerve damage and introduce microorganisms into system

parenteral

How well did you know this?

Not at all

Perfectly

rapid onset

(ex: epi-pen)

intramuscular

How well did you know this?

Not at all

Perfectly

like a TB test

intradermal

How well did you know this?

Not at all

Perfectly

slow constant absorption

subcutaneous

How well did you know this?

Not at all

Perfectly

immediate onset

intravenous

How well did you know this?

Not at all

Perfectly

drug container

syringe

needle

angiocaths

supplies for injection

How well did you know this?

Not at all

Perfectly

ampule

vial

IV bag

larger bottle

what drug comes in (containers)

How well did you know this?

Not at all

Perfectly

sealed glass container

single dose

ampule

How well did you know this?

Not at all

Perfectly

hold upright

flick top with fingers for contents to go to bottom

guaze around top

break at score line

do not contaminate needle as going into glass container

ampule method

How well did you know this?

Not at all

Perfectly

small glass (plastic) bottle with sealed rubber top

vial

How well did you know this?

Not at all

Perfectly

pull back plunger to get air in syringe then insert into top

held in non-dominant hand

syringe in dominant hand

hold uipside down

swipe top with alcohol wipe before needle insertion

vial method

How well did you know this?

Not at all

Perfectly

plastic discard after use

tip

barrel

plunger

syringe

How well did you know this?

Not at all

Perfectly

leur lock syringe

holds tip and needle in place

type of syringe

How well did you know this?

Not at all

Perfectly

where needle attaches

tip

calibration scales

barrel

inside part that fits into barrel

plunger

use for precise measurement of small amount of drug

tuberculin syringe insuline syringe

reduce number of needle sticks (white ring on port)

needless injection system

hub cannula (shaft) bevel

needle parts

refers to diameter larger = smaller diameter

needle guage

18 gauge to draw up drug smaller diameter to inject(25 gauge is common)

correct size gauge information

refers to shaft (cannula) portion of needle (.25-5 inches)

length

shorter needle longer bevel (due to shallow angle)

subcutaneous injections

intramuscular injections

longer needle rapid onset example is epi-pen

angle at tip of needle

bevel

long bevel shallow injection angle

subcutaneous injection

short(small) bevel steeper angle covers short distance

intravenous injection

leave catheter behind to administer drugs through flexible less likely to harm vein safer

angiocaths

when you pull needle out the needle is drawn into protective sheath prevents unintended needle pokes for healthcare worker

angiocath safety

used for small veins come in gauge sizes

butterfly needle

tourniquet alcohol swab betadine cotton balls gauze latex free gloves hypo allergenic tape arm board

other parenteral supplies

absorbed directly into blood stream more rapid onset of effects route other than digestion

parenteral method of administration

the ability of a liquid to flow easily

viscosity

thicker fluid flows slowly

high viscosity

25 gauge 45° angle for average patient sites: thigh, upper back,upper arm, abdominal

subcutaneous (administration) injection

anterior thigh upper back outer surface of arm lower abdomen

sommon sites for subcutaneious injection

90° angle of insertion 1-3 inches into body 19-25 guage needle depending on viscosity

intramuscular injection

deltoid muscle of upper arm vastis lateralis muscle in lateral thigh gluteus maximus muscle of the buttock

common site for intramuscular injection

check label 3 times never use open container check expiration date good habit to not use drug someone else has prepared if prepared for someone or by someone else, show bottle before use

preparing IV injection

when taken off shelf when removed from container when container is replaced

3 checks for correct drug right drug

single administration by Bolus or IV push infusion of large volume of fluid

IV injection methods

drug injected slowly

single administration of IV injection

amount of fluid injected

bolus

rapid injection

IV push

called a drip infusion certain amount of medication over time

IV infusion

monitor patient if drip stops check injection site for infiltration severe swelling and pain, stop immediately apply warm cloth

IV drip precautions

name of drug dosage route of administration localtion of injection time administered expiration date lot #

documentation of drug administration

for tracking purposes incase of problem

documentation of lot #

basilic vein cephalic and basilica veins

common IV injection sites

on posterior of hand

cephalic vein basilica vein

on medial side of anterior surface of forearm or elbow

basilic vein

escape of drug out of the blood vessel into surrounding tissue

extravasation infiltration

remove needle apply pressure hold warm compress on site get nurse

extravasation/infiltration procedures

gadolinium based (rare earth metal)

most common MRI contrast material

shorten relaxation time of atoms in body

what contrast accomplishes

orally or IV

contrast administration

magnevist omniscan optimark

brands of contrast

kidney disease renal failure

contrast is contradicted in these patients

get into connective tissue and harden them

result of contrast in patient with renal problems

Chapter 20 Part 2 Flashcards

(70 cards)