injectable meds

Question 1

What does a lower needle gauge number indicate?

Answer 1

A thicker needle.

Question 2

What are the three sterile parts of a syringe?

Answer 2

Barrel, tip, and plunger.

Question 3

What is the usual syringe size range for parenteral injections?

Answer 3

1–5 mL

Question 4

When are filter needles used?

Answer 4

When drawing up medication from ampules (prevent glass shards)

never used for administration.

Question 5

What does the length of a needle depend on?

Answer 5

Injection site depth and patient body type.

Question 6

What is the angle for intradermal injections?

Answer 6

5–15 degrees.

Question 7

IM injections
angle:
length:
gauge:

Answer 7

A: 90 deg
L: 5/8 - 1.5 in
G: 20 - 25

Question 8

SUBQ injections
angle:
length:
gauge:

Answer 8

A: 45 or 90 deg
L: 3/8 - 5/8
G: 25 - 27

Question 9

Intradermal injections
angle:
length:
gauge:

Answer 9

A: 5 - 15 deg
L: 1/2 - 5/8 in
G: 25 - 27

Question 10

What is the angle for subcutaneous injections?

Answer 10

45 or 90 degrees based on fat thickness.

Question 11

What is the angle for intramuscular injections?

Answer 11

90 degrees.

Question 12

What is a Carpujet?

Answer 12

A pre-filled, single-dose medication cartridge used with a reusable holder.

Question 13

What are ampules?

Answer 13

Sealed glass containers holding a single dose of medication.

Question 14

why are ampules used?

Answer 14

the chemical strucuture of the medication needs to a certain temperature + environment to remain stable

Question 15

What needle must be used to draw from an ampule?

Answer 15

A filter needle.

Question 16

What is a vial?

Answer 16

A small bottle with a rubber stopper that holds single or multi-dose meds.

Question 17

Why is air injected into a vial before withdrawing medication?

Answer 17

To prevent vacuum formation.

Question 18

What is reconstitution?

Answer 18

Adding diluent to a powdered med to prepare it for injection.

Question 19

What’s the absorption rate for IM injections?

Answer 19

Fast (why? highly vascular)

Question 20

What’s the absorption rate for subcutaneous injections?

Answer 20

Moderate.

Question 21

What’s the absorption rate for intradermal injections?

Answer 21

Slow

Question 22

What is the volume limit for intradermal injections?

Answer 22

0.5 mL.

Question 23

What is the preferred syringe for intradermal injections?

Answer 23

Tuberculin syringe.

Question 24

What sites are used for subcutaneous injections?

Answer 24

Abdomen, back of arm, thigh.

Question 25

What sites are used for intramuscular injections?

Answer 25

Deltoid, vastus lateralis, ventrogluteal.

Question 26

What method is used during IM injections to prevent irritation?

Answer 26

Z-track method.

Question 27

What is the maximum volume for IM injections in adults?

Answer 27

Up to 3 mL.

Question 28

Where do you give a deltoid IM injection?

Answer 28

2-3 finger widths below the acromion process.

Question 29

What volume is safe for deltoid IM injections?

Answer 29

Up to 2 mL.

Question 30

Which IM site is safest for larger volumes (up to 3 mL)?

Answer 30

Ventrogluteal.

Question 31

What are the landmarks for a vastus lateralis injection?

Answer 31

Between one hand width below the greater trochanter and one above the knee. "make a window"

Question 32

What should you assess before giving an injection?

Answer 32

Allergies, medication history, beliefs, and previous injection sites.

Question 33

What size needle is typically used for intradermal (ID) injections?

Answer 33

1/2"–5/8" 25–27 gauge.

Question 34

What size needle is typically used for subcutaneous (SubQ) injections?

Answer 34

3/8"–5/8" 25–27 gauge.

Question 35

What size needle is typically used for intramuscular (IM) injections in adults?

Answer 35

5/8"–1.5" 20–25 gauge.

Question 36

How do you safely recap a needle that hasn't been used on a patient?

Answer 36

Use the one-hand scoop method and secure by pressing to a wall.

Question 37

What is the max volume for subcutaneous injections?

Answer 37

0.5–1 mL.

Question 38

Why is site rotation important for injections?

Answer 38

to prevent tissue damage and ensure absorption.

Question 39

What do you do after inserting a needle into an IM site using Z-track method?

Answer 39

Inject slowly, hold for 10 seconds, then withdraw and apply pressure.

Question 40

What is the purpose of the Z-track method in IM injections?

Answer 40

Prevents irritation and medication leakage into subcutaneous tissue.

Question 41

What’s the landmark for ventrogluteal injection site?

Answer 41

Greater trochanter and anterior iliac spine, insert in the "V" between fingers.

Question 42

What’s the process for mixing meds via reconstitution?

Answer 42

Clean vials, inject diluent, swirl to mix, draw med for administration.

Question 43

What is a non-Leuer lock syringe tip?

Answer 43

A push-on tip that may require a slight twist and pressure to secure.

Question 44

What is a Leuer lock syringe tip?

Answer 44

A twist-on tip that secures the needle.

Question 45

Why do we clean the rubber stopper on a vial?

Answer 45

To prevent contamination and infection.

Question 46

How do you open an ampule safely?

Answer 46

Break the neck using gauze or an ampule opener and dispose of top in sharps.

Question 47

What is the bevel of a needle?

Answer 47

The slanted tip used for piercing the skin.

Question 48

What should you see after an intradermal injection is given properly?

Answer 48

A bleb or wheal forms.

Question 49

Intradermal supplies: injection process: (5)

Answer 49

supplies: 1 mL syringe, ,1/2 - 5/8 in, 25–27G needle 1. clean arm, stretch skin taut 2. insert needle, bevel up, slowly, at a 5 - 15 angle 3. inject slowly to form a bleb/wheal 4. don't massage 5. monitor for irritation

Question 50

What is the step-by-step process for a deltoid IM injection? (6)

Answer 50

Identify landmarks and clean site. Use nondominant hand to stabilize muscle. Insert needle at 90° angle swiftly. Inject medication slowly. Hold for 10 seconds, withdraw, apply pressure. Do not massage; document administration.

Question 51

Subcutaneous injection supplies: process: (5)

Answer 51

S: 1-3 ml synringe, 3/8 - 5/8 in, 25- 27 gauge clean site (abdomen, arm, thigh) pinch skin if needed: 1 in = 45 deg or 2 in = 90 deg inject med slowly withdraw needle, apply gentle pressure if needed rotate sites, dispose + document

Question 52

What anatomical landmarks are used to locate the deltoid site?

Answer 52

2–3 finger widths (1–2 inches) below the acromion process, above the axillary line.

Question 53

What is the step-by-step process for a vastus lateralis IM injection?

Answer 53

Locate landmarks: One hand width below the greater trochanter and one hand width above the knee, in the middle third of the anterolateral thigh clean site. Stretch skin taut. Insert needle at 90° angle. Inject slowly. Hold for 10 seconds. Withdraw needle, apply pressure (no massage). Document the procedure.

Question 54

How do you find the ventrogluteal site using hand placement?

Answer 54

Place palm on greater trochanter. Point thumb toward the patient’s abdomen. Index finger points to anterior superior iliac spine. Middle finger spreads along iliac crest. Inject in the center of the "V" formed by index and middle fingers.

Question 55

What is the step-by-step process for a ventrogluteal IM injection? (7)

Answer 55

Locate landmarks (Greater trochanter and anterior superior iliac spine) and clean site. Displace skin laterally using Z-track method. Insert needle at 90° angle. Inject medication slowly. Hold for 10 seconds. Withdraw needle, release skin, apply pressure. Do not massage; document.

Question 56

Why is the ventrogluteal site preferred for larger volumes?

Answer 56

It’s away from major nerves and blood vessels, making it a safer site.