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Flashcards in Injections Deck (35):
1

Do we give injections in the dorsogluteal muscle?

NO!! There is a good chance you will hit the sciatic nerve!!

2

Where can you give subcutaneous injections?

Abdomen
Upper hips
Upper back
Lateral upper arms
Lateral upper thighs

3

Where can you give intradermal injections?

Forearm
Upper back

4

When do we use the deltoid muscle for injections?

Reserve for immunizations

5

Do we aspirate with subcutaneous injections?

No!

6

Do we aspirate with intradermal injections?

No!

7

Do we aspirate with ventrogluteal and vastus Lateralis injections?

Yes!

8

Do we aspirate with deltoid injections?

No!

9

What is the needle length for IM injections?

1-1.5 inches in adults
5/8-1 inch in children

10

How far away from the umbilicus or stoma do subcutaneous injections go?

2 inches

11

What is the angle of insertion for IM injections?

Always 90 degrees

12

What is the angle of insertion for subcutaneous injections?

45 degrees- child or thin adult
90 degrees- adult

13

What is the angle of insertion for an intradermal injection?

5-15 degrees

14

What the right needle gauge for IM injections?

22-27 for aqueous fluids
18-22 for viscous fluids (Ativan)

15

What is the size gauge for subcutaneous injections?

25-29

16

What is the right size gauge for intradermal injections?

25-27

17

What kind of needle do you use when drawing medicine from an ampule?

Filter needle

18

What is the correct way to draw up IM injections?

Draw up medicine using one needle, and switch needles before giving the injection.

19

What is the max volume for ventrogluteal or vastus lateralis injections?

2-3 mL

20

What is the max volume for deltoid injections?

0.5-1 mL

21

What is the max volume for intradermal injections?

0.1mL

22

What kind of syringe is used for ID injections?

Tuberculin syringe.

23

Where are the sites you can give IM injections?

Ventrogluteal
Deltoid- reserve for immunizations
Vastus Lateralis

24

Rapid acting insulins

"Logs"

25

Short acting insulins

"Lins-R"

26

Intermediate acting insulins

"Lins-NPH"

27

What is the onset on rapid acting insulin?

0-15 minutes

28

What is the onset for short acting insulin?

30 minutes

29

What is the onset of intermediate acting insulin?

2 hours

30

Can you mix long acting insulin?

No!! It can't mix with anything, ever!

31

Can insulin be used in an IV?

Yes, but only REGULAR insulin.

32

What is the correct process for mixing insulins?

Roll the NPH to disperse the medicine

Inject the appropriate amount of air into the NPH- do not draw it up

Inject the appropriate amount of air into regular insulin and draw up medicine

Draw up NPH- do not over draw because you can't push medicine back in

33

How many RN's are need to draw up insulin?

TWO!
Draw up meds and ask "what do you see?" Second RN must also document.

34

When should you expect to see hypoglycemia symptoms after giving insulin?

About two hours.

35

What are the symptoms of hypoglycemia?

Diaphoresis
Cold clammy skin
Irritability
Nausea
Tachycardia
Confusion
Fainting
Un responsiveness- severe