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Med Surg > Lab > Flashcards

Lab Flashcards

1
Q

What are parenteral Routes?

A

ROutes for administering medications other than oral. Including IV, SC, ID, IM. they are faster than the enteral (oral) route

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2
Q

What are IM injections?

A

injections into muscle.

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3
Q

What are the best locations for IM injections?

A

vastus lateralis and deltoid.

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4
Q

How do you inject IM?

A

90 degrees no matter the size of the pt. dart like. to the hub of the needle. 1mL per sec. wait 10 secs before withdrawing.

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5
Q

How does gage of needles work?

A

smaller number in gage the bigger around the needle

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6
Q

what are sharps with engineered sharps injury protection? SEIP

A

SEIP. sharps with special caps that slid so we don’t have to recap them.

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7
Q

How do you pick what syringe?

A

the smallest syringe possible for the amount of mL you need to administer

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8
Q

What is the hub of a needle?

A

connects the needle to the syringe

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9
Q

What is the shaft of the needle?

A

the length of the needle

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10
Q

what is the bevel of the needle?

A

the end tip of the needle

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11
Q

how long of a needle should you use for IM injection?

A

1-1.5 inch

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12
Q

What is a filtered needle?

A

used to draw up medication from ampules to ensure no broken glass gets into the medication to be administered but is NOT used for injecting the pt.

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13
Q

What are ampules?

A

are glass containers that contain the medication needed to be drawn up. they are broken to be opened and require a filtered needle to draw up medications. NOT to inject pt though. do NOT inject air prior to drawing up medication.

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14
Q

What are vials?

A

glass containers with rubber tops that contain medication to be drawn up. they do NOT require a filtered needle to draw up medication. they have a rubber seal. can be single use or multidose. can be liquid or powder form. must inject air into before drawing up the medication to make the med flow easier

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15
Q

When do we mix medications?

A

when medications are compatible in order to avoid the pt having to have more than one injection

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16
Q

How do you mix insulins?

A

cloudy, clear, clear, cloudy. (normal, rapid, rapid, normal)

17
Q

What are itradermal injections usually used for?

A

typically skin testing. example TB testing

18
Q

What size of needles are used for ID injections?

A

short 3/8 to 5/8 inch, fine gauge of 25 to 27

19
Q

What angle for ID injection?

A

5 to 15 degrees.

20
Q

what amount of medications should be injected ID?

A

small amounts only 0,01 to 0.1 mL.

21
Q

True or False. you should squeeze the med site and observe for skin reaction after ID injection?

A

False.

22
Q

Nurse is performing ID injection and feels resistance when inserting medication. What should the nurse do next?
A) remove needle
B) dilute medication
C) advance the needle
D) Inject medication

A

D) will feel resistance as not too deep. tight layer of skin does not expand easily

23
Q

What amounts of medication can be injected SC in infants and adults?

A

Adults: less than 2 mL
Infants: 0.5mL

24
Q

What length of needle should be used for SC injection?

A

5/8

25
Q

What gauge of needle shoould be used for SC injection?

A

23-25 gauge

26
Q

What angle should SC injections be given?

A

45 to 90 degrees. depending on pt weight and amount of SC tissue

27
Q

What sites can SC injections be given?

A

back of arm, abdoman and interior of thighs and lower back.

28
Q

What length of needle should be used for IM injection?

A

1 inch to 1.5 inch

29
Q

What gauge of needle should be used for IM injection?

A

22-20 gauge

30
Q

What locations can be used for IM injection?

A

ventrogluteal, vastus lateralis and deltoid,

31
Q

If administering more than 2mL of medication is being given what site should be used?

A

ventrogluteal

32
Q

What amount of medication can be administered in the deltoid?

A

2mL or less

Med Surg (4 decks)

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