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Module 2 Exam 1 > Parenteral Injection > Flashcards

Parenteral Injection Flashcards

(74 cards)

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1
Q

What are the different classifications of med vials?

A
  • Single or multidose
  • Plastic or glass
  • Liquid or powder
  • Sealed top and rubber injection port
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2
Q

What must you always check on med vials?

A

Expiration date

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3
Q

What do you do after using a multi dose vial?

A

Date and initial it

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4
Q

What is a gauge?

A

The diameter of needle

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5
Q

When choosing a needle, what must you ensure that it can reach?

A

The targeted tissue

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6
Q

Needle size for Dermis (ID) Injection

A

0.5” to 5/8”

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7
Q

Needle size for SQ anticoagulants and insulin

A

Anti: 2/8” to 5/8”
Insulin: 1/2” to 5/16”

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8
Q

Needle size for IM injection

A

1” to 1.5”

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9
Q

Which needle type/size is most common for adults?

A

IM (1” to 1.5”)

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10
Q

What gauges of needle is considered small and which ones are large?

A

Small: 27g - 20g
Large: 21g - 18g

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11
Q

What types of needles are used for ONLY withdrawing needles?

A

Filter and Blunt filled needles

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12
Q

Why are filter needles called that and what should you always use these with?

A
  • There’s a small filter in them to catch any debris
  • Ampules, it is best practice
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13
Q

What should you use blunt filled needles with?

A

Vials (Rubber stopper)

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14
Q

For withdrawing meds, if there are no Blunt filled needles, what should you use?

A

Filter needle, or smallest possible needle

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15
Q

After withdrawing medications, what should you do?

A

Throw away the needle and replace with a new and sterile injection needle

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16
Q

When throwing away a blunt/filtered needle used for med withdrawal, what can you do and how do you do this?

A
  • You CAN recap if you want
  • IF you do ALWAYS use only one hand
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17
Q

What types of needles are not allowed in a pt’s room except for certain scenarios?

A
  • Blunt/Filter
  • ONLY when used for blood specimens
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18
Q

How do you decide which syringe you use?

A

Use smaller possible needle needed to administer med

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19
Q

How can you keep syringe’s sterility?

A

Never place it down

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20
Q

What is the first check of med preparation?

A

Acknowledge HCP orders

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21
Q

What is the second check of med prep?

A

Take med from Pyxis and verify against eMAR screen

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22
Q

What must you check on the meds?

A

Expiration date and package integrity

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23
Q

How do you clean the med injection port?

A

Use an alcohol swab for 15 seconds

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24
Q

What must you do for Multi-Dose vials?

A

Date and initial them

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25
What is the third checkoff med admin?
Verify/scan the vial/ampule at the bedside
26
5 steps of preparing single dose vial meds?
- Selects proper syringe and BF needle - Clean the top if vial and then inject air equal to amount of meds needed to be withdrawn ("Charge" the vial) - Withdraw the entire amount from the vial - Prepare the exact amount of med - Remove the BF needle and attach the appropriate sterile needle
27
Can you mix 2 meds in one syringe?
Yes as long as theyre compatible
28
If getting meds from a vial and an ampule, which one do you get first?
Vial and then the ampule
29
How many uses are ampule meds?
Single
30
Ampiles have ___ necks
scored
31
For ampules, blunt or filter needles? and why?
Filter, to avoid glass shards
32
How do you take meds from an ampule? 4 steps
- Hold the ampule upright and tap the top to dislodge med - Place a barrier around the neck and break away from you - Withdraw all medication - Place everything in the sharps box
33
What's a med reconstitution
A med that must be made with a fluid/diluent
34
What is the med's concentrated form?
Solute: The powder crystals or liquid
35
Reconstitution
Adding a diluent to a solute to make a specific concentration of a liquid injectable
36
How long do meds keep their potency after reconstituted>
Not long, administer them soon
37
What are the 2 typical diluents?
NS or sterile water
38
3 possible muscles for IM injections?
- Deltoid - Ventrogluteal - Vastus Lateralis
39
What should you avoid when giving IM injections?
- Scars - Irritations - Bruises - Lesions
40
What should you assess just before giving an injections?
Needle and volume
41
For IM injection, what rate should med be administered?
1mL/10 sec
42
For IM injections, how long do you wait before removing the needle?
3-5 secs
43
Why cannot you not rub an injection site just after?
Cause it'll misplace the med
44
Angle for IM injection
90 degrees
45
Max recommended med for Deltoid injection?
1 mL
46
Largest needle size for deltoid injection?
1"
47
Which muscle is recommended for thicker and more painful IM meds?
Ventrogluteal first and then Vastus Lateralis 2nd
48
Max volume recommended for abd and thigh IM injection?
3mL
49
Largest needle size for abd and leg IM injection?
1" to 1 1/2"
50
Recommended syringe for IM abd and leg IM injections?
3mL
51
Why' doe we do the Z track method?
it moves the muscle so that the muscle can get trapped
52
What needle and syringe do you use for insulin?
The ones they come with :)
53
Insulin is injected in ____ tissue?
SubQ
54
What is the SQ main site location?
Abdomen
55
Recommended needle for Anticoagulant SQ meds?
3/8" to 5/8"
56
Max volume of injectable SQ med?
1.5 mL
57
Angle for SQ injections?
45 degrees unless you can bunch up the skin, then you can do 90 degrees
58
what do you do FIRST when going to inject insulin?
Confirm BS
59
How is insulin measured?
units
60
How fast do you have to inject insulin after prepping it?
Minutes
61
Why cannot you not shake insulin needles?
It may create air bubbles
62
Where is insulin absorbed the fastest?
the abdomen
63
How far should insulin injections be from each other?
1"
64
How far should you inject from the lines alba and umbilicus
at least 2"
65
Angle for insertion of insulin/
90 degrees
66
SQ injection site?
Abdomen
67
How do you position pt's for SQ injections?
Reclining/Supine
68
What's the region for SQ injection?
"Love Handles"
69
Angle for deep SQ injection?
90 degrees
70
Where do you administer intradermal (ID) injections?
Middle 1/3 of forearm
71
Angle for ID injections
5 to 15 degrees, only go until bevel enters
72
What matters about ID injections that normally does not about others?
Bevel direction, it must be facing up
73
Fastest to slowest injection rates of absorption
- IV - IM - SQ - ID
74

Module 2 Exam 1 (4 decks)

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