parenteral medications

Question 1

When checking the MAR against the doctor’s order, what are you looking for?

Answer 1

Inconsistencies in either and allergies that could have been overlooked

Question 2

What are the 6 rights of medication administration?

Answer 2

Right drug, dose, time, route, patient, documentation

Question 3

When do you check the MAR against the doctors order? (3x)

Answer 3

At the medication cart before gathering meds, at the door, and at the bedside before administering

Question 4

2 patient identifiers

Answer 4

Name and DOB

Question 5

3 sites for IM injection in adults

Answer 5

Ventrogluteal (hip), Vastus lateralis (muscle on the side of thigh), and deltoid (2-3 fingers down from acromion process)

Question 6

How to find the ventrogluteal injection site?

Answer 6

Place palm on greater trochanter of femur, fingers around iliac crest, between pointer and middle finger (should be squishy)

Question 7

How to find deltoid area?

Answer 7

2-3 fingers down from the acromion process

Question 8

How to clean injection site?

Answer 8

Firm circular motion from inner to outer with alcohol pad

Question 9

What to do after injecting and discarding needle?

Answer 9

Document time, medication, dose and route

Question 10

Sites for subcutaneous injections

Answer 10

Backs of arms, outer thigh, and abdomen 2 inches at or below umbilicus

Question 11

For subcutaneous injections, which sites have quicker absorption?

Answer 11

Stomach and backs of arms

Question 12

What angle do you administer a sub-q injection?

Answer 12

45 to 90 degrees

Question 13

What angle for a intramuscular injection?

Answer 13

90 degrees

Question 14

What angle for an intradermal injection?

Answer 14

15 degrees

Question 15

Locations for intradermal injections?

Answer 15

Scapular region (usually for allergy testing) and forearm

Question 16

How many mL of liquid can the deltoid tolerate?

Answer 16

1 mL, as it is a smaller muscle

Question 17

What is the most common needle size for an intramuscular injection?

Answer 17

1 1/2 inches with a 2-3 mL syringe

Question 18

What is aspiration?

Answer 18

Pull back on syringe to see if there is blood return. If there is, you are in a vessel. Used when medicines being administered could cause harm if given intravenously

Question 19

Before drawing medicine from vial, you should:

Answer 19

Clean the top of the vial with an alcohol swab

Question 20

What is the IM site for children?

Answer 20

Rectus femoris

Question 21

How long does it take Toradol to start working?

Answer 21

Less than 30 minutes and works for 4-6 hours.

Question 22

Which type of insulin is cloudy?

Answer 22

Long acting (mix for 10 seconds before drawing)

Question 23

What is the order for injecting air and drawing up insulin?

Answer 23

Cloudy, clear for injecting air and clear, cloudy for drawing up

Question 24

How long after TB skin test does it need to be read?

Answer 24

Within 48-72 hours

Question 25

What does a positive TB skin test look like?

Answer 25

Hard, raised bump/ 5mm +

Question 26

What are the lab levels that need to be reviewed?

Answer 26

AST, ALT, BUN, Creatinine, Blood glucose, A1C

Question 27

What lab levels tell you about the liver function?

Answer 27

AST and ALT

Question 28

What lab levels tell you about the kidney function?

Answer 28

BUN and creatinine

Question 29

What lab level shows that the blood glucose stays high when it is over 7.5%?

Answer 29

A1C. Diabetics will have a higher level as their blood sugar stays up.

Question 30

What is the normal blood glucose level?

Answer 30

Under 100 for a non diabetic.