PARENTERAL MEDICATIONS Flashcards

1
Q

angle of intradermal

A

10-15 degrees

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2
Q

angle of intravenous

A

25 degrees

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3
Q

angle of subcutaneous

A

45 degrees

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4
Q

angle of intramuscular

A

90 degrees

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5
Q

a type of syringe consisting of a hollow cylinder, usually of glass or plastic, a tightly fitting piston, and a hollow needle ( hypodermic needle ), used for withdrawing blood samples, injecting medicine, etc.

A

hypodermic

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6
Q
  • 1cc syringe
  • used for subcutaneous or intradermal injections of medicines, vaccines, or other substances
A

tuberculin

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7
Q

100 units syringe for insulin

A

insulin

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8
Q

recommended for immunization programmes because they are designed to prevent re-use by locking automatically after a single use

A

ADS / auto-disable syringe

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9
Q

push the hypodermic needle to the syringe end

A

non-luer lock / luer slip

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10
Q

requires the hypodermic needle to be screwed on, rotating the needle clockwise can achieve a very tight fit bond between the needle and the syringe

A

luer lock

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11
Q

recommended needle size for ID

A

23-27 gauge

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12
Q

recommended needle size for SQ

A

24-26 gauge

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13
Q

recommended needle size for IM

A

20-22 / 23-26 gauge

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14
Q

where to store syringes and needles after use?

A

puncture-proof disposal containers

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15
Q

true or false: never bend of break needles before disposal

A

true

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16
Q

true or false: you should recap needles after use

A

false - never recap used needles

17
Q

how to properly recap needle/

A

one-handed scoop method / fishing method

18
Q

a way to minimize discomfort and pain when administering injections is to apply ___ compress

A

cold

19
Q
  • slow absorbing
  • can deliver only small amount of drug
  • breaks skin barrier
A

intradermal

20
Q

sites for ID injection

A
  • beneath scapula
  • upper chest
  • inner lower arm
21
Q

formula for skin test

A

0.9 cc saline + 0.1 cc drug

22
Q

true or false: massage ID site after injecting

A

false

23
Q
  • onset of drug reaction faster than oral
  • requires sterile technique
  • breaks skin barrier
  • more expensive than oral
  • slower than IM
A

subcutaneous

24
Q

some meds injected subcutaneously:

A
  • insulin
  • growth hormone
  • epinephrine
  • heparin
25
Q

common sites for SQ injection

A
  • outer aspect of upper arm
  • anterior aspect of the thighs
  • abdomen
26
Q

guideline for administering insulin through SQ

A

needle should remain embedded for 5 seconds after pushing the plunger

27
Q

what should you do when there is bleeding after SQ injection?

A

apply pressure

28
Q
  • pain from irritating drugs is minimized
  • larger volume can be administered
  • rapidly absorbed
A

intramuscular

29
Q

common sites for IM injection

A
  • ventrogluteal
  • vastus lateralis
  • rectus femoris
  • deltoid
  • dorsogluteal
30
Q

max volume of meds for large muscle

A

3 ml

31
Q

max volume of meds for babies, elderly, emaciated px during IM

A

2 ml

32
Q

a technique in which the provider slightly pulls and holds pressure on the skin when giving an injection, which leaves a zigzag path behind when they remove the needle and release the skin

A

z-track method

33
Q

best site for IM injections for infants, toddlers and children

A

vastus lateralis

34
Q
  • rapid effect
  • limited to highly soluble drugs
  • drug distribution inhibited by poor circulation
A

intravenous

35
Q

___ equipment and drug solution are essential for all parenteral therapy or administration

A

sterile