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NRSG 202 > Seminar 4 > Flashcards

Seminar 4 Flashcards

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1
Q

syringes have what three components to them?

A

a tip, barrel, and plunger

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2
Q

a non luer locked syringe is referred to as a?

A

“slip tip”

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3
Q

What size syringe is usually used for IM And SC injections?

A

Typically a 1mL to 3mL syringe is used for Subcut and IM

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4
Q

If the syringe is more than 2/3 or 75% full, what should the nurse do?

A

a larger syringe size should be used

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5
Q

Smaller syringes often have a non- what?

A

non-removable needle

example, insulin and TB needles

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6
Q

The larger the gauge number the b).. the diameter of the shaft

A

b) smaller

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7
Q

gauges vary from varies from

A

16G to #28G

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8
Q

2 things

Length of needle is dependent on assessment:

A
  • client weight & size
  • location of injection site
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9
Q

3 things

Needle gauge is determined by:

A
  • Viscosity of medication
  • Location of injection
  • Type of injection (SC or IM)
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10
Q

What is this?

HUB:

A

fits onto the end of the syringe

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11
Q

What is this?

Shaft:

A

hollow needle opening or lumen

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12
Q

What is this?

Bevel:

A

Slanted pointed tip

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13
Q

what colour hub is the blunt Fill Needle With Filter

A

(Lilac hub)

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14
Q

What colour hub is the Blunt Fill Needle

A

(Red hub)

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15
Q

on a ampoule, if it has a dot, this is where you

A

apply pressure

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16
Q

Ensure all fluid is located in the a).. of the ampoule

A

bottom

-flick ampoule if fluid is stick in the top.

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17
Q

What type needle should you use to draw fluid from a ampoule?

A

blunt filtered fill needle (lilac)

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18
Q

remember

Syringes containing medication for injection must be labelled with:

A

2 Client Identifiers
Name of Medication
Dose/Volume
Route

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19
Q

How much fluid can be injected into the SC tissues?

A

Usually less than 1mL injected via subcutaneous route
(Some institutional policies may state up to 2mL)

1mL for exam

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20
Q

what gauge and size is typically used for a subQ injection

A

Needle size: 5/8” long
(gauge): usually 25G

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21
Q

if 2.5 cm tissue can be grasped at the site, what angle should medication be adminsitered?

A

Administer at a 45 degree angle

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22
Q

If 5 cm of tissue can be grasped at the site, what angle should a SubQ injection be administered

A

Administer at a 90 degree angle

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23
Q

3 things

Subcutaneous injection sites need to be rotated to:

A
  1. Minimize tissue damage
  2. Maintain absorption
  3. Avoid discomfort
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24
Q

Where can you give a SUBq injection

A

Anywhere you can pinch a inch

Lateral thighs, abdomen, mid back, upper lateral arms,

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25
Heparin should be injected a).. away from the umbilicus
**at least 5 cm**
26
Heparin is injected at a).. degrees
90
27
What is the preferred site for SC Heparin injections
the abdomen, because it has slow absorption | NOTE **** (opposite of insulin which is absorbed faster in abdomen)
28
over how many seconds should subq heparin injections be administered?
Administer very slowly over 10 to 20 seconds
29
LMWH (low molecular weight Heparin) comes in a spring-loaded prefilled safety syringe with the needle attached. **Should we prime this type of syringe?**
NO, do not prime or remove the air bubble
30
cloudy insulin should be a).. prior to withdrawing
rolled between the hands to mix
31
Insulin needles are usually what gage and what length?
gauge: 26 - 31 Length: ¼ - ½ inches long
32
Sometimes two types of insulin are combined into one insulin syringe,. **Why?**
Less injections to administer
33
When injecting a multi-dose of insulin, what order should air be drawn and what order should med be withdrawn?
air into **cloudy** air into **clear** withdraw from **clear** withdraw from **cloudy** | remember RN for (regular than NPH). CLEAR insulin sandwhich
34
Insulin via syringe can be administered in what three places? And in what order is faster absorbed?
1. abdomen, then 2. arms, then 3. thighs and buttocks
35
When initiating a subcutaneous butterfly, the line and needleless cap must be primed when?
after insertion | small amount of air WILL be injected into patient
36
# intial priming volume Saf-T-Intima device line = 0.17 mL (yellow) MAX Zero Needleless cap = 0.19 mL Priming Total =
Saf-T-Intima device line = 0.17 mL (yellow) MAX Zero Needleless cap = 0.19 mL Priming Total = **0.36 mL ** | This is in addition to the dose of medication you are giving
37
when inserting a subq butterfly, the skin needs to be swabbed with?
chlorhexidine
38
when angle should a subq butterfly be inserted?
30-45 degree angle
39
when labeling the tegaderm for a subq butterfly, what information should be included?
Label the Tegaderm with the date, name of medication and concentration
40
When charting a SCBF what should be documented and where?
Chart in nursing notes: - insertion of the device, - location, - how the client tolerated the process
41
how many days can s SCBF be used for?
Can be used for up to 7 days (IH: usually 4 days)
42
Subcutaneous devices can only be used for a).. that is on the label
specified medication and concentration
43
When giving IM injections, drugs have a a) onset of action
faster
44
what size needle and gauge should be used for IM injections?
Gauge: 21-23G Length: 1/2 -1 ½” long needle
45
a obese client may need what size needle for IM injection?
up to a 3” long
46
IM injections should be given at what angle
90 degrees
47
Site of a IM injection is determined by the
medication and volume
48
Length of a IM injection is determined by the
site and weight of the individual
49
the volume administered for a IM injection will be determined by
muscle development and mass
50
what is the preferred IM injection sit in adults?
Ventrogluteal
51
What volume can be administered into the ventrogluteal muscle?
Typically up to 3mL (in some cases up to 5mL)
52
You can administer a ventrogluteal IM injection into a patient in what three positions
Side-lying Supine Prone
53
What are the three landmarks when giving a IM ventrogluteal injection?
Greater Trochanter Iliac crest Anterior superior iliac spine
54
what volume of medication can be adminstered into the deltoid muscle
Up to 2mL
55
what landmark do you use for the deltoid muscle?
3-5cm below acromion process
56
what volume of medication can be adminstered into the vastus lateralis
Typically up to 3mL (in some cases up to 5mL)
57
what position should you patient be in when doing a IM vastus lateralis injection?
Can administer to client in: Supine Sitting
58
What landmarks should the nurse use when giving a vastus lateralis injection
= Anterior lateral aspect of the thigh into the middle third = Greater Trochanter = Lateral femoral condyle
59
What volume can be injected into the rectus femoris?
Typically up to 3mL (max 5mL)
60
a IM rectus femoris injection should be administered into the A)
anterior aspect of thigh
61
What landmarks should be used for giving a IM rectus femoris injection
Anterior aspect of the thigh Anterior superior iliac crest Patella
62
Why are rectus femoris IM injections not the first site choice?
They can cause significant discomfort for the patient
63
What position should the patient be for a rectus femoris injection?
Can administer to client in: Sitting Lying
64
IM injections should be given in the dorsogluteal muscle **True or false**
FALSE!!!!! Risk for sciatic nerve damage Often end up in subcutaneous tissue and not muscle
65
# 10 risk Risk for IM injections
Muscle fibrosis Contractures Hematoma Injury to blood vessels, bone, nerves Pain Bleeding Abscess Cellulitis Tissue Necrosis Granuloma
66
How can you reduce risk when giving a patient a IM injection
Proper landmarking. Insert needle quickly and than 5-10 second injection. Have patient hold still, not flexed (relaxed).

NRSG 202 (11 decks)

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