seminar 4 injections Flashcards

(31 cards)

1
Q

how would you know if you need a bigger syringe for an injection you are giving

A

if the syringe is more than 2/3/75 % full than a bigger syringe should be used

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2
Q

what determines the gauge of needle that you would use during an injection

A

-Viscosity of medication
-location of injection
-Type of injection (ie SC or IM)

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3
Q

what things need to go on a syringe label

A

-2 client identifiers
-Name of medication
-dose/volume
-route

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4
Q

which size of syringe would you typically use for a subQ injection

A

usually a 1-3 mL syringe

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5
Q

how much fluid is usually injected with a subQ injection

A

usually less than 1 mL

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6
Q

when would you administer a SubQ injection at a 45 degree angle

A

if 2.5 cm of tissue can be grasped at the site

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7
Q

when would you administer a SubQ injection at a 90 degree angle

A

if 5 cm of tissue can be grasped at the site

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8
Q

Do you rotate subQ injection sites

A

Yes and rotate body site completely if it is not insulin

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9
Q

what are good locations for subQ injections

A

anywhere that you can pinch an inch

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10
Q

where is the preferred site for heparin injections

A

usually in the abdo (other sites can be used) and at least 5cm away from umbilicus

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11
Q

what angle is heparin injected at

A

90 degrees

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12
Q

what order do you draw insulin

A

-for inserting the air go cloudy to clear
-for drawing the insulin clear to cloudy
(remember R-N so regular insulin which is clear to NPH insulin which is cloudy)

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13
Q

what are the sites in order of how fast they absorb that insulin is injected

A

abdomen is the quickest then arms then thighs then buttox

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14
Q

how many mL do you need to prime a subQ butterfly with

A

prime with 0.21 mL

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15
Q

how long can a subQ butterfly be used for?

A

can be used for up to 7 days

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16
Q

what size of syringe do you use for an IM injection

A

usually a 1-3 mL syringe

17
Q

what is the prefered site for an IM injection in adults

A

Ventrogluteal

18
Q

how many mL is typically administered in an IM injection

19
Q

what structures would you use to landmark an IM injection into the ventrogluteal area

A

-greatertrochanter (the bump of your hip)
-Iliac crest
-anterior superior iliac spine (the ridge thats in front of the iliac crest

20
Q

how many mL can be injected to the deltoid

21
Q

how do you landmark for a deltoid injection

A

inject 3-5 cm below the acromion process

22
Q

how many mL can be injected into the vastus lateralis

23
Q

how do you landmark for a vastus lateralis injection

A

inject into the outer middle third of the thigh

24
Q

how many mL can be injected into the rectus femoris

25
where do you inject if you want to inject into the rectus femoris
the front of the thigh
26
do you ever inject into the dorso gluteal area
no not a site of injection that is used anymore
27
what are some risks associated with IM injections
Pain Tissue necrosis Hitting bone injury to blood vessels
28
what are some risks associated with SC injections
-accidental injection into IM or IV -lipohypertrophy -infection
29
what is lipohypertrophy
when fat tissue builds up from giving an injection in the same spot to many times
30
what does the gauge on the needle refer to
The diameter of the inner lumen of the needle
31
what is the best gauge to use for an IM injection
22 G