Week 3 Injections and Medication Administration Flashcards Preview

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Flashcards in Week 3 Injections and Medication Administration Deck (51):
1

what are the 6 rights of medication administration?

Patient, medication, dose, route, time, documentation

2

what must you do with the patient before giving medication? (5)

properly identify, discuss allergies (new and old), ask for concerns, obtain consent, MUST educate patient about vaccine prior to injections (VIH, indications for injection)

3

what is a VIS?

vaccine information sheet: gives info about a vaccine to educate the patient prior to injection

4

what must you do RIGHT with medication?

make sure you have the right one

5

what must you do RIGHT with dose

ensure you have the correct dose.

6

What must you do RIGHT with route/site?

get the right injection site: interdermal, sub cutaneous (sub Q), intermuscular, intravenous

7

interdermal injections are commonly used for

TB or allergy test

8

Sub Q injections are commonly used for (3)

some vaccines, insulin, heparin

9

what are the four CHECKS of medication preparation?

Order, integrity, concentration, expiration date

10

What is the order check?

is what is ordered/written what i am holding?

11

what is the integrity check?

is the vial intact, does the color of the medication look right?

12

what is the concentration check?

is this the correct concentration?

13

what is the expiration date check?

is the medication expired?

14

VIS is required by...obtained by? signature?

federal law. obtained by CDC website. do not have to get signature

15

a larger gauge needle is more...

thin

16

what are the three parts of the needle?

hub (fits on syringe hub), shaft (connects to the hub), bevel (slanted tip)

17

what are the three parts of a syringe?

tip (goes into needle hub), barrel (holds the fluid), plunger

18

the 3mL syringe is used for which two types of injections?

SQ and IM injections

19

the 1 mL syringe is used for which type of injections?

intradermal

20

the 23 or 25 gauge one inch needle is often used when giving..

IM injections

21

the 25 gauge 5/8 inch needle is often used for giving...

SQ injections

22

rank the relative depths of intradermal, Sub Q and intramuscular injections

Intradermal most superficial, Sub Q middle, Intramuscular deepest

23

what should the needle angle be for intramuscular injections?

90 deg

24

what should the needle angle be for Sub Q injections?

45-90 deg. if a person has more fat do in closer to 90 deg

25

what should the needle angle be for intradermal injections?

15 degrees

26

medications injected into which site are absorbed the fastest why?

intramuscular, more vascular

27

what is an ampoule?

a medication vial with a glass neck that has to be broken to get the medicaiton

28

how do you withdraw medication from an ampoule?

use a filter needle to draw the medication and then change to a regular needle to adminster the medication to the patient

29

how do you give an injection from a vial

1. remove cap of vial to expose sterile rubber seal
2. wipe surface of rubber seal with an alcohol wipe
3. attach needle to syringe
4. fill syringe with air to the amount of medication needed.
5. Place needle in vial and expell all the air
6. invert vial and allow air pressure to fill the syringe
7. inject any air in the syringe into the vial
8. change needle to appropriate size

30

for a IM injection, of a person weighing less than 130lb what size needle?

5/8 to 1 in

31

for a IM injection of a 130-152 lb what size needle?

1 in

32

what three muscular groups are safe to use for IM injections?

deltoid, vastus lateralis (antero-lateral thigh), ventrogluteal (lateral butt)

33

what are the four needle lenghts

1/2 5/8 1 and 1 1/2 in

34

what are the four sizes (gauge) of needles

21, 23, 25, and 27 gauge

35

what muscle is used most often for IM injections?

deltoid (generally only 1 mL)

36

what are the three techniques to give IM injections?

Z-track, pinch and grasp method, spreading the skin taut between thumb and forefinger method

37

when cant you use Z-track

not for infants or adults receiving vaccines, small muscle masses would not benefit from the Z-track

38

what is the Z-track method?

skin is pulled to the side, injection is given, skin is released. medication is trapped

39

what is the pinch and grasp method?

grasp/pinch muscle to give injections

40

what is the spread the skin taut method?

spread skin with thumb and index finger and give injections

41

what must you do prior to injecting all IM medications (except vaccines)

aspirate (ensures you are not injecting into a blood vessel, you pull back on needle before you push to check for blood)

42

where can a SQ injection be given?

upper arms (upper outer triceps), abdomen, anterior aspect of thigh

43

when giving a SQ injection what should you do to the skin?

pinch!

44

do you aspirate in SQ injections?

no

45

do you ever recap a needle after an injection?

no

46

what size needle for ID?

25-27 gauge, 3/8 to 5/8 inch

47

what is the max amount of fluid injected for ID?

0.1 mL (use a 1 mL syringe)

48

what is a bleb?

a bubble that confirms succesfull ID injection

49

where is the most common site for ID injections?

forearms: 3-4 fingers below antecubital area, 1 hand width above wrist

50

for all allergy medicaiton administartions the patient must stay in the office for how many minutes after injection?

15 minutes

51

what are the hallmark symptoms of anaphylaxis?

shortness of breath, tongue, lip or throat swelling

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