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26 Cards in this Set
- Front
- Back
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During injection, site should be _______ and _______ proximal to puncture site for signs of ________. |
observed, palpated, infiltration |
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Infiltration & extravasation |
fluid has entered tissues instead of vein |
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How to remove needle from injection site? |
Pull straight from vein while holding a gauze pad over the site then apply pressure with the gauze |
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What to do if patient has established IV site? |
check compatibility before using for contrast administration |
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If using existing IV line, what should you do? |
stop infusion of medication, flush the line with saline before & after injection, restart infusion |
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What position should the patient be in for an IM injection? |
sitting or supine |
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Amount injected into deltoid muscle? |
No more than 1 ml |
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Equipment needed for IM injection |
3-5 ml syringe (or tuberculin syringe with fill needle) 18-22 gauge needle 1.5” in length alcohol wipes clean gloves |
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Needle used for deltoid area or very thin patients |
1” long 22-23 gauge needle |
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Length of needle for IM injection depends on what? |
site & patient size |
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How to determine gauge of needle for IM injection? |
smallest gauge possible to accommodate viscosity of drug |
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Insert needle into muscle at what degree angle? |
90 |
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How do you know you’ve entered the blood vessel? |
blood will return into syringe |
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If you’ve entered the blood vessel for an IM injection, what do you do? |
withdraw the needle |
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Steps after inserting needle into muscle |
draw back (aspirate) plunger no blood means inject fluid quickly withdraw needle & cap it gently wipe area & bandaid |
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Reactions & complications categorized as? |
mild, moderate, severe |
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Mild reactions |
sensation of warmth, metallic taste, sneezing |
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Moderate reactions |
nausea, vomiting, itching |
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Severe or anaphylactic reactions can cause? |
cardiac or respiratory crisis |
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Infiltration is a complication & symptoms include? |
swelling, redness, burning, pain |
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Treatment for infiltration? |
apply ice if within 30 minutes & warmth if after 30 minutes |
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5 rights of administration |
Amount, time, patient, route, medication |
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Necessary info on chart includes? |
name & dose of drug, route of administration, date & time |
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Technologist should always document on chart if patient had an _______ ________ to the medication or contrast media and the ___________. |
adverse reaction, severity |
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If drug administration error occurs due to lack of knowledge, the person who administered the drug is? |
legally liable |
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Why is it important to determine needle length for an IM injection? |
for thinner patients you need a 1” needle instead because you don’t want to insert the needle too deep & hit bone, artery, or vein |
