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70 Cards in this Set
- Front
- Back
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Needle lengths range from __ to __
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5/16 to 2 inches
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Needle gauges range from __ to __
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18 to 30
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The larger the gauge/diameter, the smaller the gauge/diameter
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Larger gauge=smaller diameter
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Criteria to consider when choosing your equipment
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Route of administration
Viscosity of the solution Quantity to be administered Body size of patient Type of medication |
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You should use powders within __ hours
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96
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When do you use intramuscular injections?
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When meds need to be absorbed quickly, in areas with many blood vessels
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Sites of intramuscular injections
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Ventrogluteal
Vastus lateralis Deltoid Dorsogluteal |
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Smaller muscles such as the deltoid shouldn't get more than __ mLs
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1-2
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What position should the client be in to receieve an IM injection in the ventrogluteal?
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Supine or lateral
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How many mL are usually used in IM injections in the ventrogluteal?
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1-3 mL
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What size gauges are usually used in IM injections in the ventrogluteal?
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20-30 gauge
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What is the preferred site for IM injections?
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Ventrogluteal
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What size needles are used for IM injections?
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1.5 - 2.5 inch
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What are the landmarks for the ventrogluteal injection site?
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Palm over trochanter
Middle finger up to iliac crest Go between middle finger and ring finger |
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How many mL are usually used in IM injections in the deltoid?
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0.5-1, no more than 2
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What size gauge should be used for IM injections in the deltoid?
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23 or 25 gauge
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What size needle should be used for IM injections in the deltoid?
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5/8 to 1 1/2 inch
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What are landmarks of the deltoid muscle?
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Acromion
Clavicle Head of humerus |
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What site is preferred for IM injections in infants <7 months?
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Vastus lateralis
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How many mLs would you give in an IM injection in the vastus lateralis?
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Pedi up to 1 mL
Adult 1 - 1.5 mL |
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What size gauge should be used for IM injections in the vastus lateralis?
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20-30 gauge
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What size needle should be used for IM injections in the vastus lateralis?
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1 1/4 - 2 1/2 in
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Where do you place your hands before giving IM injection in vastus lateralis?
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Palm over greater trochanter, other palm above knee
Lateral side |
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Why is Z track used?
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To prevent medication from leaking to surface or subq tissue
Advised for meds that cause skin discoloration |
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What is the choice site for Z tracking?
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Gluteal
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For IM injections - No more than __ mL recommended in one site
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4 mL
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Why do we rotate IM injection sites?
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To reduce discomfort
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If drawing from vial and ampule, which do you draw from first?
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Vial
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Potential complications associated with IM injections
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Myofibrosis
Injury to nerves Sterile abscess Injection into a vessel |
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What is myofibrosis?
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Hardening; development of sclerotic/scar tissue
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What can cause osteomylitis?
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Injury from IM injection caused by the medication deposited into the tissue
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Each time you inject into a vial, you need to...
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Change the needle because the rubber top makes the needle less sharp
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What size syringe are used with intradermal injections?
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1 mL
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What size gauge are used with intradermal injections?
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25-27 gauge
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What size needle are use with intradermal injections?
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1/4 - 5/8 inch
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Intradermal injections are frequently used for...
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Allergy testing and tuberculosis screening
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Common sites for intradermal injections
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Inner lower arm
Upper chest Back beneath the scapula |
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At what angle do you insert the needle for an intradermal injection?
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10 - 15 degree
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Do you massage the site of an intradermal injection?
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NO
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Subcutaneous injections are given where?
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Into the loose and connective tissue between the second layer of skin and the muscle
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Common sites for subcutaneous injections include:
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Outer aspect of upper arms
Anterior aspect of thighs Abdomen Scapular areas Upper ventrogluteal or dorsogluteal |
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Medications commonly administered by the subcutaneous route include:
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Vaccines
Preoperative medications Narcotics Insulin Heparin |
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What dosages are usually given by the subcutaneous route?
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0.5 mL to 1 mL
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What size syringes are usually used for subcutaneous injections (how many mL's)?
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2 mL
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What size gauges are used for subcutaneous injections
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25 gauge, 5/8 inch for adults
1/2 inch for children |
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What angle is used for subcutaneous injections?
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45 degrees
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How do you determine needle length for subcutaneous injections?
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Pinch tissue and select lenth that is 1/2 the width of the skinfold
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Insulin syringes are supplied in what unit sizing?
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30, 50, 100
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Insulin needle size & gauge size is generally...
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30 gauge
5/16 length |
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Heaparin is given with what kind of syringe?
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Tb (1 ml size)
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Subq injections should be given at what angle?
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45 - 90 degrees
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In subq injections, if more than 1/2 inch of adipose tissue choose what angle, and what do you do to the skin?
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Choose 90 degree angle and spread the skin
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In subq injections, if skin is thin or lean, what angle do you choose, and what do you do to the skin?
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Choose 45 degree angle and pinch the skin
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If bleeding occurs after a subq injection, what can the nurse do?
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Apply pressure
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When mixing insulins, get clear/cloudy first.
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Clear
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Insulin is absorbed more quickly where?
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Abdomen
Arms |
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Insulin is absorbed more slowly where?
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Buttocks
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Current recommendations for insulin injections are to rotate sites..
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Within an anatomical area
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Does the nurse aspirate before giving insulin?
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NO!
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What site is Heparin given?
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Abdomen
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What size/gauge needle is used to administer Heparin?
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3/8 inch
25 or 26 gauge |
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What angle do you insert a Heparin injection?
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90 degree
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If administering Heparin and client is very lean, what actions?
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Use longer needle (maybe) and insert at 45 degree angle
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Do you aspirate before administering Heparin?
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NO!
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Do you massage the site after subq injection?
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No, could cause bleeding, bruising, or hasten drug absorption
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Lovenox come in what kind of syringes?
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Individual prepared syringes
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When administering ____, there will be an air bubble that the nurse should not remove.
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Lovenox
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In what site should Lovenox be given?
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Alternate left and right anterolateral and posterolateral abdominal wall
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Do you aspirate before administering Lovenox?
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NO!
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What medications are given subq?
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Insulin
Heparin Lovenox Morphine |
