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50 Cards in this Set
- Front
- Back
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How do you prepare med. from a vial?
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remove metal cap
cleanse rubber stopper w/ alcohol draw air into syringe, equal to the amount of drug to be withdrawn insert needle into upright vial though the rubber stopper inject the air into the vial, keeping the needle above the level of solution in the vial with needle and attached syringe still in vial, turn the vial upside down pull back on the plunger and withdraw the correct amount of med from the vial, keeping needle level in the solution tap the syringe barrel to get rid of any air bubbles in the syringe |
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How do you prepare med. from an ampule?
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note neckband which indicates preweakening for easy breakage
turn ampule upside down to move fluid into top turn top up and rotate to displace fluid to bottom when opening ampule don't squeeze the top too tightly when opening, place alcohol wipe over the neck of ampule and snap off the top by bending it toward you the ampule top should snap off easily if it seems unusually difficult to break, rotate the ampule slightly to use a different break point insert needle into ampule hold ampule with bottom slightly higher than top or tip ampule on its side or place on flat surface to withdraw med. |
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What are the advantages of inhalation meds?
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no discomfort of skin puncture
relatively rapid systemic action |
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What are the disadvantages of inhalation meds?
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difficult to regulate dosage of drug
may be irritation to alveolar lining can't be used if unable to follow instructions or if physically unable to use |
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What should you caution your pt about if using a inhaler?
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avoid overuse
perform good oral hygiene after use |
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Where do intradermal injections go?
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dermis
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Where are the ID sites?
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inner forearm, upper back, under scapula
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What is the size of the needle for ID injections?
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1/4 to 1/2"
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Where are SQ injections administered?
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adipose
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Where are the SQ sites?
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abdomin, outer upper arm, anterior thigh, upper ventral area
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What is the needle size for SQ injections?
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3/8 to 1"
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Where are IM injections administered?
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muscle
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Where are the IM injection sites?
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ventrogluteal, vastus lateralis, deltoid
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What is the needle size for IM injections?
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based on site and pt's age
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How do you administer ear drops to a pt older than 3?
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pull the pinna of the ear straight back
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How do you administer ear drops to a pt younger than 3?
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pull the pinna of the ear down and back
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What would you do if a pt refuses and injectable med that has already been drawn up?
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waste it while another nurse witnesses
document |
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What is the proper Z track technique?
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attach a clean needle to the syringe after the med is drawn up
pull the skin down or to one side about 1" and hold w/ nondominant hand insert the needle and aspirate to detect the presence of blood inject the med slowly, steadily withdraw the needle, and release the displaced tissue do not massage the site |
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What should you do if blood is aspirated when performing an IM injection?
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remove needle, obtain a new needle and syringe and dose and select a new site
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How should you teach a pt to use a MDI?
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shake the med
hold the MDI about 1 1/2 to 2" away from mouth while open breathe out normally press the MDI down once so it releases a spray of med into your mouth while you breathe in slowly continue breathing in as slowly and deeply as possible hold your breath for 10 seconds or as long as comfortable breathe out slowly |
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What are the parts of a med. order?
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pts name
date and time name of drug dosage route frequency signature |
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How do you mix medications in one syringe?
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first check compatiblility
always withdraw the multidose first if insulin regular is first |
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When preparing meds. from an ampule and a vial which is prepared first?
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vial
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Before any insulin is given, the nurse must be aware of what?
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onset time, peak and duration of effects and must have food available
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What is insulin measured in?
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units
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What is insulin administed in?
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insulin syringe
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How long can a 10mL of unrefrigerated insulin be used? Refrigerator?
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1 month
3 months |
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What is the aim of sliding scale insulin?
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maintain serum glucose WNL with respect to future CHO intake
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Which type of insluin is used for SSI?
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rapid-acting
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What is the advantage of administering meds ID?
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body's reaction to substances is easily visible and degrees of reaction are discernible by comparative study
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What is the angle of admin. for ID?
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10 to 15 degrees
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What are the two meds admin. SQ?
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insulin
heparin |
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Why would SQ injections be given in the abdomen?
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most rapidly absorbed
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Why must you rotate SQ injections?
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avoid build up of fibrous tissue
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What is the max amount that can be given SQ?
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1mL
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What is the angle of SQ?
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45-90 degrees
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What is pinching the skin used for?
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SQ injections
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Do you aspirate for SQ injections?
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no
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Where should SQ heparin not be admin?
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2" around umbilicus and the belt line
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Where should SQ heparin be admin?
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abdomen
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Should you remove the air bubble in SQ lovenox?
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noooooo!!!
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How do you use a prefilled cartridge or syringe?
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insert cartridge into reusable holder or injection device
clear excess air from cartridge before administering with the exception of certain meds, such as SQ lovenox |
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Do you aspirate with IM?
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yes
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What is the angle of degree for IM?
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72-90 degrees
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What are Z track procedures used for?
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IM
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What is an inunction?
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when a drug is mixed with an agent and rubbed into the skin
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Why would you add local heat before a skin application?
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to increase absorption
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Where are eye instillations and irrigations put?
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lower conjunctival sac
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What do bronchodilators do?
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decrease resistance to airflow by enlarging air passageways and to promote relaxation of musculature in tracheobronchial tree which decreases resistance to airflow
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What do you use for a MDI with a child?
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spacer
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