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15 Cards in this Set
- Front
- Back
- 3rd side (hint)
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What are the layers of the skin (out to in)
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Epidermis
Dermis SubQ |
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How can (3) a nurse receive parenteral meds?
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Ampuole - single dose, discard left over
Pre filled syringe - usually overfilled Vials - multiuse |
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What are the two most common SubQ injections?
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Heparin and insulin
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Why do you aspirate?
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To ensure that you have not hit blood vessel.
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What is the difference in absorption of SubQ and IM?
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Sub Q = 70%
IM = 50% Sub Q much slower than IM |
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Do you need to aspirate SubQ injections?
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Controversial - not richly supplied with blood vessels
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What are some reasons heparin may be given?
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DVT, aFib, post op, MI/Stroke
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What is the rule with giving insulin?
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Cloudy - air
Clear - air Clear - draw out Cloudy - draw out |
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Why is the order of drawing insulin important?
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Don't want to contaminate fast acting insulin with long acting (maybe...)
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What amount of medication, and what type, may be given SubQ
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0.5-1mL of water soluble meds
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what type of solubility
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How do ensure IM given properly (2 ways)
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Landmark
Right length of needle - 1-1.5 inches (versus 5/8th for Sub Q) |
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What is the max amount given IM
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4mL, but may even want to split 3 mls
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What is the order of preferred sites for IM
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1) Ventral gluteal
2) vastus lateralis 3) deltoid 4) Gluteus maximus |
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What is the site of choice of IM in children
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Vastus lateralis
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Why is the Z track method a better injection technique (3 reasons)?
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Reduces leakage - seals meds under skin
Decreases skin lesions Less painful If giving a coloured med |
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