Intramuscular Injection Techniques Quiz

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Questions and Answers

How long should the wiping process last before drying during an injection preparation?

20 seconds

50 seconds

40 seconds

30 seconds (correct)

What is a potential consequence of insufficient muscle relaxation during an intramuscular injection?

Rapid heart rate

Sterile abscess formation (correct)

Medication overdose

Severe allergic reaction

What immediate action should be taken if blood is observed during aspiration in an intramuscular injection?

Halt the procedure and re-prepare the medication (correct)

Continue with the injection

Report to a supervisor

Apply pressure to the site

Why is intravenous medication administration considered hazardous?

Irreversibility post-administration Signup and view all the answers

What percentage of hospitalized patients typically receive intravenous fluid or medication therapy daily?

90% Signup and view all the answers

What is the primary function of an infusion pump?

To deliver IV fluids and medications through pump mechanisms Signup and view all the answers

What educational requirement is often necessary for patients receiving medications?

Awareness of purpose, dosage, effects, and side effects Signup and view all the answers

What issue may occur due to repeated intramuscular injections in the same location?

Sterile abscess formation Signup and view all the answers

What is the maximum volume of medication that can be injected into the muscle tissue of a typical adult?

5 ml Signup and view all the answers

Which muscle groups are primarily used for intramuscular injections in the dorsogluteal region?

Gluteus maximus and gluteus medius Signup and view all the answers

In children under the age of 2, what is the maximum volume of medication that may be administered via intramuscular injection?

1 ml Signup and view all the answers

What is a recommended action to take in the event of a nerve-vascular injury during intramuscular injection?

Apply cold to the area Signup and view all the answers

How should the injection site be chosen for an intramuscular injection?

Considering the patient's age and clinical condition Signup and view all the answers

Which region is designated for the lowest amount of medication in intramuscular injections?

Deltoid region Signup and view all the answers

Which imaginary point helps identify the injection site in the dorsogluteal region?

Greater trochanter of the femur Signup and view all the answers

What part of the gluteal region serves as the designated injection site?

Upper and outer quadrant Signup and view all the answers

What technology do automatic blood pressure devices use to regulate the pump's operation?

Bluetooth technology Signup and view all the answers

What type of data does the chest-mounted patch sensor transmit to a smartphone?

ECG, body temperature, and pulse data Signup and view all the answers

What was the main focus of the research conducted by Deringöz et al. (2021)?

Selection of wearable technologies for Covid-19 patients Signup and view all the answers

What is the principal benefit of employing atraumatic care in vascular access applications?

To minimize or prevent physical injury and pain Signup and view all the answers

Which wearable technology was investigated for its accuracy in measuring heart and respiratory rates?

Hexoskin wearable vest Signup and view all the answers

What criterion did Akıncı et al. (2021) focus on for selecting wearable technologies for obese patients?

Exercise criterion Signup and view all the answers

What is the purpose of vascular imaging devices in medical applications?

To visualize blood vessels beneath the skin's surface Signup and view all the answers

What common feature do both automatic blood pressure devices and wearable technologies share?

They both connect to smartphones or computers Signup and view all the answers

What is the primary reason for avoiding scratching or irritating the injection site?

To prevent infections and minimize irritation Signup and view all the answers

What should be done with needles and syringes after administering an injection?

Place them in a designated sharps container Signup and view all the answers

Which of the following conditions can arise from repeated subcutaneous injections in the same location?

Lipohypertrophy and lipoatrophy Signup and view all the answers

What volume range is typically appropriate for subcutaneous injections?

0.5-1 ml Signup and view all the answers

Why is it important to alternate injection sites for patients receiving frequent subcutaneous injections?

To prevent accumulation of drugs and tissue damage Signup and view all the answers

Which medication is typically NOT administered via subcutaneous injection?

Oral antibiotics Signup and view all the answers

What is a key factor to ensure when administering subcutaneous injections?

Ensuring the patient's privacy is maintained Signup and view all the answers

How does absorption of drugs via subcutaneous injection compare to other routes?

Slower than intramuscular but faster than oral Signup and view all the answers

What is the primary purpose of infusion pumps in intravenous therapy?

To control the release of medication and ensure precise delivery Signup and view all the answers

Where are infusion pumps primarily utilized?

In intensive care units for patients undergoing treatment Signup and view all the answers

What feature do intelligent intravenous infusion pumps include to reduce errors?

Double check feature for drug dosage Signup and view all the answers

What happens when the programmed dosage exceeds predetermined limits in smart intravenous infusion pumps?

The user receives auditory and visual alerts Signup and view all the answers

What does the barcode system in infusion devices aim to prevent?

Patient identification and dosage errors Signup and view all the answers

Which dressing is advisable for catheter dressings in the event of bleeding?

Sterile gauze Signup and view all the answers

What is a key difference between traditional and smart intravenous infusion pumps?

Smart pumps have a double check feature for safety Signup and view all the answers

What has research indicated about the difference in infection rates between transparent dressings and sterile gauze?

No difference was observed in infection rates Signup and view all the answers

What is the primary function of the body temperature assessment project?

To continuously monitor and record an infant's temperature Signup and view all the answers

Which sensor is utilized for measuring body temperature in the project?

MLX 90615 thermopile non-contact temperature sensor Signup and view all the answers

What role does the HC05 Bluetooth module play in the system?

It facilitates Bluetooth communication with mobile devices Signup and view all the answers

What happens when body temperature readings fall outside the defined thresholds?

An alert is triggered to notify the parent Signup and view all the answers

What type of temperatures can the MLX 90615 sensor measure?

From -40 to +115 °C Signup and view all the answers

What is the communication range of the HC05 Bluetooth module in unobstructed environments?

10 meters Signup and view all the answers

What is a major advantage of using the MLX 90615 sensor in this project?

It can measure temperatures quickly without the need for contact Signup and view all the answers

Which component is NOT part of the body temperature assessment system?

Camera module Signup and view all the answers

Study Notes

Course Information

Course Code and Name: HEY445 Nursing Care Technology
Week of the Course: 9
Day and Time of the Lesson: Tuesdays 15:00-16:50
Course Credit/ECTS Information: 2/3
Exam Type/Grade Distribution: Midterm (50%), Final (50%)
Course Instructor: Assist. Prof. Dr. F. Sıla AYAN
Email and Phone: 02124227000-403 [email protected]
Lecturer Room: B Block-Room 013 / A Block Room 505
Office Hours: Thursday 16:00-16:45
GBS Link: https://gbs.gelisim.edu.tr/ders-detay-5-51-13324-1
ALMS Link: https://ims.gelisim.edu.tr/Account/LoginBefore
AVESIS Link: https://avesis.gelisim.edu.tr/fsayan

Parenteral Injection

In situations where enteral drug administration is unsuitable or a rapid effect is required, intravenous or intratissue injection is preferred.
Bioavailability of parenterally administered medications is typically complete (100%).
Parenteral drug formulations should be sterile and ideally match or closely approximate the body's pH (7.4).
They should preferably be isotonic and nonpyrogenic.

Rationale for Parenteral Administration

Drugs not absorbed through the gastrointestinal tract.
Medications that decompose within the gastrointestinal tract.
Situations requiring prompt action of medication.
Unresponsive patients.
Inability to ingest medication (e.g., nausea, vomiting, diarrhea).

Disadvantages of Parenteral Treatment

Infection risk.
Toxic and allergic responses.
Tissue injury, localized hemorrhage, tissue necrosis, sterile abscesses.
Pain
High cost

Types of Parenteral Injections

Intradermal (ID)
Subcutaneous (SubQ)
Intramuscular (IM)
Intravenous (IV)

Intradermal Injection (ID)

Medications are administered into the dermis, beneath the epidermis.
It has the slowest absorption rate among parenteral methods.
Used in diagnostic procedures (e.g., tuberculin tests, allergen/drug sensitivity tests, local anesthesia).
BCG vaccination is also administered this way.
Common injection sites: Inner surface of the forearm, dorsal surface of the upper arm, superior surface of the back, and upper chest region.
Injection volume: 0.1-0.5 ml.

Subcutaneous Injection (SC)

Medications are administered into the loose connective tissue beneath the dermal layer.
Drug absorption is slower than intramuscular injection, but faster than intradermal and oral routes.
Suitable for small volumes (0.5-1 ml) of non-irritating, water-soluble medications (e.g., vaccines, narcotics, insulin, heparin, epinephrine, growth hormone).
Common injection sites: Lateral aspect of the upper arm, anterior side of the thigh, beneath the scapula on the back, above the dorsogluteal region and abdominal region.
Factors to consider: Alternating injection sites, avoiding irritating drugs and rotating injection sites.

Intramuscular Injection (IM)

Medications are injected into deep muscle tissue.
Less nerve endings in muscle tissue so more concentrated medications can be administered safely.
Maximum volume is 5 ml for typical individuals (2 ml for children, elderly, and cachectic patients; 1 ml for children under 2 years of age).
Common injection sites: Dorsogluteal region (posterior hip region), Vastus Lateralis (the central rectangle on the outer side of the thigh). also the Deltoid muscle.
Factors to consider: Safeguarding patient privacy, choosing appropriate sites, alternating between injection sites, using a 70% alcohol or batticon solution as antiseptic, and proper disposal

Intravenous Injection (IV)

Delivers fluids and medications directly into a vein.
Considered a hazardous practice requiring both knowledge and skill due to fast effects.
Called infusion, or intravenous infusion.
Often used continuously, as a bolus (loading dose). or intermittently.
Infusion pumps are commonly utilized.
IV medication errors are significant due to the direct administration into the bloodstream, irreversible effects and rapid onset of effects.

Infusion Devices

Used in hospitals and intensive care units.
Deliver IV fluids and medications through a pump mechanism.
The dosage exceeds predetermined limits, particularly with high-risk medications - the infusion pump emits visual/auditory alerts.
The system operates by establishing patient warning thresholds, particularly concerning the administration of high-risk medications.
Aims to prevent dosage errors and patient identification errors through a barcode system.
Hospitals can create their own database of required medications.
Important for minimizing medication administration errors.

Vascular Imaging Methodology

Technologies (vascular imaging) help visualize blood vessels below the skin's surface.
Making blood vessel localization easier and reducing physical/psychological strain.
Improves efficiency for other procedures.
Identifying vascular map structures.

Project - Body Temperature Assessment

Measures and continuously monitors infant temperature on the forehead.
Records data regarding the infant's body temperature that may indicate illness.
Incorporates a temperature sensor and Bluetooth module within an Arduino-based system.
Data is transmitted to a mobile device, allowing real-time monitoring.
Suitable alerts given to parents in case of high fever.
The developed system is a mobile device.
Mobile device presents temperature data and monitors measurements on the device's screen.
The user sets lower and upper temperature threshold values for triggering alerts.

Blood Pressure Assessment

Mobile application uses camera input from fingertips (reliability is questionable).
Three components for uploading software: cuff, tube, and pump.
The tube connects the cuff and pump (can be Bluetooth-connected).
Mobile phone controls the pump's operation.

Additional Notes (Miscellaneous)

2020-2021 research on technologies relating to health care are mentioned in some parts of the notes.
The provided pages also cover topics like patient safety and the utilization of technology in healthcare.
Relevant figures (e.g., charts, images) not directly convertable to bullet points.
Details on some medical devices (e.g., infusion pumps, sensors, etc.).
A translated text concerning a speech by Mustafa Kemal Atatürk is included.

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Test your knowledge on the protocols and practices surrounding intramuscular injections. Explore essential topics such as preparation, administration, and potential complications. Perfect for healthcare students and professionals seeking to reinforce their understanding of injection techniques.