Podcast
Questions and Answers
What is the purpose of swabbing the rubber top with an antimicrobial swab before accessing a vial?
What is the purpose of swabbing the rubber top with an antimicrobial swab before accessing a vial?
- To facilitate the injection process
- To ensure the air inside the vial is sterile
- To prevent the medication from clumping
- To remove surface bacteria contamination (correct)
Why is it necessary to draw back an amount of air equal to the specific dose of medication before withdrawing from a vial?
Why is it necessary to draw back an amount of air equal to the specific dose of medication before withdrawing from a vial?
- To prevent contamination from the outside
- To facilitate easier withdrawal of medication (correct)
- To sterilize the needle
- To create a pressure difference in the vial
What could happen if air is injected into the solution of the vial?
What could happen if air is injected into the solution of the vial?
- It could lead to faster medication withdrawal
- It could cause withdrawal of an inaccurate amount of medication (correct)
- It can solidify the medication
- It can contaminate the medication
When preparing medication, what is the correct technique to remove the cap from the needle?
When preparing medication, what is the correct technique to remove the cap from the needle?
What is the primary reason for using a filter needle when withdrawing medication from multidose vials?
What is the primary reason for using a filter needle when withdrawing medication from multidose vials?
What should be done after inserting the needle tip into the vial?
What should be done after inserting the needle tip into the vial?
What is the primary purpose of the metal cap on a vial?
What is the primary purpose of the metal cap on a vial?
Which statement about single-dose vials is true?
Which statement about single-dose vials is true?
Why is it advised to handle the plunger only at the knob when drawing medication?
Why is it advised to handle the plunger only at the knob when drawing medication?
What should be done before each entry into a multidose vial?
What should be done before each entry into a multidose vial?
Which of the following is a reason for comparing the medication label with the CMAR/MAR?
Which of the following is a reason for comparing the medication label with the CMAR/MAR?
Who is primarily responsible for preparing medication from a vial?
Who is primarily responsible for preparing medication from a vial?
What must be verified before administering medication from a vial?
What must be verified before administering medication from a vial?
Which of the following should be done to powdered medication before administration?
Which of the following should be done to powdered medication before administration?
What is a key consideration in delegating tasks related to medication administration?
What is a key consideration in delegating tasks related to medication administration?
What type of equipment is typically required for medication administration from a vial?
What type of equipment is typically required for medication administration from a vial?
What is the primary reason for gathering equipment before medication administration?
What is the primary reason for gathering equipment before medication administration?
Why is it important to compare the medication order against the original order in the medical record?
Why is it important to compare the medication order against the original order in the medical record?
What should the nurse do if there is a discrepancy between the medication order and the medical record?
What should the nurse do if there is a discrepancy between the medication order and the medical record?
How does knowledge of actions and adverse effects of medications benefit the nurse?
How does knowledge of actions and adverse effects of medications benefit the nurse?
What is the significance of performing hand hygiene before medication administration?
What is the significance of performing hand hygiene before medication administration?
Why is it important to lock the medication cart when not in use?
Why is it important to lock the medication cart when not in use?
What action should be taken to ensure authorized access to the medication cart?
What action should be taken to ensure authorized access to the medication cart?
What is the main purpose of knowing safe dose ranges for medications?
What is the main purpose of knowing safe dose ranges for medications?
What is the purpose of keeping the tip of the needle or blunt cannula above the fluid level?
What is the purpose of keeping the tip of the needle or blunt cannula above the fluid level?
Why is it important to hold the syringe at eye level when drawing medication?
Why is it important to hold the syringe at eye level when drawing medication?
What should be done if air bubbles accumulate in the syringe after drawing medication?
What should be done if air bubbles accumulate in the syringe after drawing medication?
What is the role of a filter needle in the procedure described?
What is the role of a filter needle in the procedure described?
Why should the needle be recapped after withdrawing medication?
Why should the needle be recapped after withdrawing medication?
Which action is recommended to maintain sterility while handling the plunger?
Which action is recommended to maintain sterility while handling the plunger?
What might be required if a filter needle was used for medication withdrawal?
What might be required if a filter needle was used for medication withdrawal?
What is the primary reason to remove air bubbles from the syringe?
What is the primary reason to remove air bubbles from the syringe?
What is the purpose of ensuring the tip of the needle is free from medication residue?
What is the purpose of ensuring the tip of the needle is free from medication residue?
Why is it important to check the amount of medication in the syringe?
Why is it important to check the amount of medication in the syringe?
What does the third check of medication typically involve?
What does the third check of medication typically involve?
What should be done with a multidose vial after it is opened?
What should be done with a multidose vial after it is opened?
Why must the medication cart or drawer be locked before leaving it?
Why must the medication cart or drawer be locked before leaving it?
What is one of the benefits of performing hand hygiene during medication preparation?
What is one of the benefits of performing hand hygiene during medication preparation?
How is medication typically withdrawn into the syringe?
How is medication typically withdrawn into the syringe?
Is it necessary to document the removal of medication from the ampule?
Is it necessary to document the removal of medication from the ampule?
Study Notes
Vials and Medication
- Vials are glass bottles with self-sealing stoppers used to store medications.
- Single-dose vials are used once and discarded, regardless of the amount of medication used.
- Multidose vials contain several doses and can be used multiple times; however, the Centers for Disease Control and Prevention (CDC) recommends assigning them to a single patient whenever possible.
- Vials can contain liquid or powder forms of medication.
- Powdered forms must be dissolved in a diluent before administration.
Administering Medication from a Vial
- Nurses must assess the vial for discoloration or particles and check the expiration date before administering medication.
- The nurse must verify the patient's name, dose, route, and time of administration.
- They must also assess the appropriateness of the medication for the patient and review assessment data.
Nursing Considerations
- Preparing medication from a vial is not delegated to nursing assistive personnel (NAP) or unlicensed assistive personnel (UAP).
- It may be delegated to licensed practical/vocational nurses (LPN/LVNs), depending on state laws, organizational policies, and the patient's needs.
Steps for Administering Medication from a Vial
- Gather equipment, which includes a sterile syringe and needle, a vial of medication, an antimicrobial swab, and a computer-generated Medication Administration Record (CMAR) or Medication Administration Record (MAR).
- Wash hands.
- Read the CMAR/MAR and select the proper medication.
- Compare the medication label with the CMAR/MAR. Check expiration dates and perform calculations if necessary.
- Remove the metal or plastic cap that covers the stopper.
- Swab the rubber stopper with an antimicrobial swab and allow it to dry.
- Remove the cap from the needle.
- Draw back an amount of air into the syringe equal to the specific dose of medication, injecting it into the vial but not into the solution.
- Invert the vial and hold the needle below the fluid level.
- Withdraw the medication while holding the syringe vertically and at eye level.
- Remove any air bubbles from the syringe.
- After withdrawing the correct dose, remove the needle from the vial and replace the cap.
- Check the syringe for the amount of medication and discard any surplus.
- Perform hand hygiene after completing the process.
Documentation
- It is not necessary to record the removal of the medication from the vial.
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Description
This quiz focuses on the essential practices for administering medications from vials, including preparation and nursing considerations. It highlights the differences between single-dose and multidose vials and emphasizes safety precautions nurses must take before administration. Test your knowledge on the proper procedures and best practices.
