N358 Med Admin 3 PDF

N358 Med Admin 3 Study online at https://quizlet.com/_fieb5c What are the parts of a syringe? barrel, plunger, tip leur lock What types of tips are there for a syringe?...

N358 Med Admin 3 Study online at https://quizlet.com/_fieb5c What are the parts of a syringe? barrel, plunger, tip leur lock What types of tips are there for a syringe? non leur lock Leur Lock Syringe needle is able to twist onto the syringe and lock Non Leur Lock Syringe push on to syringe With the plunger How should you measure for a syringe? depend on how much medication you need Are new needles and syringes sterile? Yes smaller High gauge = ______ diameter length depends on pt needles with a mechanical cap attached for use after removal from pt. Safety needles - automatic or manual Needles parts hub, shaft, beveled tip hold syringe with dominant hand and remove cap with non domi- Process of uncapping a needle nant hand Process of recapping a needle one hand scoop method NO Should you recap a contaminated needle? contaminated once in contact with skin How do you dispose of a needle? Sharps container Intradermal injection 25-27G - gauge 5/8-1/2 inch - length 5-15 degrees - angle inner forearm, upper back - locations Subcutaneous injection 25-27G - gauge 3/8-5/8 inch - length 45 or 90 degrees depending on pt weight(skinny=45) - angle abdomen, upper outer arm, anterior legs - locations Intramuscular injection 18-25G (usually 21-25G - gauge 5/8-1 1/2 inch - length 90 degrees - angle deltoid, vastus lateralis, ventrogluteal - locations Check expiration date and order cleanse top of med bottle draw up air into needle insert needle into med bottle inject air Draw up solution from vial flip bottle up side down draw up fluid flip bottle correct way remove needle recap needle Check expiration date and order cleanse top of med bottles draw up air for bottle A inject air Mixing meds process draw up air for bottle B draw up fluid from bottle B remove needle draw up fluid from bottle A 1/5  N358 Med Admin 3 Study online at https://quizlet.com/_fieb5c remove needle recap needle Check expiration date and order cleanse med bottle draw up diluent inject fluid into med bottle Reconstituting meds process roll with hands until mixed draw up air with new syringe inject and draw up med recap needle glass flask containing a single dose of medication for parenteral Ampule administration - Wear gloves - Tap top lightly to displace med to bottom Opening an ampule - Use a gauze or unopened alcohol swab - Break open away from you - Set it down on a flat surface Filter needle What type of needle is used to withdraw fluid from an ampule? never use to inject insert needle pull back on plunger Remove fluid from ampule tap syringe remove air Where do you waste meds? sink or waste bin Apply clean gloves Select a healthy tissue site Clean skin with alcohol swab Spread skin using non-dominant hand IM injection procedure Insert needle quickly at a 90° angle Inject slowly, 10 sec/ml, remove needle Engage safety mechanism immediately and dispose in sharps container technique used to administer medications intramuscularly that ensures that the medication does not leak back along the needle Z track technique track and into the subcutaneous tissue, reducing pain and dis- comfort How much do you displace the skin using the Z track method 1-1.5 inches prefilled unit dose injection system that includes a reusable clear plastic full length holder -often for narcotics Carpuject What age should you not give deltoid injections to? Pt under 3 years 1-1.5inches What size needle for deltoid injections 2mL 2-3 fingers below acromion process find bulk in deltoid below axillary line How do you measure the deltoid for an IM injection? -use z track to move skin to side, insert at 90 degrees, 1ml per 10 sec, release tissue to move it back over why is deltoid injection dangerous close to brachial artery, radial nerve 2/5  N358 Med Admin 3 Study online at https://quizlet.com/_fieb5c thigh one hand above knee How do you measure for vastus lateralis IM injection? one hand below head of greater trochanter middle 1/3 of anterolateral area encourage leg movement 5/8-1 inch What size and volume for vastus lateralis IM injection? 3mL What is the preferred site for IM injections for children? Vastus lateralis Ball of hand on greater trochanter thumb pointing towards pts abdomen index finger on anterior superior iliac spine How to measure for ventrogluteal IM injection? spread other fingers back along iliac crest form V nondominant hand displaces skin 1.5 inch What length and volume for ventrogluteal IM injection? 3mL 1. Acquire patient MAR 2. Go to medication dispensing area 3. Access patient info on machine 4. Check medications on list with medications on MAR 5. Retrieve medications and check labels with MAR 6. Check patient ID band and scan 7.Check medication label again and scan it Intradermal injection procedure 8. Check injection site and wipe with alcohol swab 9. Hold syringe in dominant hand and give at 5-15 degree angle in appropriate site; pull skin taut 10. Apply pressure to the plunger at 10sec/mL 11. Quickly remove needle 12. Dispose of needle into sharps bin will feel resistant 25-27G What size needle for intradermal injection and where? 5/8-0.5 inch inner forearm, upper back How far should you insert an intradermal injection? 1/8 inch Which way should the bevel be facing on an intradermal injection? UP 1. Acquire patient MAR 2. Go to medication dispensing area 3. Access patient info on machine 4. Check medication on list with medication on MAR 5. Retrieve medications and check labels with MAR 6. Check patient info and scan ID 7. Check medication and scan it for final check 8. Check site of injection for bruising or redness Subcutaneous injection procedure 9. Clean area with alcohol swab and wait for it to dry 10. Grasp and bunch area surrounding injection site(pinch) 11. Quickly insert syringe at 45-90 degree angle depending on the length of the needle 12. Once inserted, use hand to steady needle and dominant hand to push down plunger at rate of 10 sec/mL -remove quick 13. Immediately dispense of needle in sharps container and apply gauze if needed What rate should you inject an injection? 1mL/10 seconds How far away should a subcutaneous abdomen injection be away 2 inches from the umbilicus? 3/5  N358 Med Admin 3 Study online at https://quizlet.com/_fieb5c With an alcohol pad How should you cleanse the area for an injection? 2 inches in diameter Moving outward in a circular motion upper/outer arm anterior thighs Locations for a subcutaneous injection abdomen ventrodorsal gluteus scapular area Why would you want to use a subcutaneous injection site? Slower absorption --> less blood vessel present - IM deposits deep into vascular muscle tissue for quick absorp- Why would you want to use an IM injection site? tion, hold needle in place for 10 secs Insulin injection is an example of what injection Subcutaneous Flu shot is an example of what type of injection Intramuscular 1mL How much and what size needle for subcutaneous injection 25-27G 3/8-5/8 inches Should you rotate subcutaneous injection sites? YES What size syringe would you use for an intradermal injection? TB syringe or 1mL syringe Should you recap a contaminated needle? NO When mixing meds should you inject meds into different vials? NO When should you dispose of a multi-use vial? After 30 days Should you recap a needle that has been in contact with a patient? NO plunger barrel (inside) What are the sterile parts of a syringe/needle? tip/hub entire needle For an IM or subcu injection does it matter which way the bevel of NO the needle is facing? What type of syringe do you use for an insulin injection? Insulin syringe Do you put a band aid on a TB injection? NO but you circle it 2-3 fingers below acromion process What are the landmarks for a deltoid IM injection? below axillary line hand above knee What are the landmarks for a vastus lateralis IM injection? hand below greater trochanter middle 1/3 bulk Ball hand on greater trochanter index on iliac spine What are the landmarks for a ventrogluteal IM injection? thumb towards abdomen V in between index and 3rd finger Where can you do a TB injection? ONLY INNER FOREARM Why don't we use the dorsogluteal location for an IM injection? Sciatic nerve present What location is preferred in the hospital for an adult for an IM Ventrogluteal injection? What location is preferred for an IM injection on a child? Vastus lateralis Before an injection, do you need to aspirate? NO- checks to see if you hit vein How do you determine length of needle? Critical thinking, based on pt size, recommendations 18-25G If you have a pt who is obese and needs a deltoid IM injection, 1.5 inch what size and length needle will you use? USE Z TRACK METHOD What type of pt would you use the Z track method? Bigger pt to displace subcu fat 4/5  N358 Med Admin 3 Study online at https://quizlet.com/_fieb5c If you have an obese pt who needs an insulin injection, how would No need to pinch tissue you handle the tissue? If a pt is thin, how would you handle an IM injection? Pinch muscle to ensure no bone is present what do you document with the administration of injections and - Date, time, site of injection, route, dose, agent administered, patient response. outcome, education hub, shaft, bevel sterile what are the parts of a needle Pressurize vial by pushing air through needle same as amount you how do you pressurize vials are drawing, invert vial and draw, get rid of air in syringe 1inch how long is IM needle for test out? SQ? 5/8 inch how much can go in each muscle per injection 1 mL when do you have to label syringe if you are transporting it to a different room 5/5