Shared Flashcard Set

Details

Gerontology - Parenteral Medications
Gero 4
14
Health Care
Undergraduate 2
01/23/2010

Additional Health Care Flashcards

 


 

Cards

Term
most common types of parenteral medications
Definition

  • intradermal (ID) - TB test
  • subcutaneous (SC) - insulin
  • intramuscular (IM)
  • intravenous (IV)

Term
advantages
Definition

  • fast acting
  • completely absorbed

Term
disadvantages
Definition

  • discomfort (break skin barrier)
  • complications
  • tissue damage (chemotherapy's)
  • more equipment
  • more expensive

Term
syringes
Definition

 

  • plunger - back, moves up and down
  • barrel - body
  • tip - some needles need to be attached
  • needle sticks
  • safety features - active or passive

 

Term
needles
Definition

  • gauge/diameter: 14/29 (29 is smaller)
  • length: 0.4 to 3 inches

Term
tuberculin syringes
Definition

  • calibrated every 0.1 to 1mL
  • small gauge: 26 or 28
  • short: less than 1/2 inch
  • needle attached

Term
insulin syringes
Definition

  • 1cc = 100 units of insulin (never use more)
  • calibrated in units
  • lo dose: 50 units
  • hi dose: 100 units
  • small guage: 26 to 30
  • attached, short needles

Term
standard syringes
Definition

  • 3,5 or 10 mL
  • gauge varies from 18 to 25
  • length: 0.5 to 3 in.
  • often need to attach needle

Term
other syringes
Definition

  • pre-filled syringes: narcotics
  • filter needs: large gauge
  • needle-less systems: IV injections, meds to IV tube

Term
parenteral med packages
Definition

  • vials
  • glass/plastic
  • single or multiple dose
  • cap
  • ampule: thin glass, looks like bowling pin, break top off, filtered needle

Term
medications
Definition

  • drawing up medications
  • reconstituting medications: powder mix with saline to lengthen shelf life
  • mixing meds (insulin): check compatability

Term
subcutaneous injections
Definition

  • 45 - 90 degree angle (a lot of fat = 90 degrees)
  • sites: abdomen, thigh, back lower side, inside shoulder blades
  • absorption slow
  • give small amounts: less than 1cc
  • short needles
  • absorption speeds
  • avoid damaged areas: rotate site if very bruised

Term
intramuscular injections (IM)
Definition

  • muscle
  • intermediate absorption
  • larger volume (not over 3cc)
  • usually 3 mL syringe
  • 19-25 gauge
  • 1-3 in. needle
  • sites: deltoid (point of upside down triangle on arm), rectus femorus (side of thigh where thumbs meet), vastus lateralis ("jean seam"), ventrogluteal (pointer towards belly), dorsogluteal (upper outer quadrant on butt cheek - not used often b/c may hit sciatic nerve)

Term
IM vs. Z tract
Definition

  • same, but one different thing - pull skin, inject, let skin fall back over
  • iron injection

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