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Skills 5 ID,SQ,IM
Skills 5
50
Nursing
Undergraduate 4
04/21/2014

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Cards

Term
Hypodermic needle is used for what
Definition
IM injections
Term
Barrel
Definition
Outer calibrated portion that holds meds
Term
Plunger
Definition
Inner device to eject med
Term
Tip
Definition
End that holds the needle (luer-lok or plain)
Term
Hub
Definition
Needle part that fits on the tip of a syringe
Term
Needle shaft
Definition
Connects to the hub
Term
Bevel
Definition
Slanted tip of the needle
Term
Gauge
Definition
The smaller the gauge number, the larger the lumen or width
Term
Length of all needles
Definition
3/8th-3inches
Term
What are the sterile areas of a needle
Definition
Hub, shaft, needle, medication
Term
Ampules
Definition
-Break away from you
-Always protect your hands
-Use filter needle then change needles prior to injecting
Term
Vials
Definition
-Rubber topped
-Always wipe top vigorously with alcohol
-Always check date/ initial date
Term
Tubex and Carpuject are examples of what
Definition
Cartridges
Term
Pediarix, DTaP, HepB, IP are all what
Definition
Prefilled syringes
Term
Insulin
Definition
Hormone used to tx diabetes
Term
Why is insulin administered via injection?
Definition
the protein in it would be destroyed by the GI tract
Term
What syringe do you use for insulin prepared in a 100 units/ML?
Definition
50-100 unit scaled syringe. Orange cap
Term
How do we classify inuslin
Definition
By rate of action. Has rapid, intermediate, or long acting
Term
Aspart, lispro, glulisine are what
Definition
Fast acting
Term
Sliding scale (correction) insulin
Definition
Ordered by specific dosages at select times or by the sliding scale. MD orders different based on BG reading. Some institutions have standard sliding scales
Term
What insulin can be mixed with any other type?
Definition
Regular insulin
Term
Do you draw out of a vial first or ampule?
Definition
Vial
Term
How long should you roll each vial of insulin before mixing?
Definition
At least one minute
Term
Why do we roll and not shake insulin?
Definition
Shaking may affect dosing accuracy. Rolling warms medication and resuspends insulin
Term
How long is opened insulin good for?
Definition
One month (date and initialed) at room temperature
Term
When does insulin require refrigeration?
Definition
If it is being stored for longer than 1 month
Term
What medications require two RNs to check?
Definition
Heparin/Lovenox, insulin, blood, 2 meds mixed in the same syringe, high alert medications
Term
What should you always provide with injection patient teachings?
Definition
Written, illustrated instrucgtions
Term
How far do you insert a ID needle?
Definition
About 1/8th an inch. It should be visible
Term
Do you ever aspirate an ID injection?
Definition
No.
Term
What do you do to the skin before giving an ID injection?
Definition
Hold the forearm so that the skin is gently pulled taut
Term
Why do we avoid massaging a ID injection area?
Definition
Could potentially disperse medication
Term
what type of injection do you pinch an inch?
Definition
Sub Q
Term
What Sub Q do you not massage?
Definition
Insulin or Heparin
Term
How quickly do IM injections absorb?
Definition
10-30 minutes
Term
What gets irritated more quickly, sub q or IM?
Definition
Sub Q
Term
What is the deltoid site most commonly used for?
Definition
Immunization injections
Term
Who do we not use the deltoid site in?
Definition
Children under 5, because the muscle is not yet well-developed
Term
What is the preferred site for IM injections? Why?
Definition
Ventrogluteal. Little chance of nerve or blood vessel injury
Term
Why do we avoid the Dorsogluteal site?
Definition
To avoid injury to the sciatic nerve
Term
What is the only IM site for infants and children under 3?
Definition
Vastus lateralis. Because it is the best developed muscle and contains no large nerves or blood vessels to injure.
Term
Where is Z-track given?
Definition
Gluteal muscle
Term
What do we do before we give a Z-track method (needle)?
Definition
Change it out. 1 1/2-2 inches. Prevents introducing med that is clinging to needle after prep and decreases skin irritant
Term
How do we pull the skin before a Z-track?
Definition
Pull skin laterally away from injection site about 1 to 1 1/2 inches
Term
When do you release the retracted skin?
Definition
AFTER you withdraw the needle.
Term
Can a patient be standing up when we give a med?
Definition
No
Term
What is the ONLY medication where it is okay to have bubbles in the syringe?
Definition
Lovenox
Term
If you get lots of air withdrawing medication, what is most likely the problem?
Definition
Needle might need to be tightened on the syringe
Term
Do you ever recap after giving a medication?
Definition
NO.
Term
Do you use your whole hand for injections?
Definition
No, just the wrist
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