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