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At what angle is an ID given?
10-15 degrees
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At what angle is an IM given?
90 degrees
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At what angle is a SC given?
45 degrees
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Where do you inject an ID?
midback or forearm
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Where do you inject an IM?
Deltoid, vastus, glute
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Where do you inject a SC?
back of upper arm, in between the elbow and the shoulder; abdomen, back, and thigh
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What gauge and length do you use for ID?
25-27 g and 5/8" - 1/2"
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What gauge and length do you use for IM?
21-23 g and 1-2"
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What gauge and length do you use for SC?
25-27 g and 5/8" - 1/2"
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What is the gauge and length for an IM glute?
19-23 g and 1 1/2" - 3"
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What is the gauge and lenth for Z track?
19-23 g and 1 1/2" - 3"
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For a 400 lb male, you are inject thick med via IM glute, what gauge and length would you use?
18-20 g and 2 1/2" - 3"
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What is the purpose of massage after injection?
Patient comfort and disbursement of meds
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What injections do you massage?
IM and SC
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What injections do not get massaged?
ID, IM Ztrack, and SC insulin
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What injections do you not aspirate on?
ID and Z-track
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Do you aspirate ID allergy test?
no
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What are 2 purposes of a Z-Track?
1. Medications that irritate the skin 2. Deep in muscle tissue
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How do you determine the gauge to be used?
by the viscosity of the meds
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How do you determine which needle length to use?
What injection, route, and body
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Lumen
the diameter inside the needle
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Viscosity
the thickness of the liquid
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Immunization
The process that protects the body against an infectious disease
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Vaccination
To inoculate with a vaccine
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Subcutaneous
The fat layer
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Sciatica
symptoms cause numbness or tingling d/t damage of sciatic nerve
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Parenteral
any other route other than the GI tract
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Parenteral routes are used for? (3 things)
More rapid absorption; when concentration needs to be higher or specifice use; and when oral can't be used due to destruction of med by gastric juices
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U
unit; insulin syringes are calibrated in units
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What are the 6 rights of medication adminstration?
1. Right drug; 2. right dose; 3. right patient, 4. right route; 5. right time; 6. right documentation
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How many times should a medication label be looked at during the administration process?
3 times
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What should be done when a medication error is made? (5)
1. Recognize error; 2. Stay calm and assess patient; 3. Report to Dr. details of error and rxn; 4. Follow Dr's order for correction; 5. Document error, include rxn, time, and date, and steps to correct
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Ampule
small prefilled glass
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Vial
glass container that has liquid or powder
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Which injection should have bevel up?
ID and SC
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All injections should avoid?
Veins
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When a medication expires what happens chemically?
The potency decreases
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ID can be given with what syringe?
Tuberculin
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Dangers with injections
Hitting a nerve, bone, or vein, causing a hemotoma
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What should you avoid
- moles, tattoos, scars, birthmarks, rash, burn, edema
- can cause changes in pigment
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What injection do you pinch up and pull up skin?
SC and IM
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