Procedural step for reconstituting a powder medication thoroughly?
Mix the powder and diluent by rolling the vial between you flattened palms until all the powder is disolved. It must be labeled with the date and time it was reconstituted.
What is a specially shaped, single-dose glass container that has been hermetically sealed?
Ampule
Why is air never injected into an ampule?
It would force the medication out.
What kind of syringe is available in 1-mL capacity with calibrations in one-hundredth (1/100) of a milliliter and in minims? (Used for small doses)
Tuberculin syringe
T or F
You DO NOT inject air into the ampule?
True
Procedural step for filling an ampule: Which needle is inserted directly into the ampule?
Filter needle
Procedural step: How much of the ampule do you use to fill a syringe?
Withdraw the entire amount of medication if appropriate or a little more than the required volume of medication from the ampule. Avoid excess air in attempt to draw up all the meds.
Procedural step discarding an ampule: What to check, and how to discard?
Check the medication label, withdraw all meds from ampule, then discard it into a sharps container.
What is the part of a syringe you place your fingers under?
Flange
What describes the opening of a needle?
Gauge or lumen
What degree is an IM injection given?
90 deg
What angle is a SubQ injection given at?
45 deg
What degree is an intradermal injection given at?
15 deg
What is the range for needle gauge sizes?
18 (thickest) - 30 (Thinnest)
T or F
Manufacturers of needles identify the gauge of its needles with a particular color on the hub and/or packaging?
True
Where is an intradermal injection placed?
Just under the epidermis into the dermis.
What is the use of an intradermal injection?
Diagnostic purposes, such as allergy testing or TB skin tests.
What size is a tuberculin syringe? And what angle is it inserted at?
3/8 to 1/2 inch, 26 or 27 gauge needle inserted at 10- to 15 degrees.
When injecting medication for skin testing, what is the name of the fluid- filled bumb that appears?
Bleb or wheal
What is the most often used tuberculin sensitivity test?
Mantoux test- ID inj of purified protein derivative (PPD) injected into forearm.
What happens if an induration of 10mm or greater appears within 48-72 hrs after exposure to the tuberculin bacteria test?
It is said to be positive for exposure to Mycobacterium tuberculosis.
Typically, needles 5/8 to 1" with a gauge of 25-28 are attached to what size syringe?
3 mL
Tor F
A SubQ injection can be done at 90 deg's for obese pts when insulin and heparin are injected with a short fine needle?
True (if you can pinch more than an inch)
T or F
Aspiration is done for all injections?
False (not for insulin or heparin)
When no blood appears while aspirating and the needle is determined to be in the subcutaneous tissue, what is the next step?
The medication is injected slowly and evenly.
T or F
The deltoid muscle is approved for both adults and older children?
True
How much medication should be injected into the deltoid muscle?
No more than 2mL for adults and 1mL for children.
Why is the deltoid muscle only used if the pt has well developed muscle mass?
Because there is the potential for injury to the radial nerve and brachial artery.
What is the preferred site for infants and young children for injections? And why?
Vastus lateralis, because it lacks major nerves and blood vessels.
One of the body's largest muscles used for injections on infants and young children?
Vastus lateralis
Pulling back on the plunger after injecting the needle into the SubQ is known as what? Why do you do this?
Aspirating. Checking to see if blood aspirates into the syringe meaning the needle has hit a vein.
No more than ___ mL should be delivered at one time for most IM locations.
3 mL; divide larger doses into smaller doses if more is needed.
Appropriate needle length for dorsogluteal injections for children? For adults? What gauges?
Children: 1"- 1 1/2"
Adults: 1 1/4"- 2"
18- 23 G
Three functions Intravenous fluids perform?
1. Maintain blood volume
2. Regulate body temp
3. Transport nutrients to and from cells
Procedural step IM inj using Z-track: Before administering medication, what should be done? Next steps in administering med?
Secure the skin at the injection site.
Puncture the skin quickly and smoothly with the needle kept at 90 degree angle.
After holding tissue taunt for 10 seconds, release traction on the skin to seal the needle track as the needle is being removed.
