Medication Administration Part 2: Injectable/IV

Injectable Insights

100

The angle to properly administer an intradermal injection

5-15^o

200

The four types of parenteral medication administration routes

ID, IM, SQ, IV

300

TB syringes are designed to be used for volumes less than ___ mL

1

400

____ is when IV fluid leaks into the subcutaneous tissue around the puncture site causing coolness to the area, edema, pallor and pain.

____ is when a vesicant IV medication leaks into the subcutaneous tissue causing significant damage

Priority for both of these complications is to ____ and ____

Infiltration, Extravasation

Stop the infusion and remove the IV

500

____ is inflammation of the vein causing pain, warmth, and redness along the vein

Priority interventions are to ___ and ____, however, also ____ and _____

Phlebitis, stop the infusion and remove the IV

apply a warm compress, document

Intramuscular Intelligence

100

Standard needle gauge and length for an IM injection in an adult and the angle of administration is 

23 gauge and 1-1/2 inch, 90^o

200

The most accessible site for IM injection administration, however, cannot inject more than 2mL

Deltoid

300

The most preferred and safest IM injection administration site as it is away from major nerves and vessels, and can hold volumes greater than 2mL 

Ventrogluteal

400

The IM injection site located on the lateral aspect of the thigh and can also hold volumes greater than 2mL

Vastus Lateralis

500

Using the ____ method when administering an IM injection involves pulling the skin at the injection site to the side, removing the needle after injecting, then allowing the skin to return to its normal position

Z-track

Carbs and Consequences

100

The unit of measurement insulin syringes are calibrated in

Units

200

When mixing NPH (cloudy) and Regular (clear) insulins in the same syringe, the ___ is drawn up first and the ___ is drawn up second

Clear, Cloudy

300

Two of the recommended injection sites for insulin administration are ___ and ___, but the site with the best absorption is ___

Abdomen, back of upper arm

Abdomen

400

Insulin injections are administered at a ___ angle if the patient is thin, and at a ___ angle if the patient is obese

45^o, 90^o

500

The nurse is to administer rapid acting insulin to a patient before meals. The best time to administer this type of insulin is ____

When the meal tray arrives

Subcutaneous Combustion

100

Standard needle gauge for a SQ injection in an adult

25 gauge and 5/8 inch

200

Three medications given the subcutaneous route are ___, ___, and ___

Insulin, Lovenox and Heparin

300

Absorption of a subcutaneous injection is ___ than that of an intramuscular injection

Slower

400

A nurse is to administer a subcutaneous injection that is a volume of 2mL, the syringe size the nurse will choose is ____ mL

3

500

A nurse has finished giving a patient a subcutaneous injection. To avoid an accidental needle stick, the nurse should ____, ____, and ____

Not recap the needle, engage the safety, and dispose of the needle in a sharps container

The Vein Event

100

A ____ infusion is used when maintenance fluids are needed. 

Continuous

200

A ___ infusion is when a secondary IV medication (often an antibiotic) is hung concurrently with the primary IV fluids

Piggyback

300

An IV catheter is said to be ______ if it is flushed, clamped and not in use

Saline locked

400

____ administration is used when a bolus dose of concentrated medication is placed directly into systemic circulation. 

IV push

500

Prior to administering a medication IV push the nurse must _____ and _____ the IV site as well as know the ___ in which the medication is to be pushed

Assess and flush, duration