Term
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Definition
| a route of drug administration other than oral or through the gastrointestinal tract.(medication given by injection) |
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Term
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Definition
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Term
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Definition
| part of the syringe that holds the medication |
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Term
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Definition
| part of the syringe within the barrel that moves back and forth to withdraw and instill the medication |
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Term
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Definition
| part of the syringe to which the needle is attached |
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Term
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Definition
| length of the needle, depends on the depth to which the medication will be instilled, lengths vary from 0.5 to 2.5 inches |
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Term
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Definition
| provide a barrier for glass particles when withdrawing medication from a glass ampule |
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Term
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Definition
| diameter of the needle, refers to the width, for most injections 18 to 27 gauge needles are used, the smaller the number the larger the diameter |
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Term
| several factors are considered when selecting a syringe and a needle |
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Definition
type of medication
depth of tissue
volume of prescribed blood
viscosity of the drug
size of the client
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Term
| common sizes of syringes and needles |
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Definition
*tuberculin- 1ml calibrated in 0.01ml or in minims
*subcutaneous- 1,2,2.5,3 ml calibrated in 0.1ml
*insulin-1ml calibrated in units
*intramuscular- 3 or 5 ml calibrated in 0.2 ml
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Term
| three different safety injection devices: |
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Definition
1) those with plastic shields that cover the needle after use
2) those with the needles that retract into the syringe
3) gas pressured devices that inject medication without needles |
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Term
| two techniques used with standard equipment to prevent needle sticks |
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Definition
*before administration, the cap is replaced by scoop method
*after administration the needle is left uncapped and deposited in the sharps container |
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Term
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Definition
| technique of threading the needle within the cap without touching the cap itself. |
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Term
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Definition
| sealed glass drug container, must be broken to withdraw the medication |
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Term
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Definition
| glass or plastic container of parenteral medication with a self sealing rubber stopper, must be pierced to remove medication. |
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Term
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Definition
process of adding liquid, known, as diluent to a powdered substance...
common diluents for injectable drugs are sterile water or normal sterile saline |
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Term
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Definition
-sealed glass cylinder of parenteral medication,
-comes with an attached needle, the cylinder fits into a specially designed syringe. |
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Term
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Definition
between the layers of the skin, *commonly used for diagnostic purposes. (tuberculin and allergy tests)
*inner aspect of the forearm
or the back and upper chest
*a tuberculin syringe
*instill the med shallowly at 10-15 degree angle
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Term
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Definition
| beneath the skin but above the muscle |
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Term
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Definition
in muscle tissue
have no nerve endings, so irritating injections are given in muscle
more rapidly absorbed than other routes
-90 degree angle is used
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Term
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Definition
-commonly used to administer insulin and heparin
-preferred site is the abdomen
-rotating injection site, rotate about 1 inch apart
-insulin syringe and tuberculin syringe
-insert at a 90 degree angle
-thin patients 45 degree |
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Term
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Definition
required by some clients with diabetes.
-subcutaneous, intravenous, inhalant
-insulin syringe is used
(low dose syringe 30-50 units, high-dose syringe 100 units)
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Term
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Definition
| breakdown of subcutaneous fat at the site of repeated insulin injections |
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Term
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Definition
| buildup of subcutaneous fat at the site of repeated insulin injections |
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Term
| how does a nurse redistribute the additive and insulin? |
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Definition
| rotates the vial between the palms to redistribute the insulin and additive, before filling syringe |
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Term
| what happens when you mix insulins? |
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Definition
they bind and become equilibrated.
their unique characteristics are offset by the others
-should be combined just before administration
- if given within 15 minutes of being combined they act as if they are inserted separately |
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Term
| what is rapid acting and short acting insulin combined with? |
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Definition
| intermediate-acting insulin |
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Term
| long acting insulin is mixed with? |
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Definition
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Term
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Definition
| 70% of an intermediate-acting insulin and 30% short acting insulin. |
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Term
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Definition
| contains equal amount of intermediate and short acting insulin |
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Term
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Definition
anticoagulant drug, prolongs the time it takes for blood to clot
-given subcutaneously and intravenously
-only given in small volumes
-rotate sites given
-dont massage area afterwards |
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Term
| 5 common intramuscular injection sites |
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Definition
dorsogluteal site
ventrogluteal site
vastus lateralis site
rectus femoris site
deltoid site
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Term
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Definition
-divide the buttocks into imaginary 4 quadrants, give injection in upper outer quadrant.
-primary muscle gluteus maximus
-avoided in clients younger than three and older people
-if not located correctly, damage to sciatic nerve with paralysis is possible
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Term
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Definition
-uses gluteus medius and gluteus minimus muscles in hip
-no large nerve or blood vessels
-less fatty and cleaner (no fecal contamination)
-palm on greater trochanter, index finger on iliac spine, move middle finger away
-inject in triangle |
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Term
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Definition
-uses vastus lateralis muscle in quadriceps of outer thigh,
-large nerve and blood vessels absent
-desirable for children and infants
-one hand above the knee, one below the greater trochanter
-inject in lateral area |
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Term
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Definition
anterior aspect of the thigh
may be used for infants
inject in the middle third of the thigh while client is sitting, or supine |
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Term
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Definition
least used intramuscular
only used in adults
only 1 ml allowed to be injected
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Term
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Definition
| a technique for manipulating the tissue, to seal medication, especially and irritant in the muscle. "zig zag technique" |
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Term
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Definition
reduces or eliminates the local discomfort of invasive procedures that pierce the skin
but it takes 60 to 120 minutes after application to take effect
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Term
| methods to reduce discomfort of injections |
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Definition
numb skin with ice pack
apply pressure to site whenwithdrawing
massage site if appropriate |
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