| Question |
Answer |
| Which method of administering IV medications is the most dangerous? |
|
IV Bolus
|
| What is the main danger with continuous IV infusions? |
|
Fluids often infuse too rapidly and cause circulatory overload. *Frequent in children and elderly.
|
| True or False? Felt tip markers shouldn't be used to label contents of an IV bag. |
|
True; ink penetrates the plastic and leaks into the IV.
|
| If an IV site becomes swollen, warm, reddened and tender, what should you do? |
|
Stop infusion and remove IV.
|
| If the IV site becomes cool, pale and swollen (indicating infiltration) what should you do? |
|
Provide extravasation care like injecting phentolamine.
|
| Prior to an IV bolus push, how do you check that the medicine will be delivered to the bloodstream? |
|
Occlude the IV line just above the injection port by pinching it. Gently aspirate to get blood.
|
| When is the Deltoid used for an IM injection? |
|
Small med. volumes, immunizations or when other sites are blocked.
|
| What are the best locations for intradermal injections? |
|
Inner fore arm and upper back.
|
| What is the safest methods of administering IV meds? |
|
Large volume infusion.
|
| What are the preferred sites for IM injections? |
|
Ventrogluteal, Vastus Lateralis, Deltoid, and Dorsogluteal.
|
|
|
| The vastus lateralis site for IM injection is usually used for infants, children and toddlers getting... |
|
biologicals like Ig's, vaccines, and toxoids.
|
| True or False? The dorsogluteal site is good for IM injections because it is highly vascular and involves less pain. |
|
False; can result in paralysis or permanent nerve damage. *Not recommended!
|
| For IM injections: Normal client = _______mL, Children, older or thin = _______mL, Small children = _______mL, Small infant = _______mL |
|
Normal = 3 mL, Children, elderly, thin = 2 mL, Small child = 1 mL, Small infant = 0.5 mL
|
| _______ and _______ shots require IM injections. |
|
Flu and pneumonia
|
| _______ and _______ influence needle size selection for IM injections. |
|
Weight and amount of adipose (skinny = 1/2 - 1 inches and fat = 3 inches)
|
| Rule regarding Sub Q injection: If you can grasp 2 inches of tissue, insert the needle _______ degrees. If you grasp 1 inch of tissue, insert the needle _______ degrees. |
|
2 inches = 90 degrees; 1 inch = 45 degrees
|
| If a patient is showing signs of circulatory overload following an IV infusion, what should you do? |
|
Stop IV.
|
| The site recommended for heparin injections is the _______. |
|
abdomen
|
| What are the best locations for a sub Q injection? |
|
Outer posterior aspect of the upper arm. Abdomen below the costal margins/above the iliac crests. Anterior aspects of the thighs.
|
| Once the needle for an IM injection has been inserted into the muscle, what happens next? |
|
Pull back on plunger 5-10 seconds to ensure no blood is present. Inject slowly at a rate of 1 mL/10 seconds. Wait 10 seconds and withdraw.
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