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Nursing In a Flash 
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Which method of administering IV medications is the most dangerous?
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IV Bolus
What is the main danger with continuous IV infusions?
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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.
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True; ink penetrates the plastic and leaks into the IV.
If an IV site becomes swollen, warm, reddened and tender, what should you do?
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Stop infusion and remove IV.
If the IV site becomes cool, pale and swollen (indicating infiltration) what should you do?
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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?
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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?
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Small med. volumes, immunizations or when other sites are blocked.
What are the best locations for intradermal injections?
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Inner fore arm and upper back.
What is the safest methods of administering IV meds?
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Large volume infusion.
What are the preferred sites for IM injections?
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Ventrogluteal, Vastus Lateralis, Deltoid, and Dorsogluteal.
The vastus lateralis site for IM injection is usually used for infants, children and toddlers getting...
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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.
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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
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Normal = 3 mL, Children, elderly, thin = 2 mL, Small child = 1 mL, Small infant = 0.5 mL
_______ and _______ shots require IM injections.
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Flu and pneumonia
_______ and _______ influence needle size selection for IM injections.
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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.
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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?
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Stop IV.
The site recommended for heparin injections is the _______.
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What are the best locations for a sub Q injection?
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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?
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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.
Intradermal injections should be done at a _______ degree angle.
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5-15 degree
A _______ should be used for all IM injections.
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What is the preferred site for IM injections?
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Ventrogluteal site
The smaller the needle gauge, the _______ the diameter.
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True or False? When preparing a vial with powder for injection, it is not necessary to withdraw the needle once the solution has been injected into the vial.
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False; The needle needs to be withdrawn to mix the contents.
True or False? If bubbles are aspirated into a syringe from an ampule while drawing the med., you should expel it back and retry.
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False; Remove the needle from ampule and invert syringe. Tap to cause bubbles to rise, depress plunger to force out.
True or False? You should inject air into a vial to make it easier to aspirate.
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Vials requiring reconstitution should never be _______.
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Shaken (roll to mix)
When mixing medications from a vial and an ampule, which should be drawn first?
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The vial.
Which flush solution, saline or heparin, the preferred method?
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Saline (0.9%), 2-3 mL; *flushing IV lock

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