Med Admin/IV Therapy Medication Administration / IV Administration

Question Answer
What are the appropriate injection sites for an IM injection? Deltoid, Dorsal Gluteal, Vastus Lateralis & Rectus Femoris
How many ml's of fluid/medication can be administered into the Dorsal Gluteal Muscle? Up to 5.0ml or greater
How many ml's of fluid/medication can be administered into the Vastus Lateralis Muscle? Up to 5.0ml or greater
How many ml's or fluid/medication can be administered into the Rectus Femoris Muscle? Up to a max of 5.0ml
How many ml's or fluid/medication can be administered into the Deltoid Muscle? Up to a max of 2.0ml
What are the three parts to a syringe? The barrel, plunger & the needle adapter
To access a port-a-cath, what type of needle must you use? A Huber Needle
If a solution has a higher solute concentration than that of the cells it is termed to be: Hypertonic
If a solution has a lower solute concentration than that of the cells it is termed to be: Hypotonic
If a solution has an equal solute concentration to that of the cells it is termed to be: Isotonic
At what angle would you insert a needle through the skin when administering an intradermal injection? 10-15 degrees
At what angle would you insert a needle through the skin when administering an subcutaneous injection? 45 degrees
At what angle would you insert a needle through the skin when administering an intramuscular injection? 90 degrees
What are the "Six Rights" of drug administration? Right person, route, dosage, medication, time, documentation
What are the age limits for the placement of an IO? There are no age limits!
What medications can be administered through an IO? Any medication that can be delivered IV can be given through an IO
Where are the appropriate injection sites for a subcutaneous injection? Administer subcutaneous injections where you can easily pinch the skin on the upper arms, thighs, and the abdomen.
When a medication is given via the "Enteral Route", how is it delivered to the patient? Either orally, rectally or through a gastric tube.
What is an "air plug" when talking about administering medication to a patient? It is a small amount of air (0.1ml) that is placed behind the medication when you are delivering an injection to be sure to deliver all of the medication from the needle.
What are the 5 mucous membrane areas in the body that you can administer medication to? Sublingual, Buccal, Ocular, Nasal and Aural.
When using a Microdrop IV Administration set – how many drops equals 1ml? 60
When using a Macrodrop IV Administration set – how many drops equals 1ml? 10-15 (depends of the set)
Swelling at the IV site indicates fluid collection caused by infiltration – what is this called? Extravasation
The bone most commonly used for IO access is the: Tibia
________________, or inflammation of the vein, is particularly common in long-term IV therapy. Thrombophlebitis
A drug that is administered through the mucous membranes of the ear and ear canal is a(n): Aural medication
"Within the dermal layer of the skin" defines what type of injection? Intradermal
Medical ___________ describes a medical environment that is free of pathogens. Asepsis
During the process of administering a medication or starting an IV, it is imperative that you practice _________ __________ techniques to minimize your patient's risk of infection. Medically clean
When administering medications you must use disinfectants and antiseptics to ensure local cleanliness – what is the difference between the two? Disinfectants are toxic to living tissue and therefore should only be used on nonliving items such as your equipment.Antiseptics are not toxic to living tissue and can be used on living surfaces.
Medication administered via the __________ route promotes a slow, steady absorption through the skin. Transdermal
___________ medications are absorbed through the mucous membranes beneath the tongue. Sublingual
The _________ region lies in the oral cavity between the cheek and the gums. Medications administered here are usually in the form of a tablet. Buccal
Topical medications that are delivered through the mucous membranes of the eye is termed ____________. Occular
An _________ are liquid medications combined with alcohol or placed in a sweetened fluid. Elixir
An _________ are medications combined with a fat or oil emulsifier. Emulsion
A __________ is a liquid that contains small particles of solid medication. Suspension
A __________ is a concentrated solution of sugar in water or another liquid to which a medication is added. Syrup
A __________ can contain a liquid, dry, or beaded medication in a soluble casing. For maximum effectiveness, the patient must swallow them whole. Capsule
A __________ is comprised of medicated powder that is compressed into a small solid disk. Typically these are scored to permit breaking in half or quarters when lesser dosages are required. Tablet
A __________ is a medication that is packaged in a soft, pliable form. These are generally kept refrigerated until use and will begin to dissolve at body temperature in the rectum. Suppository
When drawing up medication from a glass ampule, what type of needle should you use? A filter needle – then change the needle to a regular one before the administration of the medication to a patient.
A __________ solution contains large proteins that cannot pass through the capillary membrane, making them remain in the circulatory system for a long time. Colloid
A __________ solution is considered our primary prehospital IV solution. It contains electrolytes and water but lacks larger proteins and molecules. Crystalloids
An _________ occurs when air enters the vein – it is most likely to occur during central venous access. Air embolism
When obtaining a venous blood sample, using a needle that is too small or vigorously shaking the blood tube can cause _________. Hemolysis
How do you convert Fahrenheit to Celsius? C = 5/9 (F – 32)
How do you convert Celsius to Fahrenheit? F = 9/5 X C + 32
How many milligrams are in 4 grams? 4,000
How many micrograms are in 2.4 grams? 2,400,000 micrograms
How many grams are in 300 milligrams? 0.3 grams
How many mg/ml would a medication be if it was supplied in a 12% concentration? 120 mg/ml
What type of IV solution is Lactated Ringers (LR) or Normal Saline (NS)? Isotonic Crystalloid Solution
What is the longest time that an IV constricting band should be left in place? 2 minutes
Leakage of fluid or medication from the blood vessel that is commonly found when an IV is not placed properly is called ______________. Extravasation
A ____________ in the IV administration tubing or IV solution can cause a __________ reaction. The abrupt onset of fever, shills, backache, headache, nausea & vomiting characterize this reaction. Pyrogen (foreign proteins capable of producing a fever), pyrogenic reaction
A _______________ can occur if you pull the Teflon catheter back over the needle after you have advanced it into the vein – this could cause a plastic embolus and cause an immediate life threatening condition to your patient. Catheter shear
_____________ could occur if you administer too much fluid to a patient – you must always monitor flow rates carefully, especially for patients with medical conditions such as kidney failure or heart failure that are intolerant of excessive fluid. Circulatory overload
A __________________, or blood clot, can form if IV access injures the vessel wall – this clot may form around the catheter and occlude the movement of fluid between the IV and the blood vessel. Thrombus
____________, or inflammation of the vein, is particularly common in long-term intravenous therapy – redness and edema at the puncture site are typical signs of this condition. Thrombophlebitis
What type of needle is used to access a Port-a-Cath? Huber Needle
You are treating a neonate that weighs approximately 2kg and you want to gain IO access – what gauge of IO needle would you want to use? 18 gauge
Which of the following can be used to clean human skin – Antiseptics or Disinfectants? Antiseptics can be used on human skin – Disinfectants are toxic to living tissue
True or False: The transdermal route of administration provides a fast but unsteady rate of absorption into the human body. False – It provides a slow and steady rate of absorption
After delivering a medication to a patient into their eye, how long should you instruct the patient to hold their eyes shut? They should hold their eyes shut for 1 – 2 minutes
The _______________ route is the delivery of a medication that is to be absorbed through the gastrointestinal tract. Enteral route
What is the Hepatic Portal System? It is the detoxification system of the body – blood supply from the stomach and intestines go into the portal vein which goes to the liver to be detoxified before going to the heart.
What are some contraindications for the rectal administration of a medication? Diarrhea, rectal bleeding, hemorrhoids or severe anal irritation. – Medication given rectal bypass the hepatic portal system
A _________________ is a medication that is packaged in a soft, pliable form that is administered via the PR route. Suppositories
An _________________, is a breakable glass vessel that contains liquid medication. It has a cone-shaped top, thin neck, and circular base for storing medication. Ampule
A _______________ are plastic or glass containers with a self-sealing rubber top that may contain single or multiple doses of medication. Vial
What type of needle must be used to draw up medication from a glass ampule? Filter needle

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