Injections/Blood Draws Flashcards Preview

Clinical Med > Injections/Blood Draws > Flashcards

Flashcards in Injections/Blood Draws Deck (16)
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1
Q

Why would you chose injections over PO meds?

What are the advantages?

A
  • pt cant take med PO
  • vaccinations
  • allergy testing

Advantages- avoid 1st pass metabolism

2
Q

Contraindications of Injections

A
  • lack of suitable site for injection
  • coagulopathy
  • occlusive peripheral vascular disease
  • shock
  • impairment of peripheral absorption
3
Q

Complications of Injections

A
  • anaphylactic rxn
  • med errors
  • infection at site
  • injection pain
  • ecchymosis at site
4
Q

5 Rights

A
right drug
right patient
right dose
right route
right time
5
Q

Routes of Drug Admin & Example of each

A

Intradermal (ID)- allergy/TB

SubQ- Insulin Heparin,Lovenox

IM- Abx, Narcotics, Sedatives, vitamin

IV- many drugs, vancomycin etc.

6
Q

Advantages of each route of drug admin

A

ID- slow absorption

SubQ- faster onset of drug than PO

IM- minimize pain from irritating drugs, larger volumes can be distributed, rapid absorption

IV- quick distribution and absorption

7
Q

Disadvantage of each route of drug admin

A

ID- small amount of drug

SubQ- greater expense than PO, smaller volume, drug can irritate tissue and cause pain, produce anxiety

IM- blood vessels and nerve damage, produce anxiety

8
Q

Sub Q injections are done where?

What type of syringe?

A

Lateral aspect upper arms

Lateral aspect of thigh

2in below umbilicus

TB syringe

9
Q

IM injections done where?

What type of syringe?

Check for blood return?

A

deltoid
gluteus medius/minimus
vastus lateralis* perferred site for infants

18-23 gauge

Check for blood return

10
Q

Insulin Injection Sites

A
  • arms
  • abdomen
  • thigh
  • buttock
  • rotate injection sites
11
Q

Heparin Injection Sites

A

Lower abd fat pad, 2 inches below umbilicus

*rotate injection sites

12
Q

Heparin: do you aspirate to check for blood return?

Do you rub or massage site after injection

A

NO, NO

13
Q

Sub Q injection location in infant and older child

A

infant- thigh

child- posterior upper arm

14
Q

IM into Pediatric pt location

A

anterolateral aspect of upper thigh of infant and deltoid for children

15
Q

is it okay to use gluteal muscles in children younger than 3/those who have been walking less than a year?

A

NO, buttock should not be used in children because of risk of sciatic nerve injury

16
Q

After injection instruct patient to report the following..

A

fever

bleeding

SOB

Rash

Tenderness/ erythema

bruising