Medication Administration – Needles and gauges – Flashcards

For intramuscular injections, usually a ___ to ____mL syringe is needed.

For intramuscular injections, a smaller needle as a #___ to #_____ gauge needle, ____ inch long is commonly used for the deltoid muscle.

For intramuscular injections, very obese clients may require a needle longer than 1 1/2 inches (e.g. ____ inches).

For intramuscular injections, an emaciated client may require a shorter needle (e.g. _____ inch)

Intradermal injections are commonly used for _______ testing and _______ screening.

Common sites for intradermal injections are the inner lower _______, the upper _______, and the back beneath the __________.

For an intradermal injection, use a ____ mL syringe calibrated into hundredths of a milliliter.

For an intradermal injection, use a #____ to #_____ gauge safety needle that is 1/4 to 5/8 inch long.

For an intradermal injection the needle enters the skin at a _____ to _____ degree angle.

For an intradermal injection, the medication forms a _____ or _______ under the epidermis.

Among the many kinds of drugs administered ___________ (just under the skin) are vaccines, insulin, and heparin.

Common sites for subcutaneous injections are the outer aspect of the upper_______ and the anterior aspect of the _________.

Generally a _____ to _____ mL syringe is used for most subcutaneous injections.

If an insulin is being administered, an ________ syringe is used.

If heparin is being administered a _________ cartridge is used.

Generally a #______ gauge, _____ inch needle is used for adults of normal weight for most subcutaneous injections.

5/8 inch needle is used for adults of normal weight and the needle is inserted at a _____ degree angle, a 3/8 inch needle is used at a _____ degree angle for subcutaneous injections.

For a subcutaneous injection, a child may need a _____ inch needle inserted at a _____ degree angle.

For a subcutaneous injection, a 45-degree angle is used when ______ inch of tissue can be grasped at the site; a 90-degree angle is used when ______ inches of tissue can be grasped at the site.

When administering insulin to adults, the current standard needle gauge in #_______ gauge with a short needle (4 to 6 mm).

Nurses have traditionally been taught to ________ by pulling the plunger after inserting the needle and before injecting the medication. The nurse could than determine whether the needle had entered a blood vessel.

According to the American Diabetes Association (ADA, 2004), routine _________ is no longer recommended with insulin administration.

Malkin (2008) states that use of the ______ site should be removed from injection practice as an unnecessary and unacceptable risk for clients.

When mixing insulin, you are always going to draw up the ______ acting insulin first (e.g. regular insulin) and then the _____ acting insulin (e.g. NPH).

Example of mixing 25 units of insulin using NPH and regular insulin. Wipe the top of both insulin vials with the alcohol swab. Inject 15 units of air in the _____ vial making sure the needle doesn't touch the insulin (Always enter the same amount of air for the amount of insulin you are going to need. After you enter the air in the ____ vial pull the needle out (do not draw up insulin yet) and insert 10 units of air into the _______ insulin vial. After you inject the air into the _______ insulin vial, draw up the 10 units of ______ insulin. Once you have drawn up your 10 units of ______ insulin, you can now draw up the _____ insulin (making sure you roll the vial between your hands first and do not push any of the _____ insulin into the _____ vial.) Once your needle is inside the ____ vial, pull on the insulin plunger carefully and slowly to bring it to the 25 unit mark - 10 units of _____ insulin plus 15 units of _____ = 25 total units