NRS 210 - Medication

Retracting syringes

this syringe has a needle that is automatically retracted into the barrel of the syringe. The nurse fully depresses the plunger handle of the syringe to deliver the complete amount of medication and activate the retraction.

Retracting needles

this type of syringe is activated by a color-coded activation tab. When pressed laterally, the needle retracts into the safety chamber. The tip is covered, reducing the exposure to medication or blood and body fluids. After injecting the medication, the nurse may activate the retraction while the needle is still in the patient or withdraw the needle first.

Needles with shielding devices

this type of needle is engaged with a single-handed technique to cover the needle with the safety device. Hands and fingers remain behind the exposed needle at all times. Once clicked in place, the needle is securely locked inside the safety device

zero line

The first line on the barrel of every syringe

calibration lines

To measure medication in a syringe, you must be able to read ______ ____ on a syringe. They will vary according to the size of a syringe

first ring

Medication is measured at the ___ ____ (the one closest to the tip of the syringe) of the plunger must cover the calibration line for accurate measurement.

calibration lines

Besides total volume of the syringe, what other factor do we take into account when selecting a syringe?

insulin

This is a special type of syringe measured in units, only used for the administration of one specific medication

3 mL

This is the most commonly used syringe in med administration

TB

A 1 mL syringe has calibration lines representing 0.01 and 0.1 L, it is most commonly used to administer the ___ skin test

before administration

When using a prefilled syringe, if the syringe contains more medication than the ordered dose, when does the nurse dispose of the excess medication?

dermis

ID medications are administered into what layer of skin?

Subcutaneous

SubQ medications are administered into what layer of skin?

IM

Which route of administration is not done at an angle?

18-19G

What gauge needle is used for IV medication preparation?

21-23G

What gauge needle is used for IM injections?

25G

What gauge needle is used for subq injections (other than insulin?)

30-31G

What gauge needle is used for subq injections of insulin?

26-27G

What gauge needle is used for ID injections?

epidermis

Every type of parenteral medication administration involves going though this layer of skin (top layer)

Parenteral

The delivery of medications using routes other than the gastrointestinal route

ampule

a glass container with a long narrow top that is snapped off to allow for withdrawal of medication

vial

a plastic or glass container that has a rubber stopper that is punctured for withdrawal of medication

single

Prefilled syringes, prefilled cartridges and ampules are all for ____ doses of drugs

expiration date

date is determined by the manufacturer and is stamped on the drug package and/or drug label. This is the last day that an unopened vial can be used

beyond-use date

For multi-dose vials, once the vial cap is removed or the vial is punctured, this new date is written on the drug label by the pharmacist or nurse who opens the vial

28

The Joint Commission requires that multi-dose vials be discarded ___ days after first use unless the manufacturer specifies otherwise (shorter or longer)

date, time, initials, beyond-use

The first time a multidose vial is used, the ____ and ____ that the vial was open, _____ of the person who opened it, and ____-___ date should be recorded on the vial

Rectal, no, enteral

What does PR mean as a medication admin route? Is it parenteral? If not, what is it?

penicillin, heparin, insulin

These parenteral medications are measure in units. The unit measurement expresses biological activity or potency of the drug and is the standard unit of measurement

electrolytes

Some ____ are measured in milliequivalents (mEq)

high alert medication

this indicates that a medication is at increased risk for patient harm

prefilled

Due to the risk of injury with use of anticoagulant medications, the Joint Commission states that the standard of practice is to use _____ anticoagulant medications when available.

Infusion pumps

When heparin is administered intravenously and continuously, the standard set by the Joint Commission is that programmable ____ ____ be used

laboratory tests

When heparin and low weight heparin therapies require baseline and ongoing ____ __ for safe administration according to the Joint Commission