Nse 211 Week 8 Subcutaneous and Intradermal Injections Questions and Answers
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Nse 211 Week 8 Subcutaneous and Intradermal Injections Questions and Answers
What are the angles of injection for a Subcut and ID injection?
Subcut: 45 or 90 degrees
ID: 15 degrees
High alert medications (risks)
- it carries a significant risk of causing serious injuries or death to a pa...
Nse 211 Week 8 Subcutaneous and
Intradermal Injections Questions and
Answers
What are the angles of injection for a Subcut and ID injection? - answer Subcut: 45
or 90 degrees
ID: 15 degrees
High alert medications (risks) - answer - it carries a significant risk of causing serious
injuries or death to a patient if misused.
- bear a heightened risk of causing significant patient harm when they are used in error.
Although mistakes may or may not be more common with these drugs, the
consequences of an error are clearly more devastating to patients
how to ensure patient safety - answer - Standardizing the ordering, storage,
preparation, and administration of these products
- improving access to information about these drugs; limiting access to high-alert
medications
- using auxiliary labels
- employing clinical decision support and automated alerts; and using redundancies
such as automated or independent double checks when necessary
Students Role - answer - Not be given without clinical instructor AND staff nurse
(Supervision during preparation and administration)
- Review policy
- Includes medications: Insulins, Opioids, Anticoagulants (including oral)
Nurses Role - answer - Apply the rights each and every time
- Triple check
- Independent double check (with nurse or automated dispensing unit)
- Review lab work
- Vital signs
- Assessment (Airway (maintain), Breathing (rate and effort)
Circulation (CRT, pulse quality and rate), Deficit (LOC, GCS)
- Proper technique
Why would insulin need to be mixed? - answer Mixing two insulins is sometimes
needed if the individual may require two different types of insulin in order to control their
blood glucose levels.
(EX: mixing NPH and regular insulin together)
, How do you maintain safety while mixing/ drawing two types of insulin within the same
syringe? - answer The rule is to draw up the clear insulin first and then draw up the
cloudy insulin after.
Rapid and short acting insulins are clear
(regular, aspart , lispro)
Intermediate acting insulin are cloudy (NPH)
So the rapid or short acting insulins would be drawn first (the insulin that acts first is
drawn first) and the intermediate acting insulin is drawn last.
What is the normal range for blood glucose levels? - answer 4.0-7.8 mmol/L
What is a sliding scale? - answer a way of determining how much insulin to
administer. Depending on the blood glucose level, that's how much insulin you would
administer
Administrating Insulin (verification process) - answer - Insulin doses must be
checked by two nurses
- To be considered an independent verification, the second check by another nurse
needs to be independently away from the first nurse with no prior knowledge of the
calculations used to verify the dosage
- in the drug preparation of combining two doses of insulin, two nurses must verify each
step of the process
Reasons for insulin administration errors - answer - Miscommunication of insulin
orders
- abbreviations for "units" being misinterpreted as 0 or another number
- Look alike medication names (Humulin, Humalog)
- Use of tuberculin syringe to prepare dose which has resulted in a tenfold overdose
- Use of insulin syringe to prepare nonstandard concentration (insulin syringes are only
accurate for most common concentrations, 100 units/mL)
- Incorrect preparations of insulin suspensions (insulin NPH), for dose withdrawal and
adminstration; suspensions must be re-suspended according to protocol prior to use
- Insulin being mistakenly administered to patients who don't have diabetes, resulting in
hypoglycemia
- Misreading of Blood Glucose meter, result or the faulty functioning of meters
Short, rapid-acting analogues - answer Insulin Aspart, Insulin Glulisine, Insulin
Lispro, Insulin regular
Adminsitration:
- At the main mealtimes as a bolus (prandial)
- Insulin in the basal-bolus regimen of multiple daily injections (MDI)
Intermediate acting insulin - answer human NPH - Humalin N)
- come as premixed
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