IM meds - quickly absorbed, 90 degree angle, 19-23 G needle, 1-2" length, average adult:11/2,
22G, mandatory to aspirate, purpose is to deposit meds into deep muscle for quick absorption
deltoid muscle - only used for 1-2 ml of med b/c is smaller muscle
quickest absorption - #1 is abdomen, #2 is...
nclex review from test bank
IM meds - ✔✔✔quickly absorbed, 90 degree angle, 19-23 G needle, 1-2" length, average adult:11/2,
22G, mandatory to aspirate, purpose is to deposit meds into deep muscle for quick absorption
deltoid muscle - ✔✔✔only used for 1-2 ml of med b/c is smaller muscle
quickest absorption - ✔✔✔#1 is abdomen, #2 is arm, #3 is buttock
Insulin - ✔✔✔done sub-q into fatty tissue, measured in Units, draw up air prior and insert into vial
Regular insulin - ✔✔✔onset:15-30 mins, clear, peak:30-11/2 hr., duration:3-4 hrs., can mix with
intermed.& short
Humulog - ✔✔✔onset:15-30mins., clear, peak: 30-11/2, duration: 3-4 hrs., mix with intermed., reg,
short
NPH - ✔✔✔onset:1-4hr., cloudy, peak:6-10hrs., duration:10-16, up to 24 hrs., cannot mix!!
Lantus - ✔✔✔onset:1-2hr., clear, no peak, duration:24 hrs., cannot be combined
Regular insulin - ✔✔✔only insulin that can be given IV
rotate injection sites - ✔✔✔to slow formation of scar tissue
most insulins - ✔✔✔given right befor meals to control blood sugar
, when mixing insulins - ✔✔✔put air into cloudy first, then clear
NPH - ✔✔✔has regular insulin in it already
sliding scale - ✔✔✔always given with short acting insulin such as reg/ humulog
heparin/lovanox - ✔✔✔bruising will occur aroun inj. sites, apply pressure for at least 30 seconds,
check for bleeding gums, stools, sheck V/S for internal bleeding with anticoagulants
Intradermal injections - ✔✔✔10 degree angle, 25-27G needle, 5/8-1/2" needle, barely cover bevel
under skin, do not do near a vein, do to the side, used for PPD&allergy testing
TB testing - ✔✔✔read 48-72 hrs later, inject 0.1 ml, assess for induration(hard bump), measure in mm,
greater than 5 mm is queestionable, 5-10 need CXR, redness indicates localized reaction not a concern,
problem is induration
bacteriacidal - ✔✔✔able to kill bacteria
bacteriostatic - ✔✔✔retards bacteria growth
broad spectrum - ✔✔✔atbs that are effective against many organisms
catecholamine - ✔✔✔neurotransmitters that play important role in body's stress response
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller jessyqueen. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $15.72. You're not tied to anything after your purchase.
