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CPSS Final Exam with correct answers
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CPSS Final Exam with correct answers
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CPSS Final Exam with correct answersLecture |1 |- |Injections
What |is |a |small |bottle |that |contains |a |drug? |- |correct |answers✔✔ampulle
What |is |the |diameter |or |barrel |size |of |a |needle |called? |- |correct |answers✔✔Gauge
The |higher |the |number |the |smaller |the |gauge
What |is |the |enlarged |base |by |which |a |hollow |needle |may |be |attached |to |a |device? |-
|correct |answers✔✔hub
What |is |a |cylindrical |container |that |holds |liquids? |- |correct |answers✔✔barrel
what |is |a |small |container, |usually |w/ |closure, |that |is |used |esp |for |liquids? |- |correct
|answers✔✔vial
(TQ?) |What |is |the |Z-track |method |used |for? |- |correct |answers✔✔to |prevent |leakage
|of |irritating |(vistaril) |and |discoloring |medication |(e.g. |iron |dextran) |into |the |SQ
|tissue
It |may |also |be |used |in |elderly |w/ |decreased |mm |mass
In |the |Z-track |method, |which |way |do |you |displace |the |skin: |Laterally |or |Medially? |-
|correct |answers✔✔use |ULNAR |side |of |nondominent |hand |to |pull |skin |LATERALLY
|(displaces |tissue |ABOVE |the |mm)
What |size |needle |length |is |used |for |a |200 |lbs |person? |100 |lb? |- |correct
|answers✔✔200 |- |2 |inch |needle
,100 |- |1.25-1.5 |inch |needle
what |are |the |indications |for |injections? |- |correct |answers✔✔(1) |drug |is |poorly
|absorbed |or |degraded |in |GI |tract
(2) |predictable |and |rapid |drug |response |during |an |emergency
(3) |pt |is |uncooperative, |unconscious, |or |unable |to |take |drug |through |enteral |route
(4) |localized |drug |therapy |is |desired
What |are |some |reasons |of |"why |not" |to |perform |an |injection? |- |correct
|answers✔✔more |expensive
must |be |sterile
takes |skilled/trained |personel
may |be |difficult |to |remove |dose |if |toxic/AE
What |does |parental |refer |to? |- |correct |answers✔✔any |route |other |than |the
|alimentary |canal...so |IM/ID/SQ/IV
How |do |you |measure |the |length |of |a |needle? |- |correct |answers✔✔from |the |hub |to
|the |tip
Name |the |needle |gauge |that |is |used |for |the |following |scenarios:
Blood |Withdrawal?
IM |injection?
SQ |injection?
ID |injection? |- |correct |answers✔✔Blood |withdrawal: |18g
IM |injection: |22 |gauge
SQ |injection: |25-27 |gauge
ID |injection: |27 |gauge
*remember |the |smaller |the |gauge |the |larger |the |needle |diameter*
,What |must |you |remember |NEVER |to |do, |with |regards |to |needles? |- |correct
|answers✔✔NEVER |RECAP! |(or |stick |yourself)
A |4 |month |old |pt |presents |for |his |vaccinations |(IM), |what |is |the |perferred |location
|for |the |injection |and |what |needle |length |and |gauge |would |you |use? |- |correct
|answers✔✔Location: |Anteriorlateral |thigh
Lengh: |5/8 |- |1 |inch
Gauge: |25-27
If |a |toddler/older |child |presents |for |his |routine |vaccination |(IM), |what |is |the
|perferred |location |for |the |injection |and |what |needle |length |and |gauge |would |you
|use? |- |correct |answers✔✔Location: |Deltoid/Anterlateral |thigh
Length: |5/8 |- |1 |inch
Gauge: |22 |- |27
IM |injections |are |(faster/slower) |than |SQ |and |(faster/slower) |than |IV |- |correct
|answers✔✔Faster |than |SQ |and |Slower |than |IV
What |are |the |indications |for |IM |injections? |- |correct |answers✔✔drugs |not |easily
|absorbed |orally
immediate |rate |of |onset |and |duration |of |action |perferred
when |parental |delivery |necessary
What |are |the |contraindication |for |IM |injections? |- |correct
|answers✔✔cellulitis/dermatitis |overlying |the |injectin |site
What |length |and |gauge |is |used |for |IM |injections? |- |correct |answers✔✔19-22 |gauge |
, 1-1.5 |inch |needle
Gauge |size |in |IM |injection |is |dependent |on |what? |- |correct |answers✔✔drug |viscosity
Length |in |IM |injection |is |dependent |on |what? |- |correct |answers✔✔depth |of |insertion
What |type |of |muscle |is |utilized |in |IM |injections? |- |correct |answers✔✔Striated |mm
what |are |the |3 |princple |sites |for |IM |injections? |- |correct |answers✔✔Gluteus, |Vastus
|Lateralis, |and |Deltoid
If |performing |a |IM |injection |into |the |gluteus |maximus, |what |is |used |to |determine
|the |length |of |the |needle? |- |correct |answers✔✔Amount |of |fat |- |if |too |short |injection
|is |made |into |fat |(no |good)
Hint: |women |have |more |fat |than |men |in |the |gluteus |maximus, |therefore |they |are |at
|higher |risk |for |intralipomatous |injection
How |many |CC's |of |fluid |can |be |injected |in |an |IM |injection |in |the |DELTOID? |-
|correct |answers✔✔< |2 |CC
What |is |the |location |for |needle |insertion |in |an |IM |injection |into |the |deltoids? |-
|correct |answers✔✔3-4 |cm |below |acromion
Are |IM |deltoid |injection, |perferred |more |in |infants |or |adults? |- |correct
|answers✔✔adults
used |for |vaccination |in |adults
What |is |the |DANGER |for |injecting |children |w/ |IM |injection |in |the |deltiod? |- |correct
|answers✔✔RADIAL |nerve |injury
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