Medication Competency Detailed Questions and
Expert Answers
How can you identify an insulin syringe? - ANS Calibrated in Units
May have an orange cap..will be a very small syringe...will say "Insulin only"...has
units as the measurement
Don't fill a syringe more than ___% - ANS 75%
(the amt of medication should not be more than 75% of the syringe)
what do oral syringes look like? - ANS Bright orange tip, amber color, will not
securely connect to a luer lock
How do you put on a needle? - ANS you twist to put it on and tighten it...but when
you take the cap off you pull (don't twist or it will come off)..also when taking the
cap off hold the syringe sideways
3 mL syringes are used mostly for - ANS IM injections
10 mL syringes are used mostly for - ANS IV pushes
How do you maintain sterile technique when taking syringe out of pkg? - ANS don't
touch the top of the syringe when taking out of the pkg (also don't set it down
once its out)
,18 gauge needles are not used for ___ but can be used for ______ - ANS injections
(usually)..You can use them to draw up viscious solutions (iron) and then change
your needle over to a smaller one before injecting
Can you use your insulin syringe for anything else? - ANS NEVER
Needle Size: the smaller the diameter, the ____ the gauge # - ANS higher
gauge...Ex. 25 has a very small gauge, but a large #, while 18 has a very large guage
but a small #
For all intramuscular injections except immunizations, you need to do what? - ANS
aspirate to see if you hit a blood vessel before you inject (if you see blood..then
remove the needle, discard it and start over)
How do you break a glass ampule? - ANS open an alcohol wipe and place the tip of
the ampule inside the alcohol wipe bag with the alcohol wipe covering it..then
break the tip off away from yourself (glass goes in sharps container)**remember
to use a filter needle to draw up the medication and then change the needle
before injecting**
how do you get medication from a glass ampule? - ANS once you break it, then
place it on a hard surface and draw the medicine up out of it with a filter
needle...you will then need to change out the needle before injecting the patient
(get all bubbles out)
, 14/16 gauge needles are used for - ANS emergencies...(never IM injections)..these
are used directly into the vein
what gauge of needles are used for most shots? - ANS 21-23 (21: if med is more
viscous, 22 for average adult, 23 for children)
an 18-22gauge is usually what size of length? - ANS 1-1 1/2 inch needle
a 23-25 gauge is usually what size of length needle? - ANS 1/2-5/8 inch needle
(children)
What type of needle would you select for a morbidly obese person for a deep IM
injection? - ANS may need to use a spinal needle...ex. 22 gauge with a 2.2 inch
length
What things do you need to consider when selecting an injection site? - ANS scars,
lesions, volume, deep, IM medications, multiple injections and age of the person
Where are the 3 preferred sites for IM injections? - ANS Ventrogluteal, Vastus
Lateralis and deltoid
Why is the ventrogluteal site used for IM injections? - ANS to avoid the sciatic
nerve (can be used on children after they have been walking for 1 year)
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