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
sub-q injections - ✔✔✔45-90 degree angle, 25G needle, 1/2-1" length, below dermis/above muscle
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
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
sub-q injections - ✔✔✔45-90 degree angle, 25G needle, 1/2-1" length, below dermis/above muscle
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
