NUS 111 Sim Lab

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Author:
AngelGoosie
ID:
294206
Filename:
NUS 111 Sim Lab
Updated:
2015-01-31 23:14:28
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Injections
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Description:
Injections
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  1. What are the 3 IM injection sites?
    Ventrogluteal

    Vastus Lateralis

    Deltoid
  2. What IM site is used for neonates & premies?
    Vastus Lateralis
  3. What IM site(s) are used for a 12 month - 18 year old patient?
    Deltoid or vastus lateralis
  4. What IM site(s) are used for a patient over 18 years old?
    • Ventrogluteal
    • Vastus Lateralis
    • Deltoid
  5. Needle length for IM injections involving the following

    neonates or premies
    12 months - 18 year olds
    adults
    • In Inches
    • 5/8 - 1
    • 5/8 - 1.25
    • 5/8 - 1.5
  6. Needle gauges for IM injections involving the following

    neonates or premies
    12 months - 18 year olds
    adults
    22-25 gauge (for all categories)
  7. Needle angles for IM injections involving the following

    neonates or premies
    12 months - 18 year olds
    adults
    • 90 degrees
    • 72-90 degrees
    • 72-90 degrees

    It is usually 90 degrees
  8. What location is used for SQ injections of a child 12 months old or younger?
    Anterior aspect of the thigh
  9. What site(s) is used for SQ injections of a child aged 12 months to 18 years old?
    • Outer tricep
    • Anterior Aspect of the Thigh
  10. What site(s) is used for SQ injections of an adult?
    • Outer Tricep
    • Anterior Aspect of the Thigh
    • Abdomen
    • Upper Back
    • Upper Ventral or Dorso-gluteal area
  11. Needle length for SQ injections involving the following

    neonates or premies
    12 months - 18 year olds
    adults
    • In Inches
    • 3/8 - 5/8
    • 3/8 - 1
    • 3/8 - 1
  12. Needle gauges for SQ injections involving the following

    neonates or premies
    12 months - 18 year olds
    adults
    • 23-25g
    • 25-30g
    • 25-30g
  13. Needle angles for SQ injections involving the following

    neonates or premies
    12 months - 18 year olds
    adults
    45-90 degrees (all categories)

    Depend on the site and BMI of patient?
  14. Symptoms of hypoglycemia
    • Sweating
    • Tremors
    • Tachycardia
    • Nervousness & emotional changes
    • Hunger
    • Headache & double vision
    • Confusion & slurred speech
    • Seizures & loss of consciousness
  15. Site(s) for insulin injection
    • Back of arm
    • Thigh
    • Abdomen
    • Upper back
  16. List the names of some rapid acting insulin
    • Lispro (Humalog)
    • Aspart (Novolog)
    • Glulisine (Apidra)
  17. What is the onset, peak & duration of rapid acting insulin?
    • Onset: 10-30 minutes
    • Peak: 30 minutes - 3 hours
    • Duration: 3-5 hours
  18. What is the onset, peak & duration of Short-Acting Insulin
    • Onset: 30 minutes - 1 hour
    • Peak: 2-5 hours
    • Duration: 5-8 hours
  19. What is the onset, peak & duration of Intermediate-Acting Insulin
    • Onset: 90 minutes - 4 hours
    • Peak: 4-12 hours
    • Duration: 12-18 hours
  20. What is the onset, peak & duration of Long Acting Insulin?
    • Onset: 50 minutes - 4 hours*
    • Peak: None
    • Duration: 24 hours+

    * Sim Lab packet states 0.8 - 4 hours
  21. Which type of insulin is considered "regular" insulin?

    List the names drugs / brands
    Short acting insulin

    Humulin R, Novolin R
  22. Which type of insulin is the only type that can be administered via IV?
    Regular Insulin aka short-acting insulin
  23. Which type of insulin is cloudy?
    NPH
  24. NPH stands for

    What type of insulin is it considered?
    Neutral Protamine Hagedorn

    Intermediate Acting Insulin
  25. List the names (drugs) of some long acting insulin
    • Glargine (Lantus)
    • Detemir (Levemir)
  26. Which types of insulin are used for sliding scale (bolus) coverage during mealtime?
    Rapid & Short-Acting Insulin
  27. Heparin is administered how?
    SQ or IV only
  28. Heparin dosages are based on a patient's _______ results EACH time of administration

    heparin dosage is considered adequate when the patient's clotting time aka ___________ is __________
    Coagulation test (Results)

    Partial Thromboplastin Time (PTT)

    1.5 - 2.5x the control value
  29. Heparin is administered SQ where?

    how?
    In the abdomen below the umbilicus. Alternate the sites 2 inches each time

    • Use 1/2 inch syringe
    • Insert needle at 90 degrees

    Do NOT aspirate or massage site
  30. Lovenox

    What is the generic name?
    What is it?
    Does it require a coagulation study?
    What about its injection technique makes it different from others?
    Enoxaparin

    A low molecular weight heparin

    No

    It is one of the few injections where the air bubble is injected
  31. What is are the site(s) of injection for enoxaparin?
    left & right anterolateral & posterolateral abdominal wall

    alternate between sites

    • Remember
    • Lovenox goes into the love handles

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