Week 3 Misc

Question 1

What route is medication delivered, when being given IM?

Answer 1

Parenteral route

Question 2

What are the fastest acting routes of medication administration?

Answer 2

IV and IO

Question 3

What may worsen uptake rate of medications given IM?

Answer 3

• Dehydration
• Poor perfusion

Question 4

What medications can be given IM within the AP scope of practice?

Answer 4

Adrenaline 1:1000 - Anaphylaxis
Glucagon - Hypoglycemia
Hydrocortisone - Addisonian crisis
Naloxone - Opiod overdose with reduced GCS

Question 5

What are the 3 common sites for IM injection?

Answer 5

• Deltoid muscle
• Vastus Lateralis
• Gluteal medius

Question 6

Where is the Deltoid injection site?

Answer 6

• In the middle of the triangle, that is 3cm away from the acromion

Question 7

Where is the IM injection site within the gluteal medius?

Answer 7

In the lateral upper quadrant, below the illiac crest

Question 8

Where is the Vastus lateralis IM injection land marks?

Answer 8

• Greater tracanter
• Lateral condoyle

Question 9

What does site selection depend on?

Answer 9

• Avoiding sites with adverse features
• Accessibility of the site
• Desired flow rate
• Muscle conditions

Question 10

What equipment is required for an IM infection?

Answer 10

• Alcohol wipe
• Drawing up needles
• 23 guage IM needle
• Ampule guard
• Appropriate sized syringe
• Combi stop
• medication
• Guaze

Question 11

What are the preparation checks before delivering an IM medication?

Answer 11

• Explain the procedure
• Gain informed consent
• Check medication
• Record batch number and expiry

Question 11

What indicates the weaker area of an ampoule?

Answer 11

• A dot on the neck of the vile

Question 12

Why is it important to aspirate prior to delivering medication?

Answer 12

• To check for bleeding, to ensure it is going into muscle and not a blood vessel.

Question 13

What rate should an IM injection be given?

Answer 13

1ml per 10 seconds

Question 14

How long after delivery should the needle be withdrawn from the site?

Answer 14

10 seconds

Question 15

After a needle stick exposure what needs to be done?

Answer 15

• Bleed site
• Wash site
• Cover with sterile dressing
• Speak to TL
• Document on EPRF
• DATIX

Question 16

What is effected by sickle cell disease?

Answer 16

• The haemoglobin in red blood cells, they stick together to make a crescent shape.
• This reduces the ability to carry oxygen

Question 17

How long do Sickle cells last for?

Answer 17

10-20 days

Question 18

What occurs when a PT goes into crisis?

Answer 18

The sickle cells clump in the blood vessles, causing pain.

Question 19

If both parents are sickle cell carriers, what is the % chance the child will suffer with sickle cell disease?

Answer 19

25%

Question 20

When is sickle cell disease often detected?

Answer 20

• At birth/ During pregnancy

Question 21

How long can a sickle cell crisis last?

Answer 21

Up to 7 days

Question 22

What are the signs and symptoms of sickle cell crisis?

Answer 22

• Stroke,
• Difficulty in breathing
• Chest pain
• Fatigue
• Weakness
• Headache
• Dehydration
• Priaprism,
• Pyrexia
• Hypoxia

Question 23

What s the leading cause of death in sickle cell patients?

Answer 23

• Acute chest syndrome

Question 24

If someone with sickle cell is presenting with acute chest syndrome, what signs are the likely to present with?

Answer 24

- Typical cardiac symptoms - Crackles at the base of the lungs.