CPSS Final Exam_ NSCA CPSS 2024 Updated Questions and Answers Already Graded A+ 100% For Excel in Your Exams

CPSS Final Exam_ NSCA CPSS 2024 Updated Questions and Answers Already Graded A+ 100% For Excel in Your Exams Lecture 1 - CORRECT ANSWER-Injections What is a small bottle that contains a drug? - CORRECT ANSWER-ampulle What is the diameter or barrel size of a needle called? - CORRECT ANSWER-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 ANSWER-hub What is a cylindrical container that holds liquids? - CORRECT ANSWER-barrel what is a small container, usually w/ closure, that is used esp for liquids? - CORRECT ANSWER-vial (TQ?) What is the Z-track method used for? - CORRECT ANSWER-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 ANSWER-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 ANSWER-200 - 2 inch needle 100 - 1.25-1.5 inch needle what are the indications for injections? - CORRECT ANSWER-(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 ANSWER-more expensive must be sterile takes skilled/trained personel may be difficult to remove dose if toxic/AE What does parental refer to? - CORRECT ANSWER-any route other than the alimentary canal...so IM/ID/SQ/IV How do you measure the length of a needle? - CORRECT ANSWER-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 ANSWER-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 ANSWER-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 ANSWER-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 ANSWER-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 ANSWER-Faster than SQ and Slower than IV What are the indications for IM injections? - CORRECT ANSWER-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 ANSWER-cellulitis/dermatitis overlying the injectin site What length and gauge is used for IM injections? - CORRECT ANSWER-19-22 gauge 1-1.5 inch needle Gauge size in IM injection is dependent on what? - CORRECT ANSWER-drug viscosity Length in IM injection is dependent on what? - CORRECT ANSWER-depth of insertion What type of muscle is utilized in IM injections? - CORRECT ANSWER-Striated mm what are the 3 princple sites for IM injections? - CORRECT ANSWER-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 ANSWER-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 ANSWER-< 2 CC What is the location for needle insertion in an IM injection into the deltoids? - CORRECT ANSWER-3-4 cm below acromion Are IM deltoid injection, perferred more in infants or adults? - CORRECT ANSWER-adults used for vaccination in adults What is the DANGER for injecting children w/ IM injection in the deltiod? - CORRECT ANSWER-RADIAL nerve injury What is the PERFERRED location for IM injection in pts <3 y/o? - CORRECT ANSWER-Vastus Lateralis (anterolateral thigh) used for vaccination in children What volume can be injected in the thigh in kids? - CORRECT ANSWER-0.5-2 cc The vastus lateralis LACKS nerves and vessels, however the the injection can still be painful due to what? - CORRECT ANSWER-Fascia Lata What is the PERFERRED route for IM injections in pts > 2 y/o? - CORRECT ANSWER-Gluteus Maximus Larger volumes OK, not used for vaccinations Where should the needle be placed in a gluteal IM injection? - CORRECT ANSWER-UPPER/OUTER QUADRANT OF BUTTOX In a gluteal injection, what you be careful of not to injure? - CORRECT ANSWER-sciatic nerve and superior gluteal mm