1. Parenteral Equipment and Supplies
UNIT 12
Parenteral Equipment
and Supplies

2. Key Terms Ampule Cartridge Gauge Hypodermic Injection Luer-Lok
Parenteral
Sterile
Vial

3. Syringe-Needle Unit Used to inject a liquid substance into
Tissue
Vein
Artery
Joint
Body canal
Used to remove fluid from the body by
Aspiration
Venipuncture

4. Syringe Syringe without needle may be used to Perform irrigation
Wounds
Eyes
Ears
Administer liquid oral medications

5. Parts of a Syringe Barrel Plunger Flange Tip
Part that holds medication
Plunger
Movable cylinder within barrel
Flange
Forms rim around end of barrel
Tip
Needle attachment
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6. Parts of a Syringe
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7. Parts of a Syringe Warning!
The following parts of the syringe MUST remain sterile during preparation and administration of medications
Inside of barrel
Part of plunger that fits inside barrel
Syringe tip for needle attachment

8. Disposable Syringes Sterilized Prepackaged Nontoxic Nonpyrogenic
Ready to use
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9. Disposable Syringes Advantages Safer Convenient Precision sharpened
Saves time
Saves money
Discussion Question:
Why would physicians use reusable syringes rather than disposable syringes for procedures such as thoracentesis?

10. Nondisposable Syringes
Primarily used for
Paracentesis
Thoracentesis
Thoracotomy
Tracheotomy

11. Combination Syringes Disposable cartridge-needle unit
Nondisposable cartridge-holder unit

12. 5-mL Syringe Measuring medication
5-mL calibrated with single metric scale
Each small line = 0.2 mL
Longer lines = 1 mL

13. 3-mL Syringe Measuring medication
3-mL syringe used for most injections
Each small line = 0.1 mL
Longer lines = 1/2 mL (0.5 mL)

14. 1-mL Syringe Measuring medication
1-mL syringe also called tuberculin syringe
Each small line = 0.01 mL
Longer lines = 0.1 mL

15. Insulin Syringe Measuring Medication Calibrated in units Lo-Dose
Small lines = 1 unit
Longer lines = 5 units
Maximum of 50 units (0.5 mL)
U-100
Small lines = 2 units
Longer lines = 10 units
Maximum of 100 units (1 mL)
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16. Insulin Syringe

17. Reading Syringes Plunger has black rubber suction tip
Face of tip lines up with calibrated lines on barrel
Read calibrated scale that directly lines up with slightly pointed edge of rubber tip

18. Hypodermic Needles Disposable Nondisposable Most common
Individually packaged
Nondisposable
Made of high-quality stainless steel
Equipped with mounting hub, such as Luer-Lok
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19. Hypodermic Needles Gauge Length Range from 16 to 30
Determined by diameter of lumen
Larger number = smaller lumen
Length
Vary from 3/8 inch to 2 inches

20. Parts of a Needle Shaft Hub Hilt Hollow steel tube
Part that mounts onto syringe
Hilt
Point where shaft attaches to hub
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21. Parts of a Needle Point Bevel Lumen Sharpened end Slanted edge
Oval-shaped opening

22. Selecting Appropriate Syringe and Needle
Patient
Age and size
Geriatric or pediatric patients may need shorter needle; large person needs longer needle
Medication ordered
Amount
Viscosity
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23. Selecting Appropriate Syringe and Needle
Warning!
Using a needle that is too short could result in a sterile abscess. Make sure to choose a needle that is long enough to reach the desired tissue depth.

24. Appropriate Amount of Medication
Deltoid: no more than 2 mL
Other IM: no more than 3 mL
No more than 2 mL if sq

25. Needlestick Injuries Needlestick Safety and Prevention Act
Effective March 6, 1992
Covers all health care employees, including those with emergency kits
Requires employers to protect employees who may be exposed to blood or potentially infectious material
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26. Needlestick Injuries Can be avoided by
Eliminating unnecessary use of needles
Using devices with safety features
Promoting education and safe work practices
Increased risk of infection with
Hepatitis B virus
Hepatitis C virus
Human immunodeficiency virus

27. NIOSH Recommendations
Avoid use of needles when possible
Help employer select safety devices
Use safety devices provided by employer
Avoid recapping needles
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28. NIOSH Recommendations
Practice safe handling and disposal
Report sharps injuries promptly
Inform employer of hazards
Participate in bloodborne pathogens training
Enforce vaccination policies

29. Mixing Medications in One Syringe-Needle Unit
Ensure drugs are compatible
Inject air into first vial only
Remove needle by pulling vial away from needle
Check total amount of medication in syringe
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30. Mixing Medications in One Syringe-Needle Unit
Discussion Question:
Why do you not inject air into the second vial?

31. Reconstituting Powder Medication
Withdraw appropriate amount of diluent
Add diluent to powder medication
Discard syringe used to add diluent to powder
Roll vial between hands to mix
Use second needle/syringe to withdraw medication
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32. Reconstituting Powder Medication
Discussion Question:
Why should you use a second syringe to withdraw the medication?