N295 lab Injection sites and equipment

Created by afinch8 

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what is the maximum fluid you can insert into an intradermal site?

.1 ml

what is the needle gauge for an intradermal site?

TB syringe 25 to 27

what is the needle length for an intradermal site?

TB syringe 1/4 to 5/8

what is the insertion angle for an intradermal site?

5-15 degrees

what way should the bevel be faced for an ID injection?

up

do you aspirate for an ID injection?

no

how fast do you inject the medication in an ID injection?

slowly

where is an ID injection placed?

3 fingers down from the inner crease of the elbow (inner forearm, hairless with light pigment free of vessels or lesions)

what is the needle gauge for an intramuscular deltoid injection?

23 to 25

what is the needle length for an intramuscular deltoid injection?

1 to 1.5 in (may go down to 1/2 or 5/8 in. for very thin)

at what angle do you inject an IM deltoid injection?

90 degrees

what is the maximum fluid that can be injected into an intramusclar deltoid?

no more than 1 ml

do you aspirate in an IM deltoid injection?

yes

explain how you administer an IM deltoid injection (11)

prepare med, find site, swab, z-track (pull skin laterally about 2.5 to 3.5 cm with ulnar side of hand), dart quickly (keep holding skin), aspirate, inject slowly, wait 5-10 seconds, withdraw and deploy safety, release z track

what things are different with immunizations than from other intramuscular medications? 3

no aspiration, no z-track, quick withdrawal (no wait time)

where is an intramusclar deltoid injection administered?

lateral upper arm, place 4 fingers across deltoid muscle with first finger on the acromion process.

what is the needle gauge for an IM ventrogluteal injection?

21 or 22

what is the needle length for an IM ventrogluteal injection?

1.5 in. (if obese 3 in.)

what is the angle you administer an IM ventrogluteal injection at?

90 degrees

what is the maximum fluid amount you can inject into an IM ventrogluteal site? (3)

2-3 ml for children, no more than 2 ml for older adults, infants no more than 0.5 ml

how do you find an IM ventrogluteal injection site?

client lies on side or back, flexing knee and hip. place heel of hand over greater trochanter (thumb should always be going towards inside of thigh toward groin--left hand on right hip), middle finger extends back along iliac crest towards buttock, index finger points towards the anterior superior iliac spine. index finger and middle finger and the iliac crest for a v shaped triangle. feel for a thick muscle area in middle. injection site in middle of triangle.

do you aspirate an IM ventrogluteal injection site?

yes

what is the needle gauge for an IM vastus lateralis injection?

21 or 22

what is the needle length for an IM vastus lateralis injection?

1 to 1.5 in

what is the angle you administer an IM vastus lateralis injection?

90 degrees

what is the maximum fluid amount you can inject into an IM vastus lateralis site?

2-3 ml

what is the needle gauge for a subcutaneous posterior upper arm injection?

27 to 25 (insulin is 26-31)

what is the needle length for a SQ posterior upper arm injection?

1/2 to 5/8 in

what is the angle you administer a SQ posterior upper arm injection?

45 to 90 degrees

what is the maximum amount of fluid you can inject into a SQ posterior upper arm?

0.5 to 1 ml

what are the steps to administer a SQ posterior upper arm? (6)

pinch or spread skin at site, inject needle quickly and firmly, release skin as you inject medication, wait 5-10 seconds before withdrawing needle, remove quickly, deploy safety.

do you aspirate in a SQ posterior upper arm injection?

no

where is the site for a SQ posterior upper arm injection?

back of arm in the middle, grasp fleshy part (relief society flab)

what is the needle gauge for a SQ abdomen injection?

27 to 25

what is the needle length for a SQ abdomen injection?

1/2 to 5/8

what is the angle of insertion for a SQ abdomen injection?

90 degrees

what is the maximum amount of fluid you can inject into a SQ abdomen?

0.5 to 1 ml

do you aspirate on an SQ abdomen injection?

no

where is a SQ abdomen injection administered?

at least 2 in away from umbilicus (avoid lesions or vessels)

how long do you wait before withdrawing needle in an SQ abdomen injection?

5-10 seconds

do you inject air into a vial before drawing up dose for an intradermal injection (tb skin and allergy injection)?

no (can introduce allergens from air into vial which can result in a false positive)

do you aspirate in immunization injections?

no

do you z track for immunization injections?

no

do you aspirate for immunization injections?

no (medication leakage isn't really a problem)

do you expel the air bubble in a lovenox pre-filled injection?

no

do you rub the injection site after administering lovenox?

no (minimize bruising)

where can lovenox only be injected?

abdomen (hold the skin pinch tight during injection)

do you aspirate in a lovenox injection?

no

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