• Usually used for tuberculin testing or checking for medication/allergy sensitivities.
• May be used for some cancer immunotherapy.
• usually less than 0.5mL given
•5-15 degree angle
•26 or 27 gauge needle
•administered into dermis just below epidermis
• Appropriate for small doses of nonirritating, water-soluble medications. Commonly used for insulin and heparin.
• 25-30 gauge needle
• 3/8-1" needle, 3/8 & 5/8" are most common
• usually no more than 1mL
• 45-90 degree angle; 3/8" at 90 degree, 5/8" at 45 degree, while pinching skin
• Sites are selected for adequate fat-pad size (upper arm, abdomen, anterior aspects of the thighs, upper back, upper ventral or dorsogluteal area).
• administered into the adipose tissue layer just below the epidermis & dermis
• insulin syringes-28-30 gauge, 5/16 & 1/2" length needle, 3/10mL to 1mL
• Appropriate for antibiotics, hormones, & vaccines
• Most common sites include ventrogluteal, deltoid, and vastus lateralis (pediatric).
• Use a needle size 18 to 25; biological agents & medications in aqueous solution-20-25 gauge; meds in oil-based-18-25 gauge
• 1 to 1 ½ in long, and inject at a 90-degree angle. Volume injected is usually 1 to 3 mL. If a greater amount is required, it should be divided into two syringes and two different sites
should be used.
• Type of IM injection that prevents medication from leaking back into subcutaneous tissue.
• It is often used for medications that cause visible and/or permanent skin stains such as certain iron preparations or irratation.
• Appropriate for administration of medications, fluid, and blood products.
• Vascular access devices can be for short-term use (catheters) or long-term use (infusion ports). Use 16-gauge for trauma clients,
18-gauge for surgical clients, and 22- to 24-gauge for children, older adults, medical clients, and stable postoperative clients.
• Preferred sites are peripheral veins in the arm or hand. Ask the client which site he prefers. In neonates, veins of the head, lower legs, and feet may be used. After administration, immediately monitor for therapeutic, side/adverse effects.
Rights of medication administration