Injections

Created by toylina_loveless2 

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what are the intradermal anatomical site ?

inner aspect of the forearm
upper chest
scapula upper back (allergy medication )

what is the intradermal syringe size ?

1 ml =Tuberculosis __

what is the needle gauge and length of intradermal injection ?

25 - 27 ___
1 1/4 - 5/8 inch

what is the maximum amount of solution given for an intradermal injection ?

.1 ml

what is the angle of insertion of a needle for intradermal injections ?

5 - 15 ( 10-15)
put it around 1/8 inch into skin
make sure needle is bevel up

do you aspirate a intradermal injection needle?

NO

what do you document after giving a intradermal injection?

Date
Time
site
medication
tolerance
dosage

how do you know if you did an intradermal injection correctly?

you stick it into the epidermis of the skin and it will cause a bleb/ wheal

is intradermal injections slow or fast absorption?

slow absorption

what are the anatomical sites for a subcutaneous injection?

anterior lateral upper arms
anterior thigh
lower abdominal wall ( 2 inches away from the umbilicus for slow absorption)
scapular of back
upper ventral and dorsagluteal areas

what is the syringe size for a subcutaneous injection?

1 - 2 ml = insulin tube

what is the needle gauge and length used for a subcutaneous injection?

25 - 29 gauge
3/8 - 5/8 length

what is the maximum amount of solution given for a subcutaneous injection?

1 mL

what is the angle of insertion of the needle when doing a subcutaneous injection?

90 degrees to 45 degree angle
45 degree for 5/8
90 degree for 3/8

do you aspirate when you are doing a subcutaneous injection?

you can as long as its not heparin or insulin

do you massage the site when doing a intradermal injection?

NO you want slow absorption

do you massage the site when doing a subcutaneous injection?

NO you hold the site and apply pressure. do not massage heprin or insulin

what do you document after giving a subcutaneous injection?

date
time
site
medication
tolerance
dose

what are special needs when doing a subcutaneous injection?

DON'T ASPIRATE WHEN GIVING HEPARIN OR INSULIN !!
another nurse will have to cosign after giving these drugs.
you put heparin in the abdominal site
you bunch the skin up so it wont go into the muscle
only pinch one inch if its less you go in at a 45 degree angle so you don't get into the muscle.

when giving a intramuscular injection what are the anatomical sites you need to put them in?

ventrogluteal
vastus lateralis
dorsogluteal
deltoid
rectus femorus

what type of syringe do you use when giving an intramuscular injection?

3 - 5 ml

what needle gauge and length do you use when giving an intramuscular injection?

21 - 23 ___
1 - 1 1/2 ( or 2 ) inch length

what is the maximum amount of solution you can give for an intramuscular injection?

5 ml you can give 3 safely

how much of a solution should be given into the deltoid muscle?

1 ml

what is the angle of insertion that a needle should go in when giving a intramuscular injection?

90 degrees

do you aspirate when giving a intramuscular injection?

ALWAYS

do you massage the site when giving an intramuscular injection?

NO you only assert pressure

what do you document after you have given an intramuscular injection?

date
time
site
medication
dosage
tolerance

what are the special needs for giving an intramuscular injection?

KNOW YOUR SITES

what are the anatomical sites you should identify when giving a Z track injection?

ventrogluteal
dorsogluteal
vastus lateralis

what type of syringe should you use when doing a Z track injection?

3 - 5 ml

what gauge needle and length should you use when giving a Z track injection?

1 inch - 1 1/2 inch

what is the maximum amount of solution you should give when giving a Z track injection?

5 ml

what is the angle of insertion when giving a Z track injection

90 degrees

do you aspirate when giving a Z track injection?

ALWAYS

do you massage the site after giving a Z track injection?

NO never because it can change the angle of the injection site and make it very painful

what do you document after giving a Z track injection?

date
time
site
medication
tolerance
dosage

what are the special needs given when giving a Z track injection?

push skin off to the side
90 degree angle
skin release after remove needle
this is the least painful injection type
can cause staining of the skin or ubucus

when giving a Z track what kind of motion do you make when putting it in?

dart like motion
can cause pain if not

which injection is the fastest?

Z track ?

giving an injection what do you always do?

clean site
hold pressure after
always aspirate intramuscular you can with subcutaneous just as long as its not heparin or insulin.

sites need to know on the deltoid muscle?

clavicle
acromion process
deltoid muscle
brachial artery
radial nerve

ventrogluteal muscle

iliac crest
anterior superior iliac spine
greater trochanter of femur
sciatic nerve

dorsogluteal muscle

posterior superior iliac spine
greater trochanter of femur
sciatic nerve

vastus lateralis muscle

greater trochanter of femur
injection site is middle third
vastus lateralis
lateral femoral condyle

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