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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 length for an intramuscular deltoid injection?
1 to 1.5 in (may go down to 1/2 or 5/8 in. for very thin)
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 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.
what is the needle gauge for a subcutaneous posterior upper arm injection?
27 to 25 (insulin is 26-31)
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.
where is the site for a SQ posterior upper arm injection?
back of arm in the middle, grasp fleshy part (relief society flab)
where is a SQ abdomen injection administered?
at least 2 in away from umbilicus (avoid lesions or vessels)
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)
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