what are the intradermal anatomical site ?
inner aspect of the forearm
scapula upper back (allergy medication )
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
what do you document after giving a intradermal injection?
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
what are the anatomical sites for a subcutaneous injection?
anterior lateral upper arms
lower abdominal wall ( 2 inches away from the umbilicus for slow absorption)
scapular of back
upper ventral and dorsagluteal areas
what is the needle gauge and length used for a subcutaneous injection?
25 - 29 gauge
3/8 - 5/8 length
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 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?
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?
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
what is the angle of insertion that a needle should go in when giving a intramuscular injection?
what do you document after you have given an intramuscular injection?
what are the anatomical sites you should identify when giving a Z track injection?
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 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
giving an injection what do you always do?
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?
anterior superior iliac spine
greater trochanter of femur