Medication Injection

Card Set Information

Author:
fisheatflies
ID:
39228
Filename:
Medication Injection
Updated:
2010-10-03 01:48:27
Tags:
IM SQ Intra dermal
Folders:

Description:
Quiz on 3 types of injections of meds
Show Answers:

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  1. Intradermal
    • Used for sensitivity tests
    • Use a TB syring: 1/4"-1/2", 26-27 gauge
    • Bevel up
    • 10-15 degree insertion: insert until bevel is covered (1/8")
    • Inject slowly until blister/wheal forms
    • Do Not Rub/massage site
  2. Subcutanious
    • 25-30 gauge needle, 3/8"- 1" (3/8"-5/8" most common): depending on size/weight of pt.
    • 45-90 degree angle on insertion
    • Abdomin, arms, thighs, upper ventral or dorsogluteal areas: (fastest - slowest absorbtion)
    • Pinch/bunch skin-inject needle-release skin-push medication (10 sec/mL)
    • No more then 1 mL at a time
    • Aspiration is not necessary
  3. Intramuscular
    • Faster then SQ
    • Deltoid (adult):
    • Ventrogluteal:
    • Vastus Lateralis:
    • 72-90 degree insertion
    • 20-25 gauge: biologic agents & aqueous solutions
    • 18-25 gauge: oil-based solution
    • Skin stretched flat between 2 fingers and held tight for insertion; or use Z-track
    • Aspirate slowly (5 sec)
    • Inject slow (10 sec/mL)
    • Apply gental pressure on site with dry gauze. Do Not Rub/Massage site
  4. Deltoid (adult): IM
    needle length/gauge
    Max mL
    How to find...
    • 1"-1 1/2":
    • 20-25 gauge: biologic agents & aqueous solutions
    • 18-25 gauge: oil-based solution
    • 2 mL max
    • 2-3 fingers below Acromian Process
  5. Ventrogluteal:
    needle length/gauge
    Max mL
    How to find...
    • 1 1/2":
    • 20-25 gauge: biologic agents & aqueous solutions
    • 18-25 gauge: oil-based solution
    • 4 mL max
    • Site used for Irratating, viscous, or oily solutions; and depot formulations
    • Palm-Greater Trochanter, Thumb- pointed anterior, Forefinger- pointed anterior-superior illiac spine.
  6. Z-Track injection
    • Recomended for IM injection. Helps prevent solution from escaping from muscle tisse.
    • 1) Move skin to one side
    • 2) Insert needle 90 degrees and aspirate for blood
    • 3) Displace tissue is allowed to return to normal immediatly after needle is withdrawn.
    • 4)Apply gental pressure on site with dry gauze. Do Not Rub/Massage site.

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