Shots IM SQ ID

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Author:
duboy78@yahoo.com
ID:
40404
Filename:
Shots IM SQ ID
Updated:
2010-10-07 19:56:28
Tags:
Injections Or Shots
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Description:
Shots for Nursing School learning!
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  1. Deltoid Muscle
    • Type: IM
    • Faster than SQ
    • Angle: 72-90
    • Needle: 18-23 G
    • Length: 5/8 -1"
    • Volume: 2 mL max
    • 2-3 fingers under Acromion Process.
  2. Ventrogluteal Muscle
    • Type: IM
    • Faster than SQ
    • Angle: 72-90
    • Needle:18-23 G
    • Lentgh:1.5 - 3"
    • Volume:1-5 mL
    • Palm-Greater Trochanter, Thumb-Pointed anterior, Indexfinger-Pointed to anterior-superior illiac spine.
    • Site used Irrigating, viscous, or oily solutions; and depot formulations.
  3. Dorsogluteal Muscle
    • Type:Intramuscular IM
    • Faster then SQ
    • Degree: 72-90 degree insertion
    • Needle: 18-23 G
    • 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. Vastus Lateralis Muscle
    • Type: IM
    • Faster then SQ
    • Degree: 72-90
    • Needle: 18-23 G
    • Volume: 1-5 mL
    • 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
  5. Subcutaneous Sites: Arm, Abdomen, Anterior Thighs, and upper back!
    Subcutanious


    • Needle:25-30 gauge , 3/8"- 1" (3/8"-5/8" most common): depending on size/weight of pt.
    • Angle: 45-90 degree 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
  6. Indermal: ID
    Intradermal

    • Type: ID
    • Area: Inner aspect of fore arm
    • Used for sensitivity tests
    • Use a TB syring: 1/4-5/8", 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
  7. Z Track Method
    Z-Track injection


    • Recommended for IM injection. Helps prevent solution from escaping from muscle tissue.
    • 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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