Giving injections

Question 1

where are drugs that are admin via the IM route deposited

Answer 1

vascular muscle tissue

Question 2

what is the benefit of depositing drugs into the vascular muscle tissue

Answer 2

allows for rapid abs into circulation

Question 3

the deltoid muscle in the upper arm is most commonly used, what are the benefits of this site

Answer 3

easy to locate and access

Question 4

other sites aside from the deltoid muscle in the upper arm are used when the injection volume exceeds x ml

Answer 4

1

Question 5

why should safety needles be used for im injections

Answer 5

reduce the risk of needle stick injury

Question 6

needle sizes are measured in gauges aka the x of the needle

Answer 6

diameter

Question 7

what does needle selection depend on

Answer 7

viscosity of liquid

Question 8

Public Health England

Answer 8

25 and 38

Question 9

for im injections into the deltoid muscle what angle should the needle be injected at

Answer 9

90 right angle

Question 10

T/F you need to clean arm site w alcohol wipe before injecting

Answer 10

false
though some hospitals may require this- check guidelines

Question 11

what injecting technique helps keep the administered medication within the muscle

Answer 11

z track
press and pull skin away and inject. when released, sites dont line up= med stays in muscle not leaked out to skin

Question 12

why would you aspirate after putting needle into deltoid for DEEP im injection?

Answer 12

to check not put in blood vessel, if blood appears, remove syringe and prepare enw inj, explain to px

rec for deep im inj w high risk intravascular admin, not for shallow IM

Question 13

inject im med at what rate?

Answer 13

1ml/ 10 secs

Question 14

How to reduce pain caused by im injection

Answer 14

correct technique
rotate injection site
explain benefits
relax muscle
distraction
smooth and quick
hold syringe steady

Question 15

what can be preventing by rotating the injection site of im injections

Answer 15

indurations or abscesses

Question 16

what route allows drugs like insulin and lmwh be absorbed slowly over a period of time

Answer 16

SC

Question 17

why is the absorption of sc slower than im

Answer 17

unlike muscle, SC tissue does not have rich blood supply

Question 18

small volumes below x ml of non irritant water soluble drugs can be administered by sc route

Answer 18

2

Question 19

list some recommended sites for sc administration

Answer 19

lateral aspects of upper arm and thigh
umbilical region of abdomen
back
lower loins

Question 20

what is the risk of inadvertent im injection of insulin

Answer 20

quick absorption risking hypoglycaemia

Question 21

what gauge needle is commonly used for sc injections

Answer 21

25

Question 22

what length of needle is recommended for IM

Answer 22

4-8mm

Question 23

phe recommend that sc injections are given at what angle

Answer 23

45-90

Question 24

why should you wait 10 secs before withdrawing needle in sc admin

Answer 24

prevent backtracking of drug

Question 25

why should you not massage the injection site

Answer 25

can lead to bruising

Question 26

admin is recorded on prescription charts, why is it important to also record the admin site

Answer 26

avoid lipohypertrophy

Question 27

give one reason why it is important that you avoid injecting short needle pens into muscle layers

Answer 27

more painful and could cause bruising and bleeding