IM/Subcutaneous injection

Question 1

Why give a SC injection?

Answer 1

Slow continuous absorption of drug

May be the only access point in a pt

Question 2

What injections are SC

Answer 2

Insulin
Heparin
Vitamin B
Some inoculations

Question 3

Volume of SC injection

Answer 3

0.3-1ml

Question 4

Risks/complications of subcutaneous injections

Answer 4

Allergic reaction
Site pain (numerous nerves)
Accidental IM administration
Repeated site use / fibrosis

Question 5

Why IM injection

Answer 5

Rapid absorption into circulation

Question 6

Maximum IM injection amount

Answer 6

5ml (in rectus femoris)

Question 7

Finding a good place for IM

Answer 7

Upper quadrant of buttock

Find greater trochanter, put finger up straight, spread next finger and inject between the knuckles

Question 8

Degree of needle insertion IM

Answer 8

90 degrees

Question 9

IM complications

Answer 9

Infection
Sciatic nerve damage
Bleeding (Z tracking technique reduces risk of this)
Injection fibrosis (repeated site use)
Pain 
Risk of IV administration

Question 10

SC after care

Answer 10

DO NOT rub

Let someone know if it’s red/changes

Question 11

Colour of needles for SC/IM

Answer 11

SC - orange

IM - green or blue (ideally blue)

Question 12

Do you aspirate with IM and SC infections?

Answer 12

Only IM !!