Injectable Medication Administration

Question 1

What are the nursing responsibilities of medication administration?

Question 2

The use of the 10 rights of medication administration

Question 3

Assess client data such as vital signs, laboratory values, and allergies before preparing and administering medications by injection

Question 4

What is the difference between intradermal, subcutaneous, and intramuscular injections and their applications?

Question 5

What equipment is appropriate for administering an injection?

Question 6

Prepare injections from an ampule, vial, and disposable injection unit, and mix two compatible medications into one injection

Question 7

Identify the correct site with landmarks of intramuscular injections into the deltoid, vastus lateralis, and ventrogluteal muscles.

Question 8

Safety and accurately administer intradermal, subcutaneous, and intramuscular injections.

Question 9

Deltoid IM

Answer 9

For Average adult: up to 2mL of medication with a 1-1.5 inch needle
Do not use for infant’s and toddlers <3 y.o
For Preschoolers and older: .5 - 1 inch needle

Question 10

Vastus Lateralis IM

Answer 10

Average adult: up to 3mL with an 18-25 Gauge with a 5/8 to 1-inch needle for oil based
Use a 22-27 Gauge with a 5/8 to 1-inch needle for aqueous based
For Infants: give up to 1 mL with a 1-inch needle
For Small Infants: give up to 0.5 mL with a 5/8-inch needle

Question 11

Ventroguteal IM

Answer 11

Average adults: Give up to 3mL with an 18-25 Gauge with an 1.5-inch needle for oil-based
Use a 22-27 Gauge with an 1.5 in needle for aqueous solutions.

Question 12

Inner forearm or the upper back ID

Answer 12

Use a tuberculin or other small syringe (1mL or smaller) with a .5 to 5/8-inch, 25-27 Gauge needle.
at a 5–15-degree angle. (almost parallel to skin)

Question 13

Outer aspect of arm, the abdomen, and the anterior thighs SC

Answer 13

Use a 25-31-Gauge, 5/8 needle if inserting at 45-degree angle or 1/2-inch needle if inserting at a 90-degree angle.
If you can pinch 2-inches of skin, insert needle at a 90-degree angle
1-inch of skin, insert needle at 45-degree angle

Question 14

Documenting tips

Answer 14

All medication by injection
Name of medication
Dose or amount of medication
Site
Route
Date, times, and your signature
Client’s response

Intradermal Injections
Appearance of the skin at the site
Client education provided about expected outcome

Subcutaneous injections
Client education about self-check

Question 15

Demonstrate the use of a needleless system to reduce the incidence of needlestick injuries.

Question 16

Document appropriate information associated with the administration of injections and client response.

Question 17

Parenteral

Answer 17

Injection