Injection Adminitration

Question 1

Which is the target layer of an intradermal injection?

Answer 1

Dermis

Question 2

What are some of the consequences of unsafe injection practices?

Answer 2

nerve damage

abcesses

pain

Question 3

Is absorption of medication of via the intradermal route fast or slow?

Answer 3

slow

Question 4

Approximately how much medication can be administered via the intradermal route?

Answer 4

small amounts (0.01-0.1ml)

Question 5

what should appear when an intradermal injection is given?

Answer 5

a raised blanched bleb in the skin

Question 6

What are some common sites for a intradermal injection?

Answer 6

Flexor surface of the left forearm, a third of the way down the wrist

Question 7

What technique should be used to draw medication for injections?

Answer 7

ANTT

Question 8

What size need should be used for an intradermal injection on an adult patient?

Answer 8

25G

Question 9

for allergy testing what size area should clean for an intradermal route?

Answer 9

5cm3

Question 10

After preparing the skin, how should you hold the skin for an intradermal route?

Answer 10

stretch the anterior skin taut between the thumb and index finger

Question 11

How should the needle of an intradermal injection be inserted

Answer 11

bevel upwards, at a 5-15 degree angle by approx 3 mm

Question 12

what is the angle of insertion for an intradermal injection?

Answer 12

5-15 degrees

Question 13

How big should the diameter of the bleb be?

Answer 13

6-10mm

Question 14

Professional who administer injections must be trained in what?

Answer 14

managing anyphylaxis.

Question 15

What is the aim of an intramuscular injection?

Answer 15

Deposit medication into skeletal muscle.

Question 16

Is the rate of absorption of an intramuscular injection fast or slow and why?

Answer 16

fast since there is a rich blood supply.

Question 17

Which has a faster rate of absorption: Intravenous or intramuscular?

Answer 17

Intravenous.

Question 18

What factors will affect where a HCP will deposit an intramuscular injection?

Answer 18

Viscosity of medication

volum of medication

and the mount of subcutaneous tissue a patient has.

Question 19

Give some reasons as to why an intramuscular injection might be necessary?

Answer 19

rapid action required

patient cannot take oral medication

medication needs to bypass digestive secretions

Question 20

What are the 4 most used commonly used sites for an intramuscular injection?

Answer 20

deltoid muscle
ventrogluteus musce
vastus lateralis muscle
dorsogluteal muscle

Question 21

should gloves be worn for an intramuscular injection?

Answer 21

yes.

Question 22

What is the needle of choice when giving an intramuscular injection?

Answer 22

21G(green needle)

Question 23

Where is the deltoid muscle located?

Answer 23

just below the acromion process of the upper arm

Question 24

What are the advantages of the deltoid site?

Answer 24

muscle is easy to access

Question 25

What are some of the disadvantages to using the deltoid site?

Answer 25

Muscle is small often under-developed

Axillary beneath deltoid muscsle

various nerves and blood vessels run though arae

Question 26

How should patient be positioned for an IM in the ddeltoid site

Answer 26

sat or standing

if sat ask patients to place arm across abdomen or lap

Question 27

How do you locate the injection site?

Answer 27

locate lower edge of acromion process

locate axilla

identify deltoid muscle

the upper edge is 2/3 finger widths from the acrmoion process

lower edge sis just above axilla

Question 28

What method should be used to insr an IM injection?

Answer 28

z-tracking method

Question 29

What is the benefit of using the z tracking method for IM injection

Answer 29

reduces pain and leakage from injection site.

Question 30

At what angle should the needle be inserted for an IM injection the deltoid site?

Answer 30

90 degrees

Question 31

How fast should you inject an IM injection into the deltoid site?

Answer 31

approc 1ml per 10 second

Question 32

is it necessary to pull back the plunger for an IM injection in the deltoid site?

Answer 32

no

Question 33

what should you do to the area once the IM injection in deltoid site is over?

Answer 33

apply pressure

Question 34

What is an advantage of using the dorsogluteal site?

Answer 34

Many practioners are familiar with it

Question 35

How should a patient be positioned for an IM injection into the dorsogluteal site?

Answer 35

Onto their side on a bed.

Question 36

How long should you wait before removing the needle in an IM injection?

Answer 36

10 seconds

Question 37

How should you find the injection site for a dorsogluteal Im inection?

Answer 37

locate the 4 bony landmarks:
illiac crest
ischial spine
ischialteroity
anterior uperior iliac spine

make 4 quadrants

inject into upper left quadrant.

Question 38

How long should you ait before removing a subcutaneous injection?

Answer 38

5-10 secs