Injection Site Identification - 01

Question 1

What is ID?

Answer 1

Intradermal

Question 2

What is ID used for?

Answer 2

Used primarily for allergy testing - local blocks

Question 3

Where are ID injections primarily given?

Answer 3

On the side of an animal

Question 4

What is SQ/SC?

Answer 4

Subcutaneous

Question 5

How is an SQ site identified?

Answer 5

Any accessible area of loose skin

Question 6

How do we make a “tent” for an SQ injection?

Answer 6

Skin is grasped with the thumb + forefinger, with the index finger pressing between them

Question 7

T or F: SQ can be used to administer fluids, some medications & vaccines

Answer 7

true

Question 8

T or F: Meds & fluids given SQ can take longer to take effect

Answer 8

true

Question 9

Why do meds & fluids given SQ take longer to take effect?

Answer 9

Because they are absorbed slower, can take anywhere from 20 mins to 8 hours to absorb

Question 10

T or F: Meds & fluids given SQ have an especially slower rate of absorption in obese patients

Answer 10

true

Question 11

What type of patients are SQ injections not appropriate for?

Answer 11

Severly dehydrated or critically ill patients

Question 12

How many mls/ccs can be given per site? (SQ)

Answer 12

~50-100mls (ccs) body temperature fluids

Question 13

T or F: SQ sites can also be used to place a microchip

Answer 13

true

Question 14

Where are microchips placed? (SQ)

Answer 14

Between the shoulder blades

Question 15

What is IM?

Answer 15

Intramuscular

Question 16

IM sites are frequently used for what?

Answer 16

The administration of medications

Question 17

T or F: Some medications can ONLY go IM or SQ

Answer 17

true

Question 18

T or F: Medications absorb faster with this method compared to SQ

Answer 18

true - more vascular

Question 19

T or F: Muscle tissue cannot accomate more than 2ml-5ml of fluid at any one point

Answer 19

true

Question 20

T or F: IM sites should be used for fluid therapy

Answer 20

false - IM sites should NEVER be used for fluid therapy

Question 21

List four common IM injection sites

Answer 21

-Epaxial
-Quadriceps
-Semitendinosus
-Semimembranosus

Question 22

How to give an IM injection in the Epaxial

Answer 22

-Stand parallel to the patient, extend your index finger along the edge of the patient’s spine, & the thumb along the wing of the ilium
-The muscle can be identified in between the thumb & index finger by palpation

Question 23

How to give an IM injection in the quadriceps

Answer 23

-Stand parallel to the patient, locate the sciatic nerve & hold the leg with the non-dominant hand at caudal thigh, with your thumb between muscle
-Apply slight pressure with your thumb to isolate the muscle

Question 24

How to give an IM injection in the semimembranosus/semitendinosus

Answer 24

-Stand facing toward the tail of the patient & locate the sciatic nerve that runs down the center of the thigh, between the semis & quad muscle bellies
-Hold the leg with your non-dominant hand the cranial thigh, with your thumb between the muscle
-Apply slight pressure with your thumb to isolate the muscle

Question 25

What is IV

Answer 25

Intravenous

Question 26

T or F: IV injections are commonly used to administer medications or fluids

Answer 26

true - especially if a rapid onset of action is required

Question 27

List four common IV injectino sites

Answer 27

-Cephalic vein
-Jugular vein
-Medial saphenous vein
-Lateral saphenous vein

Question 28

Where odes the cephalic vein run along

Answer 28

The top of the forelimbs, angling slightly medial towards the elbow

Question 29

T or F: The cephalic vein should be a “last resort” for injection or blood draw

Answer 29

true - to preserve the vein & is commonly used for catheter placement

Question 30

T or F: Samples should be administered above the junction where the accessory vein meets the main cephalic branch

Answer 30

true

Question 31

Where is the jugular vein located

Answer 31

on either side of the trachea, running from the angle of the mandible down to the thoracic inlet

Question 32

T or F: The jugular vein is the best location blood draws

Answer 32

true - it is a larger, & higher pressure vein

Question 33

Where is the saphenous (medial) vein located

Answer 33

along the inside of the hind legs

Question 34

T or F: the medial saph. vein is more commonly used in feline patients than canine patients

Answer 34

true

Question 35

where is the saphenous (lateral) vein located

Answer 35

along the lower outside portion of the hind leg

Question 36

T or F: the lateral saphenous vein is more commonly used in canine patients than feline patients

Answer 36

true - extremely small & difficult to locate in cats

Question 37

at what angle are ID injections given

Answer 37

~10-15 degrees

Question 38

at what angle are SQ injections given

Answer 38

~30-45 degrees - always aim caudal

Question 39

at what angle are IM injections given

Answer 39

~45-90 degrees - always aim away from the spine or sciatic nerve

Question 40

IV injection angle

Answer 40

almost parallel to the vein, depends on site

Question 41

T or F: lateral & medial saphenous veins are superficial

Answer 41

true

Question 42

T or F: the medial saphenous vein becomes less superficial the more proximal the vein becomes

Answer 42

true