Injection technique

Question 1

What are the 4 ways you can inject someone

Answer 1

1. Intramuscular (90°)
2. Subcutaneous (45°)
3. Intravenous (35°)
4. Intradermal (10-15°)

Question 2

Subcutaneous Route

Answer 2

Into the sucutaneous tissue
Only a small volume administration

Best way to do it is to pinch the skin and inject at 45 degrees

Question 3

Subcutaneous injection sites

Answer 3

• Lower loins
• Back
• Abdomen
• posterior aspect of the upper arms
• Lateral aspects on the loer part of upper arm
• Thighs

Question 4

For what injections is subcutaneous performed for

Answer 4

Growth hormone
Insulin/ glucagon injections
epinephrine (adrenaline)

Question 5

Intramuscular injections

Answer 5

Larger volume than subcutaneous
Rapidly absorbed
Given deep into muscle tissue
Needle 90 degrees angle
Green or blue needle

Question 6

Intramuscular injection sites

Answer 6

Deltoid - 2-3 fingers below the acromion
Vastus lateralis -thigh
Rectus femoris-thigh
Dorsogluteal
Ventrogluteal- buttocks

Question 7

Why might you give a intramuscular injection

Answer 7

Vaccines

Question 8

Parent and Child Prep

Answer 8

• Give informa&on
• Gain consent
• Discuss any concerns
• Discuss posi&oning and parental involvement
• Discuss distrac&on technique
• Discuss any side effects aWer

Question 9

Equipment for injections

Answer 9

• Tray
• Cleaning wipe
• Needles
• Syringe
• Gauze/Cotton wool
• Medication/Vial

sharps bin

Question 10

Procedure of injections for sub and intra injections

Answer 10

• ANTT
• Draw up medica&on, required amount
• Replace needle to administer
• Expel Air and surplus med
• Clean site following trust guidelines
• Insert needle quickly and smoothly 90/45 degree
• Give med, then remove needle steadily
• Apply gentle pressure to site
• Dispose of sharps
• Document

Question 11

Considerations after giving injections

Answer 11

• Observe for any reactions
• Inspect site for bruising or redness
• Discuss any information with parent/carer
• Give any leaflets with advice to parents