Injections

Question 1

what size needle do you use for IM injections?

Answer 1

22-25 gauge

Question 2

what do you need to consider when choosing the gauge needle?

Answer 2

viscosity of liquid being injected

where are you injecting it?

Question 3

what length needle do you use for IM injections?

Answer 3

infant 7/8-1inch

adult 1-1.5 inch

Question 4

what is the technique of an IM injection?

Answer 4

bunch the muscle between your fingers

Question 5

what size syringe do you normally use for IM injections?

Answer 5

3cc syringe

Question 6

what is the greatest risk of an IM injection?

Answer 6

hitting an artery, which causes a hematoma

Question 7

which IM injection do you angle?

Answer 7

vastus lateralis

Question 8

what do you have to be careful of when doing an IM injection in the dorsogluteal area?

Answer 8

presence of sciatic nerve and large blood vessels in this region

Question 9

how do you approach a VG injection?

Answer 9

place finger tips on iliac crest while patient is in lateral decubitus position and inject in the V between fingers

Question 10

what is the technique of doing an IM injection?

Answer 10

1. swab with alcohol and LET DRY
2. insert needle QUICKLY
3. ASPIRATE to make sure there is no blood (if there is blood, CHANGE THE NEEDLE)
4. inject meds SLOWLY

Question 11

what temp should the injection be?

Answer 11

room temperature

Question 12

what size needle is SC?

Answer 12

25-27

Question 13

when do you use a SC?

Answer 13

water soluble and small volumes

Question 14

which is the preferred site for heparin?

Answer 14

abdomen

Question 15

what should you do with many SC injections?

Answer 15

rotate sites

Question 16

why do you have to insert a SC injection at a 45 degree angle?

Answer 16

you want it near the muscle, but not in it

Question 17

how should you inject a SC in an obese person?

Answer 17

90 degree angle

Question 18

what is a Z track injection?

Answer 18

for injecting iron primarily (makes sure that liquid doesn’t get into SC tissue)
-pull skin taught and inject a tiny bit of air to prevent medicine from backing into SC tissue

Question 19

why should you visualize both forearms in order to lay a TB test?

Answer 19

they may have a TB scar on one arm

Question 20

why do you pull the skin taught when laying a TB test?

Answer 20

it will just push the skin if you don’t do this

Question 21

how do you measure a positive TB wheal?

Answer 21

the area of induration, not the redness