Injections

Question 1

3 parts of a syringe

Answer 1

needle
barrel
plunger

Question 2

how long should needles be in an adult

Answer 2

1-1.5 inches

Question 3

generally what gauge is needed for IM injection

Answer 3

22-25 gauge

Question 4

what are the “rights” for a patient before injection

Answer 4

right patient (2 verifications)
right route
right drug
right dose
right time
right verification

right to refuse

Question 5

where does an intramuscular injection deliver medication

Answer 5

deep into the muscles

Question 6

what type of injection do we use for most vaccinations

Answer 6

intramuscular injection

Question 7

what angle is used for intramuscular injections

Answer 7

90 degree angle

Question 8

intramuscular injection site for thigh

Answer 8

vastul lateralis

Question 9

where does the vastus lateralis muscle lie

Answer 9

between the greater trochanter and the knee

Question 10

what should you do to vastus lateralis muscle when IM injection

Answer 10

lift the muscle away from the bone

Question 11

IM injection site for the arm

Answer 11

thickest part of the deltoid muscle (2.5-5 cm or 1-3 finger breadths below the acromion process)

Question 12

where does the deltoid muscle die

Answer 12

below the lower edge of the acromion process of the scapula over the midaxillary line

Question 13

IM injection site for the hip

Answer 13

ventrogluteal site

Question 14

when doing hip IM injection, where should second and third fingers be pointing

Answer 14

second - toward anterior superior iliac spine
third - toward iliac crest

Question 15

IM injection site for buttocks

Answer 15

dorsogluteal site

Question 16

when do we normally use thigh IM injection

Answer 16

self injections or children 3 and under

Question 17

for what patients can you do a hip injection

Answer 17

adults and children older than 7 mos

Question 18

when should you not use upper arm IM injection site

Answer 18

when person is very thin or muscle is very small

Question 19

when should you never use the buttock IM injection site

Answer 19

for a child under 3 years old bc there is not enough muscle there yet

Question 20

for what medications/vaccines do we commonly use subcutaneous injections

Answer 20

heparin
insulin
MMR
Varicella

Question 21

is a long or a short needle used for subcutaneous injection

Answer 21

short needle; 5/8 inches long

Question 22

is medication absorbed more quickly or slowly with subcutaneous injection in comparison to IM injection

Answer 22

subQ is more slowly

Question 23

where do drugs need to be injected for SubQ injection

Answer 23

the fatty tissue just below the skin

Question 24

SubQ injection location for abdomen

Answer 24

at or under the level of the belly button about two inches away from the navel

Question 25

SubQ injection location for arm

Answer 25

back or side of upper arm

Question 26

SubQ injection location for thigh

Answer 26

front of thigh

Question 27

Gauge for SubQ injection

Answer 27

25-27

Question 28

what angle might you have to use for SubQ injection

Answer 28

45 degree angle

Question 29

where is intradermal injection inserted

Answer 29

into the dermis just below the epidermis

Question 30

which route has the longest absorption time

Answer 30

intradermal injection

Question 31

which route has the fastest absorption time

Answer 31

intramuscular injection

Question 32

when are intradermal injections commonly used

Answer 32

sensitivity tests (tuberculin and allergy tests)
local anesthesia

Question 33

most common sites for intradermal injections

Answer 33

inner surface of the forearm
upper back under the scapula

Question 34

should we use alcohol for intradermal injection

Answer 34

no bc it toughens the skin!!

Question 35

what angle should you use for intradermal injection

Answer 35

10-15 degree angle (until the bevel is covered)

Question 36

do you need for aspirate for intradermal injection

Answer 36

NO

Question 37

how do you know when med has been successful inserted for intradermal injection

Answer 37

a wheal appears