Injections Flashcards
3 parts of a syringe
needle
barrel
plunger
how long should needles be in an adult
1-1.5 inches
generally what gauge is needed for IM injection
22-25 gauge
what are the “rights” for a patient before injection
right patient (2 verifications)
right route
right drug
right dose
right time
right verification
right to refuse
where does an intramuscular injection deliver medication
deep into the muscles
what type of injection do we use for most vaccinations
intramuscular injection
what angle is used for intramuscular injections
90 degree angle
intramuscular injection site for thigh
vastul lateralis
where does the vastus lateralis muscle lie
between the greater trochanter and the knee
what should you do to vastus lateralis muscle when IM injection
lift the muscle away from the bone
IM injection site for the arm
thickest part of the deltoid muscle (2.5-5 cm or 1-3 finger breadths below the acromion process)
where does the deltoid muscle die
below the lower edge of the acromion process of the scapula over the midaxillary line
IM injection site for the hip
ventrogluteal site
when doing hip IM injection, where should second and third fingers be pointing
second - toward anterior superior iliac spine
third - toward iliac crest
IM injection site for buttocks
dorsogluteal site
when do we normally use thigh IM injection
self injections or children 3 and under
for what patients can you do a hip injection
adults and children older than 7 mos
when should you not use upper arm IM injection site
when person is very thin or muscle is very small
when should you never use the buttock IM injection site
for a child under 3 years old bc there is not enough muscle there yet
for what medications/vaccines do we commonly use subcutaneous injections
heparin
insulin
MMR
Varicella
is a long or a short needle used for subcutaneous injection
short needle; 5/8 inches long
is medication absorbed more quickly or slowly with subcutaneous injection in comparison to IM injection
subQ is more slowly
where do drugs need to be injected for SubQ injection
the fatty tissue just below the skin
SubQ injection location for abdomen
at or under the level of the belly button about two inches away from the navel
SubQ injection location for arm
back or side of upper arm
SubQ injection location for thigh
front of thigh
Gauge for SubQ injection
25-27
what angle might you have to use for SubQ injection
45 degree angle
where is intradermal injection inserted
into the dermis just below the epidermis
which route has the longest absorption time
intradermal injection
which route has the fastest absorption time
intramuscular injection
when are intradermal injections commonly used
sensitivity tests (tuberculin and allergy tests)
local anesthesia
most common sites for intradermal injections
inner surface of the forearm
upper back under the scapula
should we use alcohol for intradermal injection
no bc it toughens the skin!!
what angle should you use for intradermal injection
10-15 degree angle (until the bevel is covered)
do you need for aspirate for intradermal injection
NO
how do you know when med has been successful inserted for intradermal injection
a wheal appears
