Injections

Question 1

When drawing fluids from an ampoule, always use a …

Answer 1

Filter needle

Question 2

If available, you should use a ….. to draw fluids or transfer drugs from/into vials

Answer 2

Blunt needle with no bevel

Question 3

You should ….. after drawing up the drug and before injections

Answer 3

Always change the needle

Question 4

Before drawing fluid from a vial, you should always do what?

Answer 4

Disinfect the top of the vial

Question 5

In insulin pens, what units are the measurements in on the side of the syringe?

Answer 5

Units - 1 unit does not equal 1 mL

Question 6

If drawing 2 medications from an ampoule and a vial, what order would you draw?

Answer 6

The vial first, then the ampoule - the vial may be used again, so increased risk of cross-contamination

Question 7

If drawing 2 medications each from a multi-dose container, how do you draw?

Answer 7

Use 2 separate syringes and needles, and mix the drugs separately.

Question 8

Where are vaccines injected and why?

Answer 8

IM, to allow the body to build up antigens

Question 9

How much fluid can be injected into the Vastus Lateralis, or Rectus Femoris?

Answer 9

5mL maximum

Question 10

How much fluid can be injected into Dorsogluteal, or other large muscles?

Answer 10

4mL maximum

Question 11

How much fluid can be injected into the Ventrogluteal?

Answer 11

2.5mL maximum

Question 12

How much fluid can be injected into the Deltoid?

Answer 12

1mL maximum

Question 13

If, when doing an IM injection, there is blood in the syringe prior to injecting, what do you do?

Answer 13

Do NOT inject the medication. Remove needle and press on injection site. Start over again.

Question 14

How would you give a vaccine to a patient with a blood clotting disorder?

Answer 14

Deep subcutaneous

Question 15

Name 3 drugs you would inject SC

Answer 15

Heparin, Dalteparin, Insulin

Question 16

How much fluid should be injected SC?

Answer 16

No more than 2mL

Question 17

What is the maximum needle gauge commonly used?

Answer 17

25G

Question 18

If the needle is longer than 5mm, what SC technique would you use to inject?

Answer 18

Skin fold/skin pinch

Question 19

Where in the body do you get fast SC absorption?

Answer 19

Abdomen

Question 20

Where in the body do you get slow SC absorption?

Answer 20

Thigh, buttocks

Question 21

Where do you inject Heparin/Dalteparin?

Answer 21

Lower abdomen. If unviable, use the upper inner arm and thigh.

Question 22

After injecting Heparin, do not ….

Answer 22

Aspirate

Question 23

When would you use an ID injection

Answer 23

For diagnostic purposes (i.e. allergy testing), or when using local anaesthesia

Question 24

If you do the ID technique correctly, what will you see?

Answer 24

A wheal

Question 25

Where would you inject ID?

Answer 25

Anterior forearm, skin over scapulae (both for allergy testing). Local anaesthesia is injected where necessary