Intradermal and Subcu butterfly Flashcards
Why is subcu the parenteral route of choice?
choice for chronic pain
What are the benefits of subcu butterfly?
Avoids multiple injections
Avoids turning and re-positioning client
Allows better rest during the night
Absorbs effectively
Simple and inexpensive method of delivery which may be used in the hospital or home care setting
If the client is at home, family members can be taught to give the injections via the butterfly
What are the possible complications?
Skin irritation Infection Pain at the site Bleeding, bruising or swelling Change in absorption if using the same site over and over again
How can you prevent complications?
- change the location weekly and at the first sign of inflm, erythema, leakage, bruising or swelling
Why would you choose to insert a subcutaneous buttefyl (SCBF) over a standard subcutaneous injection?
It’s easier to sneak in while they’re sleeping and pop in a sub cu butterfly, rather than reposition them
Don’t need to keep poking
What does it mean if the site is boggy?
Squishy –> means that the medication is building up and fluid is there–> that means we aren’t getting the kind of absorption we want
What are ID injections used for?
typically for skin testing
Why should you be careful that an ID med does not entr circulaiton?
Because such medications are potent, you inject them into the dermis, where blood supply is reduced and drug absorption occurs slowly.
A patient may have an anaphylactic reaction if the medications enter the circulation too rapidly.
What is the ideal location for an ID injection?
inner forearm and upper back are ideal injection sites
What kind of needle would you use for an Id injection?
To administer an ID injection, use a tuberculin (TB) or small syringe with a short ( 3 8 -to 5 8 -inch), ne-gauge (25 to 27) needle.
What is the angle of insertion for an Id injection?
5-15 degrees
what is the max of ID med for a child?
0.1 mL
What does it indicate if a bleb does not appear?
If a bleb does not appear or if the site bleeds after needle withdrawal, the medication may have entered subcutaneous tissues. In this situation skin test results will not be valid.
