Intradermal injection

Question 1

Example of ID injections?

Answer 1

Local rather than systemic injections:

• Local Aneasthesia
• Allergy tests
• Tuberculin tests

All volumes <0.5mls

Question 2

ID injection sites?

Answer 2

Ant Forearm - Mantoux test
Skin over scapulae/ant forearm - Allergy Tests
Wherever - Local Aneasthesia

Question 3

Complications of ID injection?

Answer 3

Allergic Reactions e.g. dizziness, fainting, tachycardia, wheezing, sneeze, itch, urticarial rash, face/vocal core dswelling, N&V
Right up to Anaphylactic reaction

Question 4

Procedure for preparing ID injection?

Answer 4

Hand hygiene and gloves
Attach needle
Withdraw cap, Draw up air, inject air into vial, invert vial, draw up medication
Purge air

Question 5

Procedure for ID injection?

Answer 5

CHeck air purged
Disinfect skin (30 seconds + 30 seconds to dry)
Insert needle bevel (bevel up) at 10-15* (only the bevel not the whole needle!)
Inject (should form a bleb
Dispose of needle/syringe into sharps container
Clean up, remove gloves and do hand hygiene