Intramuscular

Question 1

Indications 1

Answer 1

Intramuscular injection required by protocol, med direction, or manufacturer

Question 2

Indications 2

Answer 2

Medication requires a slower absorption rate

Question 3

Contraindications 1

Answer 3

Patient exhibiting signs of shock

Question 4

Contraindication 2

Answer 4

Allergy to the medication being administered

Question 5

Procedure 1

Answer 5

Standard precautions

Question 6

Procedure 2

Answer 6

Confirm protocol (or orders for medication) & six rights of drug administration), Route, Patient, Medication, Dose, Date, Documentation

Question 7

Procedure 3

Answer 7

Explain procedure , side effects, and confirm the patient is not allergic to medication

Question 8

Procedure 4

Answer 8

Select proper medication for administration

Question 9

Procedure 5

Answer 9

Inspect medication for packaging sterility, expiration date, color, and clarity as applicable

Question 10

Procedure 6

Answer 10

Properly identify the commonly used injection sites and fluid administration limitation.

Question 11

Procedure 7

Answer 11

Max IM injection deltoid <2ml, dorsal gluteal 5 ml, vastus lateralis 5ml, rectus femoris 5ml

Question 12

Procedure 8

Answer 12

Prepare the necessary equipment, needles 1-2” and 21ga

Question 13

Procedure 9

Answer 13

Draw up the medication from vial or glass ampule (shake down) and purge all the air from syringe

Question 14

Procedure 10

Answer 14

Prepare the site with alcohol or iodine wipe to disinfect in overlapping concentric circles

Question 15

Procedure 11

Answer 15

Apply tension to puncture site and insert needle at 90* into muscle tissue.

Question 16

Procedure 12

Answer 16

Pull back on the plunger to aspirate for blood in syringe, if no blood present inject medication.

Question 17

Procedure 13

Answer 17

If blood appears, remove the needle and discard in sharps container.

Question 18

Procedure 14

Answer 18

Dispose of needle into an approved sharps container

Question 19

Procedure 15

Answer 19

Apply direct pressure (band-aid) to injection site

Question 20

Procedure 16

Answer 20

Monitor patient, document medication DART, and patient response.