Module 3

Question 1

IM vs SUBC

Answer 1

IM = faster absorb, larger volume buuuuut

more dangerous !!

Question 2

where does SC go

Answer 2

under dermis

Question 3

where does ID go

Answer 3

dermis just under the epidermis

Question 4

how to minimize discomfort

Answer 4

Sharp, beveled, shortest length & gauge possible. Flex limb to reduce tension, divert attention, wrap ice or analgesia when possible

Question 5

What volume range for SUBQ injections

Answer 5

0.5-1.5mL

Question 6

Volume range for subQ injection in children

Answer 6

max is 0.5mL

Question 7

Gauge & size used for subQ when injection is inserted 45 degrees

Answer 7

25 & 5/8 inch

Question 8

Needle size for subQ injection when inserting at 90 degree angle

Answer 8

1/2 inch

Question 9

how much tissue do you need to grasp for it to be a safe injection at 90 degree angle

Answer 9

5cm

2.5 cm for 45 degree

Question 10

Gauge & size used for intradermal injection

Answer 10

25-27 and 1/8-5/8 inch

Question 11

angle for intradermal injection

Answer 11

5-15 degrees

Question 12

injection amount allowed for intradermal injection

Answer 12

0.01 - 0.1 ml

Question 13

injection amount allowed for IM

Answer 13

2-5 mL

Question 14

IM allowed for children, older or thin

Answer 14

2ml

Question 15

injection amount allowed IM for small children & larger infants

Answer 15

1mL

Question 16

small infants IM

Answer 16

0.5ml max

Question 17

Needle length for ventrogluteal injection in adult

Answer 17

1.5 inches

Question 18

Needle length for ventrogluteal injection in child

Answer 18

1/2- 1 inch

Question 19

Needle length for vastus laterals injection in child & adult

Answer 19

5/8- 1 inch

Question 20

Injection length for deltoid in child

Answer 20

1/2 - 1 inch

Question 21

Injection length for detain in adults

Answer 21

1-1.5 inches

Question 22

<130

Answer 22

5/8 - 1 inch

Question 23

130-152 pound

Answer 23

1 inch

Question 24

153-200 or to 260 for males

Answer 24

1-1.5 inches

Question 25

what is your first choice for DEEP IM

Answer 25

VENTROGLUTEAL !!

Question 26

what size needle for SC

Answer 26

3/8-5/8

Question 27

what size for IM

Answer 27

1-1.5

Question 28

if mixing two meds

Answer 28

do vial first b/c u may get glass fro ampule

Question 29

where are the best site for SC

Answer 29

outer of upper arms, abdominal below coastal margins, anterior thighs

Question 30

typical needle for SC

Answer 30

25 gauge 16mm @45 degrees of 12 mm @ 90 degrees

Question 31

MAX IM dose for deltoid

Answer 31

1ml

Question 32

MAX im dose for 6-12 yr

Answer 32

2 ml

Question 33

max IM for adult

Answer 33

5ml

Question 34

how often should you change location of butterfly

Answer 34

weekly or at first sign of bruise ,inflammation, poor absorption,

Question 35

what size needle & gauge for ID

Answer 35

3/8-5/8 (25-27 gauge)

Question 36

what gauge needle for SC butterfly

Answer 36

24 gauge

Question 37

how much do you prime SC butterfly with `

Answer 37

0.4ml

Question 38

what angle for SC butterfly

Answer 38

bevel up 30-45 degrees

Question 39

what is the safety with least complications

Answer 39

VENTROGLUTEAL

Question 40

why would you use vistas laterals?

Answer 40

immunizations in infants, toddler or child

Question 41

why is deltoid not good

Answer 41

aboorbs slowest, not well developed, caused injury b/c arteries and nerves

Question 42

IM aqeous soul

Answer 42

20-25 gauge

Question 43

oil soln IM

Answer 43

18-21 gauge

Question 44

what is the preferred site for infants

Answer 44

VASTUS LATERALIS

Question 45

why wait 10s before removal

Answer 45

so it disperses evenly

Question 46

most painful site

Answer 46

vastus lateralis

Question 47

how to insert for vastus laterals

Answer 47

slightly angled anterior thigh

Question 48

how to insert for ventrojuteeal

Answer 48

slightly toward iliac crest