Module 3 Flashcards
IM vs SUBC
IM = faster absorb, larger volume buuuuut
more dangerous !!
where does SC go
under dermis
where does ID go
dermis just under the epidermis
how to minimize discomfort
Sharp, beveled, shortest length & gauge possible. Flex limb to reduce tension, divert attention, wrap ice or analgesia when possible
What volume range for SUBQ injections
0.5-1.5mL
Volume range for subQ injection in children
max is 0.5mL
Gauge & size used for subQ when injection is inserted 45 degrees
25 & 5/8 inch
Needle size for subQ injection when inserting at 90 degree angle
1/2 inch
how much tissue do you need to grasp for it to be a safe injection at 90 degree angle
5cm
2.5 cm for 45 degree
Gauge & size used for intradermal injection
25-27 and 1/8-5/8 inch
angle for intradermal injection
5-15 degrees
injection amount allowed for intradermal injection
0.01 - 0.1 ml
injection amount allowed for IM
2-5 mL
IM allowed for children, older or thin
2ml
injection amount allowed IM for small children & larger infants
1mL
small infants IM
0.5ml max
Needle length for ventrogluteal injection in adult
1.5 inches
Needle length for ventrogluteal injection in child
1/2- 1 inch
Needle length for vastus laterals injection in child & adult
5/8- 1 inch
Injection length for deltoid in child
1/2 - 1 inch
Injection length for detain in adults
1-1.5 inches
<130
5/8 - 1 inch
130-152 pound
1 inch
153-200 or to 260 for males
1-1.5 inches
what is your first choice for DEEP IM
VENTROGLUTEAL !!
what size needle for SC
3/8-5/8
what size for IM
1-1.5
if mixing two meds
do vial first b/c u may get glass fro ampule
where are the best site for SC
outer of upper arms, abdominal below coastal margins, anterior thighs
typical needle for SC
25 gauge 16mm @45 degrees of 12 mm @ 90 degrees
MAX IM dose for deltoid
1ml
MAX im dose for 6-12 yr
2 ml
max IM for adult
5ml
how often should you change location of butterfly
weekly or at first sign of bruise ,inflammation, poor absorption,
what size needle & gauge for ID
3/8-5/8 (25-27 gauge)
what gauge needle for SC butterfly
24 gauge
how much do you prime SC butterfly with `
0.4ml
what angle for SC butterfly
bevel up 30-45 degrees
what is the safety with least complications
VENTROGLUTEAL
why would you use vistas laterals?
immunizations in infants, toddler or child
why is deltoid not good
aboorbs slowest, not well developed, caused injury b/c arteries and nerves
IM aqeous soul
20-25 gauge
oil soln IM
18-21 gauge
what is the preferred site for infants
VASTUS LATERALIS
why wait 10s before removal
so it disperses evenly
most painful site
vastus lateralis
how to insert for vastus laterals
slightly angled anterior thigh
how to insert for ventrojuteeal
slightly toward iliac crest
