Needles/Injections Flashcards
Aspirate with intradermal?
Never
Needle gauges used for intradermal?
25-29
Needle length for intradermal?
1/4-5/8 inch
Syringe size for intradermal?
1 mL (TB syringe)
Angle of injection for intradermal?
5-15 degrees, bevel up
Sites for intradermal injection?
inner forearm, upper back (rare)
Volume for intradermal?
Dose usually 0.1 mL
Possible meds for intradermal?
TB/other skin tests
Aspirate with SubQ?
Rarely
Needle gauges used for SubQ?
25-31
Needle length for SubQ?
1/2-5/8 inch
Syringe size for SubQ?
1-3mL
Angle of injection for SubQ?
45-90 degree (90 in obese pt)
Sites for SubQ injection?
abdomen, upper outer arms, upper outer thighs, upper back
Volume for SubQ?
0.5-1 mL
Possible meds for SubQ?
Insulin, heparin, lovanox
Aspirate for IM injections?
Yes! Except immunizations
Needle gauge for IM injection?
20-25
Needle length for IM injection?
5/8-3 inches (depends on site and size of pt)
Syringe size for IM injections?
3 mL
Angle of injection for IM?
90 degrees (unless very thin, than 45 degrees)
Sites for IM injection?
Deltoid, dorsogluteal, ventrogluteal, vastis lateralis
Volume for IM (deltoid)?
up to 1 mL
Volume for IM (dorsogluteal, ventrogluteal, vastis lateralis)
up to 3 mL (5 mL max!!!)
Possible meds for IM?
Immunizations, demoral, flu shots, vitamin b12, rabies
Aspirate Z-Track Method?
ALWAYS!
Needle length for Z-Track?
At least 1 1/2 inch (3inch for obese pt and certain meds)
Syringe size for Z-Track?
3 mL
Angle of injection for Z-Track?
90 degrees after skin pulled over
Site for Z-Track injection?
Large muscle (Dorso- or ventro- gluteal)
Volume for Z-Track?
3 mL
Possible meds for Z-Track?
Imferon (antianemic) and Vistaril (antianxiety, antihistamine, sedative/hypnotic)
What is the safest site for IM injection?
Ventrogluteal
What is the second safest site for IM injections?
Vastus Lateralis
What IM site is used for newborns, infants, and children?
Vastus lateralis
Which IM site can be used for pts 7 mo and older?
Ventrogluteal
Which IM site should never be used on infants/children and is used as last resort for adults? Why?
Dorsogluteal r/t sciatic nerve
Which IM site is never used on infants or small children and only used on older children (and adults) with enough muscle mass?
Deltoid