NUR220 IM Injection Parameters

Question 1

General needle length:

Answer 1

5/8 in – 1.5 in.

Question 2

Needle gauges:

Answer 2

20G to 25G (18 gauge if it is oil)

Question 3

Volume:

Answer 3

1-5 mL (try not to give more than 3 mL)

Question 4

Two important things to remember:

Answer 4

No aspiration, no massaging - gentle pressure only after injection

Question 5

Z-Track method:

Answer 5

Pull or shift the skin and underlying tissue down or to one side 1 to 2 cm with your nondominant hand and hold the skin and tissue in this position

Question 6

Best time to use z-track method:

Answer 6

For iron, elderly with decrease muscle mass,

Question 7

Vastus lateralis needle length:

Answer 7

5/8 in - 1 in

Question 8

Deltoid needle length:

Answer 8

5/8 in - 1.5 in

Question 9

Ventrogluteal needle length:

Answer 9

1 in - 1.5 in

Question 10

When is the expiration date for a multi-use vial that you have just opened?

Answer 10

24 hours

Question 11

How much air to inject into the vial:

Answer 11

Same as the desired quantity needed, can add a little bit more to prepare for medication loss

Question 12

Administration sites:

Answer 12

Deltoid
Ventrogluteal
Vastus lateralis

Question 13

Ventrogluteal site:

Answer 13

Place palm of hand over the greater trochanter, with fingers facing the patient’s head.
Right hand = left hip; Left hand = right hip
Place index finger on the anterior superior iliac spine
Extend middle finger dorsally, palpating the iliac crest
Then, a triangle is formed, and injection is given in the center of the triangle

Question 14

IM into Deltoid - Volume should be limited to:

Answer 14

1 mL, but up to 2 mL can be done if necessary

Question 15

Deltoid site:

Answer 15

Acromion process
3 fingers down
Make a V

Question 16

Vastus Lateralis Site:

Answer 16

Anterior thigh
Tic-tac-toe method
Go to the outer middle area & inject

Question 17

Angle of insertion:

Answer 17

90 degrees