Parenteral Medications

Question 1

Intradermal sites

Answer 1

Inner surface of forearm and upper back under scapula; administer into dermis

Question 2

Subcutaneous sites

Answer 2

Administer into adipose; outer upper arm, abdomen, anterior aspects of thigh, upper back, ventral/dorsogluteal

Question 3

Intramuscular sites

Answer 3

Medication administration via skin and subcutaneous tissues in vast use lateralis, deltoid, ventrogluteal

Question 4

What are IDs used for?

Answer 4

Sensitivity tests — TB and allergy

Question 5

What do we use SQ injections for?

Answer 5

Insulin, heparin, morphine

Question 6

What do we use IMs for?

Answer 6

Vaccinations

Question 7

What are the needle sizes for ID?

Answer 7

1/4” - 1/2”

Question 8

What are needle sizes for SQ?

Answer 8

3/8” - 1”;

3/8” & 5/8” most common

Question 9

What are needle sizes for IM?

Answer 9

5/8” to 1” into vastus lateralis
5/8” to 1 1/2” into deltoid
1” to 1 1/2” into ventrogluteal

Question 10

What are gauge sizes for ID?

Answer 10

25 G or 27 G

Question 11

What are gauge sizes for SQ?

Answer 11

25 - 30 G

Question 12

What are gauge sizes for IM?

Answer 12

(AQ) 20 - 25 G

(OIL) 18 - 25 G

Question 13

What are the appropriate insertion angles for ID?

Answer 13

5-15 degrees

Question 14

What are the appropriate insertion angles for SQ?

Answer 14

45 or 90 degrees

Question 15

What are appropriate insertion angles for IM?

Answer 15

90 degrees

Question 16

What are the IM injection site landmarks?

Answer 16

Ventrogluteal - greater trochanter & anterosuperior iliac spine
Vastus lateralis - divide thigh into thirds, horizontally & vertically
Deltoid - acromion process

Question 17

Z-track technique

Answer 17

Pull skin 1” to side and hold in position
Insert needle and inject medication slowly
Withdraw needle & release displaced tissue

Question 18

Which injection method is z-track used for?

Answer 18

Intramuscular injections