Pharmacology: Administering Injectable Meds

Question 1

Administering Injectable Meds

Answer 1

• ID (intradermal)
• SQ (subcutaneous)
• IM (intramuscular)
• Z-track

Question 2

Type of Syringe for ID Medications

Answer 2

1 mL tuberculin syringe

Question 3

Type of Syringe for SQ Injectable Medications

Answer 3

1-3 mL syringe

Question 4

Type of Syringe for IM Injectable Medications

Answer 4

1-4 mL syringe

Question 5

Type of Syringe for Z-track Injectable Medications

Answer 5

1-4 mL syringe

Question 6

Needle Gauge for ID Injectable Med

Answer 6

26-27 gauge

1/4- 1/2 inch length

Question 7

Needle Gauge for SQ Injectable Med

Answer 7

25-27 gauge

3/8- 5/8 inch length

Question 8

Needle Gauge for IM Injectable Med

Answer 8

21-25 gauge
1- 1 1/2 inch length
(most common 20-23 gauge)

Question 9

Needle Gauge for Z-Track Injectable Med

Answer 9

21-25 gauge
1- 1 1/2 inch length
(most common 20-23 gauge)
(same as IM)

Question 10

Angle to Inject Needle for ID Injectable Meds

Answer 10

5 to 15 degrees

Question 11

Angle to Inject Needle for SQ Injectable Meds

Answer 11

45 to 90 degrees

Question 12

Angle to Inject Needle for IM Injectable Meds

Answer 12

90 degrees

Question 13

Angle to Inject Needle for Z-Track Injectable Meds

Answer 13

90 degrees

same as IM

Question 14

Volume to be Injected for a ID Med

Answer 14

less than 0.5 mL

Question 15

Volume to be Injected for a SQ Med

Answer 15

0.5 to 1 mL

Question 16

Volume to be Injected for a IM med

Answer 16

• Deltoid: 1 mL
• Other sites: up to 2 mL
• Well Developed Clients: 4 mL

Question 17

Volume to be Injected for a Z-track Injectable Med

Answer 17

-Deltoid: 1 mL
-Other sites: up to 2 mL
-Well Developed Client: 4 mL
(same as IM)

Question 18

Injection Site for ID Injectable Med

Answer 18

• inner forearm

- upper back

Question 19

Injection Site for SQ Injectable Med

Answer 19

• outer aspect of upper arm
• abdomen
• anterior/ lateral aspect of thigh
• upper back
• upper ventral/ dorsogluteal areas

Question 20

Injection Site for IM + Z-Track Injectable Meds

Answer 20

• Deltoid
• Vastis Lateralis
• Ventral Gluteal

Question 21

Technique to Inject ID Meds

Answer 21

bevel up to produce “bleb” (bump on top of skin)

-do not massage

Question 22

Technique to Inject SQ Meds

Answer 22

• pinch skin
• no aspiration
• rotate site
• avoid 2 inches around umbilicus
• apply gentle pressure

Question 23

Technique to Inject IM Meds

Answer 23

• skin taught
• aspirate for 5 to 10 seconds
• inject 1 mL per 10 seconds
• gentle pressure

Question 24

Technique to Inject Z-Track Meds

Answer 24

• pull skin to side (1- 1 1/2 inches)
• aspirate
• inject slowly
• wait 10 seconds to remove
• do not massage