S/C & Insulin injections

Question 1

The injection site depends on…

Answer 1

The user (age, thickness of subcutaneous tissue)
The skin (intact, away from bones and nerves)
The medication (suggested site by the manufacturer)
The last injection site (at least 2.5 cm away from it)

Question 2

Why is it important to rotate the injection site?

Answer 2

To prevent skin irritation and lipohypertrophy

Question 3

What is lipohypertrophy?

Answer 3

Lump on the skin caused by fat tissue that builds up if you give insulin multiple times in the same spot

Question 4

The needle gauge ranges from…

Answer 4

25 to 30 G

Question 5

The needle length ranges from…

Answer 5

9 to 16 mm

Question 6

The maximum volume ranges from…

Answer 6

0.1 to 1.5 mL

Question 7

What needle gauge would we use for an individual between 1 day of life and 12 years of age?

Answer 7

26 to 30 G

Question 8

What needle gauge would we use for an individual from 13 years of age and older?

Answer 8

25 to 27 G

Question 9

What needle length would we use for an individual below 28 days of life?

Answer 9

9 mm (possible 12 mm)

Question 10

What needle length would we use for an individual between 1 month and 12 years of age?

Answer 10

9 to 12 mm

Question 11

What needle length would we use for an individual from 13 years of age and older?

Answer 11

12 mm if injecting at 90 degree
16 mm if injecting at 45 degree

Question 12

What is the maximum volume to inject an individual below 28 days of life?

Answer 12

0.1 mL (possible up to 0.5 mL)

Question 13

What is the maximum volume to inject an individual between 1 month of life and 18 years of age?

Answer 13

0.5 to 1.0 mL

Question 14

What is the maximum volume to inject an individual above 18 years of age?

Answer 14

Up to 1.5 mL

Question 15

What is the preferred injection site for an individual below 1 year of age? (Be precise)

Answer 15

Thighs: Lateral aspect

Question 16

What are the injection sites for a child? (Be precise)

Answer 16

Arms: Middle third of the lateral aspect
Abdomen: 5 cm away from the umbilicus
Thighs: Centre third of the anterolateral aspect

Question 17

What are the injection sites for an adult? (Be precise)

Answer 17

Arms: Upper third of the lateral aspect
Abdomen: 5 cm away from the umbilicus, 1 cm above the pubis symphysis, 1 cm below the costal margin
Thighs: Upper third of the anterolateral aspect

Question 18

What are the timeframes to give INSULIN? (Time critical medication)

Answer 18

At the exact time for short-acting, rapid, and ultra rapid insulin
30 min before or after the given time for basal, long-acting insulin

Question 19

What are the needle gauge, length, and maximum volume for INSULIN syringes?

Answer 19

30 G
4 to 6 mm
100 units

Question 20

What are the injection sites for INSULIN?

Answer 20

Arms: Posterolateral aspect
Abdomen: 2.5 cm away from the umbilicus
Thighs: Anterolateral aspect

Question 21

What are the related rates of absorption between the injection sites for INSULIN?

Answer 21

Posterolateral aspect of the arms: moderately fast
Abdomen: fast
Anterolateral aspect of the thighs: slow

Question 22

What are the preferred sites injection for each type of INSULIN?

Answer 22

Posterolateral aspect of the arms: rapid insulin
Abdomen: regular and short-acting insulin
Anterolateral aspect of the thighs: intermediate insulin

Question 23

What is short-acting INSULIN or INSULIN R? (Generic name, onset, peak of action, duration)

Answer 23

Regular insulin
O: 30 to 60 min
P: 2 to 4 hours
D: 5 to 8 hours

Question 24

What is intermediate-acting INSULIN or INSULIN N? (Generic name, onset, peak of action, duration)

Answer 24

NPH
O: 1 to 3 hours
P: 8 hours
D: 12 to 16 hours