Subcutaneous injections

Question 1

Parental means

Answer 1

Not through stomach/GI

Question 1

4 Categories of Parental medications

Answer 1

Intradermal, subcutaneous, intramuscular, Intravenous

Question 2

Two angles of a SC injection

Answer 2

90 or 45

Question 3

Insulin is generally administered at a ___ degree angle

Answer 3

90

Question 4

Supplies required for an injection

Answer 4

Syringe, needle, gloves, alcohol wipe, cotton/gauze, medication

Question 5

For SC injections the max mL you can inject is

Answer 5

1mL

Question 6

How many mLs can be injected IM

Answer 6

up to 3mL

Question 7

What does the gauge of a needle indicate?

Answer 7

Higher the gauge, smaller the needle

Question 8

Standard gauge for SC needles?

Answer 8

25 (5/8”)

Question 9

Length of IM needles

Answer 9

1” to 1 5/8” OR EVEN 2.5”

Question 10

What type of needle do we use for drawing up fluid from an ampulle?

Answer 10

A filtered needle

Question 11

What must be done before drawing fluid from an vial

Answer 11

Inject X mL of air into vial to equalize pressure before drawing out X fluid

Question 12

What is done with the syringe after fluid is drawn in?

Answer 12

The excess air must be removed by holding itstraight up and flicking it

Question 13

How to minimize discomfort when injecting a needle

Answer 13

Use smallest suitable needle
Position patient comfortably
Select proper site
Divert patient attention
Insert needle quickly and smoothly
Hold syringe steady
Inject med slow and steady
10 Rights

Question 14

What is done to skin when injecting SC

Answer 14

pinch or spread

Question 15

SC injection sites

Answer 15

Lateral and inferior to scapula
Posterior lateral Triceps
Superior glutes
Inferior naval abdomen (1” away from umbiliclius)
Anterior thighs

Question 16

Areas to avoid for SC inj.

Answer 16

Tender, bruised, scarred or inflamed areas

Question 17

Types of insulin

Answer 17

Long acting, short acting, and intermediate acting

Question 18

How to bring cloudy insulin into suspension

Answer 18

invert 8 - 10 times

Question 19

Insulin is always checked with another RN T or F

Answer 19

True

Question 20

When do you pause during the injection?

Answer 20

After pushing the plunger to ensure all medication gets in

Question 21

What is discarded in the sharps container

Answer 21

Needls, reconstitution devices, ampulles, glass vials

Question 22

Should you clear prefilled syringes of heparin of air before injecting?

Answer 22

No

Airbubble should be at top when injecting to ensure all of medication is administered

Question 23

Needle length based on body type

Answer 23

One half width of skin fold

Question 24

What about the client is assessed prior to administering a SC injection?

Answer 24

patient’s body build, muscle size, and weight. (Amount of adipose tissue)