T2- Paternal med techniques: INTRADERMAL (based off document)

Question 1

An intradermal injection is the administration of a drug into the ___ layer of the skin just beneath the ____.

Answer 1

Dermal layer just beneath the epidermis

Question 2

When is the ID method frequently used?

Answer 2

Allergy testing and TB screening

Question 3

What are common sites for ID?

Answer 3

Inner lower arm
Upper chest
Back beneath the scapulae

Question 4

The rate of absorption of ID injection is slow and only small amounts of medication (____ mL) can be given.

Answer 4

0.01-0.1 mL

Question 5

What type of syringe is used for ID?

Answer 5

I mL tuberculin syringe (usually has needle attached)

Question 6

What size syringe is used? (gauge and needle)

Answer 6

Gauge: 25-27
Needle: 1/4-5/8 inch long

Question 7

What is the total amount that can be given?

Answer 7

0.01-0.1 mL

Question 8

Injection technique?

Answer 8

1. Clean skin with alcohol and let it dry
2. Hold skin taut with non-dominant hand
3. Bevel of the needle up, insert the needle slowly at a 5-15 degree angle above the skin until resistance is met
4. Advance the needle 1/8 inch below the epidermis (needle tip should be visible through skin)
5. Inject med slowly (resistance should be felt)
6. See your bleb is there
7. Withdrawl needle while applying alcohol swab gently over site

Question 9

After giving an ID injection, what should appear?

Answer 9

A small bleb similar to a mosquito bite

Question 10

If a bleb does not appear, site bleeds after needle removal, or no resistance is felt during injection, the medication was most likely not delivered into the ID space. Instead, most likely it was given _____.

Answer 10

SQ

Question 11

For ID, do we need to aspirate?

Answer 11

No

Question 12

For ID, do we need to massage the site after injection?

Answer 12

No