Injections

Question 1

Do we give injections in the dorsogluteal muscle?

Answer 1

NO!! There is a good chance you will hit the sciatic nerve!!

Question 2

Where can you give subcutaneous injections?

Answer 2

Abdomen
Upper hips
Upper back
Lateral upper arms
Lateral upper thighs

Question 3

Where can you give intradermal injections?

Answer 3

Forearm

Upper back

Question 4

When do we use the deltoid muscle for injections?

Answer 4

Reserve for immunizations

Question 5

Do we aspirate with subcutaneous injections?

Answer 5

No!

Question 6

Do we aspirate with intradermal injections?

Answer 6

No!

Question 7

Do we aspirate with ventrogluteal and vastus Lateralis injections?

Answer 7

Yes!

Question 8

Do we aspirate with deltoid injections?

Answer 8

No!

Question 9

What is the needle length for IM injections?

Answer 9

1-1.5 inches in adults

5/8-1 inch in children

Question 10

How far away from the umbilicus or stoma do subcutaneous injections go?

Answer 10

2 inches

Question 11

What is the angle of insertion for IM injections?

Answer 11

Always 90 degrees

Question 12

What is the angle of insertion for subcutaneous injections?

Answer 12

45 degrees- child or thin adult

90 degrees- adult

Question 13

What is the angle of insertion for an intradermal injection?

Answer 13

5-15 degrees

Question 14

What the right needle gauge for IM injections?

Answer 14

22-27 for aqueous fluids

18-22 for viscous fluids (Ativan)

Question 15

What is the size gauge for subcutaneous injections?

Answer 15

25-29

Question 16

What is the right size gauge for intradermal injections?

Answer 16

25-27

Question 17

What kind of needle do you use when drawing medicine from an ampule?

Answer 17

Filter needle

Question 18

What is the correct way to draw up IM injections?

Answer 18

Draw up medicine using one needle, and switch needles before giving the injection.

Question 19

What is the max volume for ventrogluteal or vastus lateralis injections?

Answer 19

2-3 mL

Question 20

What is the max volume for deltoid injections?

Answer 20

0.5-1 mL

Question 21

What is the max volume for intradermal injections?

Answer 21

0.1mL

Question 22

What kind of syringe is used for ID injections?

Answer 22

Tuberculin syringe.

Question 23

Where are the sites you can give IM injections?

Answer 23

Ventrogluteal
Deltoid- reserve for immunizations
Vastus Lateralis

Question 24

Rapid acting insulins

Answer 24

“Logs”

Question 25

Short acting insulins

Answer 25

“Lins-R”

Question 26

Intermediate acting insulins

Answer 26

“Lins-NPH”

Question 27

What is the onset on rapid acting insulin?

Answer 27

0-15 minutes

Question 28

What is the onset for short acting insulin?

Answer 28

30 minutes

Question 29

What is the onset of intermediate acting insulin?

Answer 29

2 hours

Question 30

Can you mix long acting insulin?

Answer 30

No!! It can’t mix with anything, ever!

Question 31

Can insulin be used in an IV?

Answer 31

Yes, but only REGULAR insulin.

Question 32

What is the correct process for mixing insulins?

Answer 32

Roll the NPH to disperse the medicine

Inject the appropriate amount of air into the NPH- do not draw it up

Inject the appropriate amount of air into regular insulin and draw up medicine

Draw up NPH- do not over draw because you can’t push medicine back in

Question 33

How many RN’s are need to draw up insulin?

Answer 33

TWO!

Draw up meds and ask “what do you see?” Second RN must also document.

Question 34

When should you expect to see hypoglycemia symptoms after giving insulin?

Answer 34

About two hours.

Question 35

What are the symptoms of hypoglycemia?

Answer 35

Diaphoresis
Cold clammy skin
Irritability
Nausea
Tachycardia
Confusion
Fainting
Un responsiveness- severe