Injections Flashcards
1
Q
Skin/ Intradermal
A
Small vol: TB syringe 25-27 gauge ¼ to ⅝ inch Bevel up 5-15* angle Bleb forms; uses PPD, allergy test
2
Q
subcutaneous
A
Rotate sites Abdomen recommended for Insulin, Heparin and Lovenox Can use all sites for vaccines 45-90 degree angle 25 or smaller (27,29) ⅜ to ⅝ inch
3
Q
IM deltoid
A
Acromion process; middle of deltoid 0.5-1 ml 90* angle 23-25 gauge 1 inch
4
Q
IM ventrogluteal
A
Anterosuperior iliac spine, gluteus medius and minimus
Larger muscle more volume of med 1-3 ml/injection
90*
21-22 gauge
1.5 inches
5
Q
IM vastus lateralis
A
Middle third of muscle 0.5-2 ml 90* Adults: 21-22; 1-1.5 inches Peds: 22-25; 5/8 - 1 inch
6
Q
special IM techniques
A
Z track
Seals medicine in a muscle tissue
Prevents irritation and discoloration of subcu. Tissue
Airlock
Less irritating with needle withdrawal: Lovenox
