Administering injections

Question 1

Intradermal (ID)
Angle:
Gauge:
Length:
Use:
Rarely used in practice

Answer 1

Intradermal (ID)

Angle: 5–15°

Gauge: 25–27
Length: ¼”–½”

Use: TB test

Question 2

Subcutaneous (SQ)

Angle:

Gauge:
Length:

Sites:

Answer 2

Subcutaneous (SQ)

Angle: 45–90°

Gauge: 25–30,
Length: ⅜”–1”

Sites: Abdomen (2” from navel), arms, thighs, back

Pinch skin before injection

Question 3

Intramuscular (IM)
Angle:
Gauge:
Length:
Sites:

No aspiration
Use Z-track method

Answer 3

Intramuscular (IM)
Angle: 90°
Gauge: 18–25
Length: ⅝”–1.5”
Sites: Deltoid (2–3 fingers below acromion), ventrogluteal, vastus lateralis
USE GAUZE AFTER

Question 4

Mixing insulin

Answer 4

Start with a CLEAR (R) day, then CLOUDY (NPH)
Inject same amount of air as med to help removal of med
Must know blood sugar prior to injection.
Cannot push back med when withdrawing from NPH.