Injections

Question 1

Intramuscular injections

Answer 1

Absorbed faster
Rich blood supply
Larger volume of med absorbed (compared to subcut)

Question 2

IM injection supplies

Answer 2

-Appropriate size syringe

• appropriate-gauge and -length needle
• alcohol swab
• small gauze pad
• vial or ampule of medication
• clean gloves

Question 3

whats the appropriate gauge for an IM injection in adult

Answer 3

19-25

Question 4

whats the appropriate length needle for an IM injection in adult

Answer 4

1-1.5 inch

Question 5

where are IM injections administered in infants (less 18mths)

Answer 5

vastus lateralis

Question 6

what length needles used for IM injections in infants

Answer 6

7/8-1 inch

Question 7

what gauge is used for IM injections in infants

Answer 7

25-27

Question 8

what muscles are IM injections administered in kids

Answer 8

deltoid
ventrogluteal
dorsogluteal
vastus lateralis

Question 9

what length needles used in IM injections kids

Answer 9

7/8-11/4 inch

Question 10

what gauge needles used for IM injections in kids

Answer 10

22-25

Question 11

what muscles are IM injections administered in adults

Answer 11

deltoid
ventrogluteal
dorsogluteal
vastus lateralis

Question 12

what angle should IM injections be admin in all ages

Answer 12

90degree

Question 13

vastus lateralis site

Answer 13

in lateral middle third of thigh
between greater trochanter and kneww
when injecting life away from knee

Question 14

ventrogluteal site

Answer 14

Place palm of hand on the greater trochanter, pointing the thumb towards the groin
placing the tip of the index finger on the anterior superior iliac spine
spreading the middle finger back along the iliac crest, and forming a “V” over the muscle.
The “V” is your injection spot

Question 15

deltoid muscle site

Answer 15

thickest part located 2.5-5cm (1-3 finger breadths) below the lower edge of acromion process of the scapula over the midaxillary line

Question 16

dorsogluteal site

Answer 16

located above imaginary line between greater trochanter and posterior superior iliac crest

Question 17

why are vaccines only given at the deltoid and vastus lateralis

Answer 17

contain no large vessels

Question 18

what does size and length of a needle for IM injection depend on

Answer 18

muscle chosen
type of solution
amt of adipose tissue covering muscle
age of client

Question 19

what signs show that you should use a alt inject site

Answer 19

bruising
induration
muscular atrophy
reduced blood flow
signs of infection

Question 20

what have IM injections been associated with

Answer 20

adverse effects of pain

Question 21

what should u do if patient expresses concern over a med being given to them

Answer 21

dont give med consult with doctor

Question 22

subcut injections

Answer 22

• deposits into the CT (under dermis layer)
• does not contain many blood vessels
• absorbed slowly
• activity impacts rate of absorption

Question 23

what size syringe is used for subcut injection

Answer 23

1-3ml

Question 24

what needle gauge is used for subcut injections

Answer 24

26-30

Question 25

where are subcut injections admin in any age group

Answer 25

anterolateral thigh upper outer tricep area upper buttocks abdomen

Question 26

what needle legnth is most common for subcut injection

Answer 26

1/2-5/8inch

Question 27

what angle or degree is a subcut injection given

Answer 27

45-90

Question 28

what does the size and legnth of a needle for subcut injections depend on

Answer 28

body mass angle of insertion planned site age of client med injected

Question 29

what is a consideration when injecting sucutaneously into abdomen

Answer 29

avoid 2 inch radius around umbilicus

Question 30

whats the max dose given subcut at 1 injections site for adults

Answer 30

2ml

Question 31

whats the max dose given subcut at 1 injection site for infants and kids

Answer 31

0.5ml

Question 32

where should older adults get subcut injections

Answer 32

upper abdomen

Question 33

what shoudl be documented when giving an injection

Answer 33

med conc. dosage time date site of admin route withheld doses response to med side effects patietns weight in kg

Question 34

whats the rule when mixing insulin

Answer 34

rapid/ short acting before intermediate only mix from same manufacturer

Question 35

what type of insulin should never be mixed?

Answer 35

long acting

Question 36

whats essential to ensure efficacy of vacines

Answer 36

proper storage

Question 37

how many times should a med be checked before admin

Answer 37

3x

Question 38

where should vaccination admin be recorded

Answer 38

clients record agency record provincial record

Question 39

how long should a client be observed for adverse evetns

Answer 39

15mins