Flashcards in Injections Deck (35):
Do we give injections in the dorsogluteal muscle?
NO!! There is a good chance you will hit the sciatic nerve!!
Where can you give subcutaneous injections?
Lateral upper arms
Lateral upper thighs
Where can you give intradermal injections?
When do we use the deltoid muscle for injections?
Reserve for immunizations
Do we aspirate with subcutaneous injections?
Do we aspirate with intradermal injections?
Do we aspirate with ventrogluteal and vastus Lateralis injections?
Do we aspirate with deltoid injections?
What is the needle length for IM injections?
1-1.5 inches in adults
5/8-1 inch in children
How far away from the umbilicus or stoma do subcutaneous injections go?
What is the angle of insertion for IM injections?
Always 90 degrees
What is the angle of insertion for subcutaneous injections?
45 degrees- child or thin adult
90 degrees- adult
What is the angle of insertion for an intradermal injection?
What the right needle gauge for IM injections?
22-27 for aqueous fluids
18-22 for viscous fluids (Ativan)
What is the size gauge for subcutaneous injections?
What is the right size gauge for intradermal injections?
What kind of needle do you use when drawing medicine from an ampule?
What is the correct way to draw up IM injections?
Draw up medicine using one needle, and switch needles before giving the injection.
What is the max volume for ventrogluteal or vastus lateralis injections?
What is the max volume for deltoid injections?
What is the max volume for intradermal injections?
What kind of syringe is used for ID injections?
Where are the sites you can give IM injections?
Deltoid- reserve for immunizations
Rapid acting insulins
Short acting insulins
Intermediate acting insulins
What is the onset on rapid acting insulin?
What is the onset for short acting insulin?
What is the onset of intermediate acting insulin?
Can you mix long acting insulin?
No!! It can't mix with anything, ever!
Can insulin be used in an IV?
Yes, but only REGULAR insulin.
What is the correct process for mixing insulins?
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
How many RN's are need to draw up insulin?
Draw up meds and ask "what do you see?" Second RN must also document.
When should you expect to see hypoglycemia symptoms after giving insulin?
About two hours.