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Adult Nursing: Skills > Intramuscular Injections > Flashcards

Intramuscular Injections Flashcards

1
Q

List one advantage and one disadvantage oral medication?

A

A: easy to administer
D: slow absorption rate

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2
Q

List one advantage and one disadvantage of subcutaneous medications?

A

A: Diffused slowly, effective for insulin.
D: More pain receptors

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3
Q

List one advantage and one disadvantage of intradermal medications?

A

A: Can administer potent medications
D: Very slow absorption rate.

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4
Q

List one advantage and one disadvantage of intramuscular medications?

A

A: Quick absorption rate
D: Risk of infection

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5
Q

List one advantage and one disadvantage of intravenous medications.

A

A: rapid onset
D: Sudden systemic reactions

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6
Q

What is the absorption rate of IM injections?

A

30 minutes

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7
Q

Factors to consider when selecting needle length and gauge:

A
  • gender (women have more adipose tissue)
  • weight
  • BMI
  • site condition
  • drug consistency
  • volume
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8
Q

What are the 3 intramuscular injection sites?

A
  • Ventrogluteal
  • Vastus Lateralis
  • Deltoid
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9
Q

What is the most preferred IM site?

A

Ventrogluteal

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10
Q

Why is the ventrogluteal the most preferred IM site?

A

The site is deep and away from major nerves and blood vessels.

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11
Q

How to landmark the ventrogluteal IM site.

A
  • patient supine or lateral.
  • use opposite hand to injection side.
  • heel of hand on greater trochanter.
  • place thumb on groin.
  • point index finger to anterior superior iliac spine.
  • extend middle finger back toward buttock to create V shape.
  • Inject into the middle of the V shape.
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12
Q

How to landmark Vastus Lateralis.

A
  • hand width above the knee.
  • hand width below the greater trochanter.
  • use the middle third for injection.
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13
Q

How to landmark Deltoid.

A
  • have patient relax arm by flexing elbow.
  • palpate acromion process.
  • apply three fingers horizontally with the top finger along the acromion process.
  • injection site is three fingers down.
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14
Q

Nursing interventions to reduce IM injection pain.

A
  • pressure for 10 seconds
  • apply ice or numbing cream
  • choose appropriate needle length/gauge
  • sharp beveled needle
  • 90 degree angle
  • relaxed muscle
  • 10 seconds per 1mL
  • Distraction
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15
Q

What is the maximum amount of fluid a nurse can inject intramuscularly into a deltoid muscle?

A

3mL

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16
Q

What needle gauge length would you use for an adult for an IM injection in a deltoid muscle?

A

20-25 gauge (water solution)

18-21 (oil solution)

17
Q

What needle length would you use for an adult for an IM injection in a deltoid?

A

1 inch

18
Q

What needle length would you use on an adult for a ventrogluteal IM injection.

A

1.5 inch

19
Q

What needle gauge would you use on an adult for a ventrogluteal IM injection?

A

22

20
Q

What is the maximum amount of volume you can inject into the ventrogluteal via IM?

A

3mL

21
Q

Needle length needed to inject intramuscularly into the vastus lateralis:

A

1.5 inch

22
Q

Needle gauge needed to inject intramuscularly into the vastus lateralis

A

25

23
Q

Max volume a nurse can inject intramuscularly into an adult vastus lateralis?

A

3mL

24
Q

Child:

Ventrogluteal Site
Needle length:
Needle Gauge:
Max Volume:

A

Ventrogluteal Site
Needle length: 0.5-1 inch
Needle Gauge: 22-25
Max Volume: 2.0 mL

25
Q

Child:

Deltoid Site
Needle length:
Needle Gauge:
Max Volume:

A

Deltoid Site
Needle length: 0.5-1 inch
Needle Gauge: 22-25
Max Volume: 1.0mL

26
Q

Child:

Vastus Lateralis Site
Needle length:
Needle Gauge:
Max Volume:

A

Vastus Lateralis Site
Needle length: 5/8-1 inch
Needle Gauge: 22-25
Max Volume: 2.0 mL

27
Q

What angle do you insert an IM injection needle?

A

90 degree angle

28
Q

When do you use a filtered worker needle?

A

ampules

29
Q

When assessing vials and ampoules what are you looking for?

A

Medication name
Medication concentration
Expiration date

30
Q

Should you shake or roll a reconstituted medications?

A

roll between hands, there should be no solutes when done.

31
Q

How do you use the Z track method?

A

use your non dominant hands to depress and pull the skin near the injection site. inject medication, wait, release skin and remove needle.

Adult Nursing: Skills (3 decks)

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