Needles/Injections

Question 1

Aspirate with intradermal?

Answer 1

Never

Question 2

Needle gauges used for intradermal?

Answer 2

25-29

Question 3

Needle length for intradermal?

Answer 3

1/4-5/8 inch

Question 4

Syringe size for intradermal?

Answer 4

1 mL (TB syringe)

Question 5

Angle of injection for intradermal?

Answer 5

5-15 degrees, bevel up

Question 6

Sites for intradermal injection?

Answer 6

inner forearm, upper back (rare)

Question 7

Volume for intradermal?

Answer 7

Dose usually 0.1 mL

Question 8

Possible meds for intradermal?

Answer 8

TB/other skin tests

Question 9

Aspirate with SubQ?

Answer 9

Rarely

Question 10

Needle gauges used for SubQ?

Answer 10

25-31

Question 11

Needle length for SubQ?

Answer 11

1/2-5/8 inch

Question 12

Syringe size for SubQ?

Answer 12

1-3mL

Question 13

Angle of injection for SubQ?

Answer 13

45-90 degree (90 in obese pt)

Question 14

Sites for SubQ injection?

Answer 14

abdomen, upper outer arms, upper outer thighs, upper back

Question 15

Volume for SubQ?

Answer 15

0.5-1 mL

Question 16

Possible meds for SubQ?

Answer 16

Insulin, heparin, lovanox

Question 17

Aspirate for IM injections?

Answer 17

Yes! Except immunizations

Question 18

Needle gauge for IM injection?

Answer 18

20-25

Question 19

Needle length for IM injection?

Answer 19

5/8-3 inches (depends on site and size of pt)

Question 20

Syringe size for IM injections?

Answer 20

3 mL

Question 21

Angle of injection for IM?

Answer 21

90 degrees (unless very thin, than 45 degrees)

Question 22

Sites for IM injection?

Answer 22

Deltoid, dorsogluteal, ventrogluteal, vastis lateralis

Question 23

Volume for IM (deltoid)?

Answer 23

up to 1 mL

Question 24

Volume for IM (dorsogluteal, ventrogluteal, vastis lateralis)

Answer 24

up to 3 mL (5 mL max!!!)

Question 25

Possible meds for IM?

Answer 25

Immunizations, demoral, flu shots, vitamin b12, rabies

Question 26

Aspirate Z-Track Method?

Answer 26

ALWAYS!

Question 27

Needle length for Z-Track?

Answer 27

At least 1 1/2 inch (3inch for obese pt and certain meds)

Question 28

Syringe size for Z-Track?

Answer 28

3 mL

Question 29

Angle of injection for Z-Track?

Answer 29

90 degrees after skin pulled over

Question 30

Site for Z-Track injection?

Answer 30

Large muscle (Dorso- or ventro- gluteal)

Question 31

Volume for Z-Track?

Answer 31

3 mL

Question 32

Possible meds for Z-Track?

Answer 32

Imferon (antianemic) and Vistaril (antianxiety, antihistamine, sedative/hypnotic)

Question 33

What is the safest site for IM injection?

Answer 33

Ventrogluteal

Question 34

What is the second safest site for IM injections?

Answer 34

Vastus Lateralis

Question 35

What IM site is used for newborns, infants, and children?

Answer 35

Vastus lateralis

Question 36

Which IM site can be used for pts 7 mo and older?

Answer 36

Ventrogluteal

Question 37

Which IM site should never be used on infants/children and is used as last resort for adults? Why?

Answer 37

Dorsogluteal r/t sciatic nerve

Question 38

Which IM site is never used on infants or small children and only used on older children (and adults) with enough muscle mass?

Answer 38

Deltoid