Week 6 (Admin Injections) & Week 7 (Dressings) Flashcards
(81 cards)
Describe how to landmark for the ventrogluteal IM site?
- Have patient lie on lateral or supine position
- Place heel of hand over greater trochanter of the patient’s hip (with the wrist almost perpendicular to the femur)
- Use right hand for left hip and left hand for right hip
- Point thumb towards patient’s groin, point index finger to anterior superior iliac spine, extend middle finger back along iliac crest towards buttocks
- Index and middle fingers along with iliac crest form a triangle
- IM site is at center of triangle
Describe how to landmark for the vastus lateralis IM site?
- Hand breadth above the knee, hand breadth below the greater trochanter of the femur
- Use middle third of muscle for injection
- Anterior lateral aspect
- Vastus Lateralis IM site
Describe how to landmark for the deltoid IM site?
- Find the acromion process on the clavicle
- Three fingers down
- Deltoid IM site
What are the three sites for intramuscular injections?
- Ventrogluteal
- Vastus lateralis
- Deltoid
Which injection do you aspirate on? Why?
Intramuscular injection
- to make sure that you are not injecting into a blood vessel
In what circumstance would you NOT aspirate on an IM injection?
When your hospital policy says not to
What is the purpose of rotating injection site?
To avoid damaging the tissues from repeated injections
- patients may experience hypertrophy from too many injections in one area
Is it appropriate to rotate SC insulin sites?
You do not need to rotate anatomical sites, but you should rotate within the site
(Intrasite rotation)
- helps maintain absorption consistency
Which injections do you NOT aspirate?
SC
Intradermal
What is the MOST important safety precaution you must perform when giving injections?
Do not recap needles
- clean or dirty
Which IM site is no longer recommended? Why?
Dorsogluteal muscle
- risk of hitting the sciatic nerve
When should you wear gloves when giving injections?
All the time
- any injection!
- all injections pose a risk for exposure to blood
Why is the Z track method used for giving IM injections?
Used to ensure the medication administered remains in the deep muscle to avoid irritation to the subcut tissues
What are the five sites where a subcutaneous injection could be safely given?
- Abdomen
- Upper anterior arms
- Outer thighs
- Upper back
- Lower back
What are the three landmarks used to locate the ventrogluteal intramuscular site?
- Greater trochanter
- Anterior superior iliac spine
- Iliac crest
How quickly do you inject medication from a syringe?
Rate of 1 ml per 10 secs
True or False:
Massaging the site after an injection is best practice
False
- do not massage
What should you do if you aspirate blood when giving an IM injection?
Withdraw the needle and syringe, discard needle in the sharps container and redraw the medication
Doctor’s orders: 0.3mg of drug
Available as: 0.4 mg per mL. How many mL do you draw up?
0.75 mL
Doctor’s orders: 5 mg of drug
Available as: 10 mg per 2 mL.
How many mL do you draw up?
1 mL
Doctor’s orders: 0.75 g of drug
Available as: 400 mg per mL.
How many mL do you draw up?
1.9 mL
Keflin is available as 1 g in 4.4 mL IM solution. Prepare a 500 mg injection.
How many mL do you draw up?
2.2 mL
Cimetidine for injection has a dosage strength of 300 mg per 2 mL. Prepare a 0.25 g dosage. How many mL would you draw up?
1.7 mL
Prepare an IM solution of streptomycin sulfate from the powdered drug by adding 9 mL of diluent to a 5 g vial. The reconstituted solution has a strength of 400 mg/mL. The order is for 0.75 g IM. How many mL would you draw up?
1.9 mL
