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ERP Week 6

Intradermal (ID) Injection

Intradermal injection sites include; 1.The anterior portion of the inferior arm 2.The posterior portion of the superior arm 3.The superior portion of the back 4.The superior thorax
Intradermal (ID) Tuburculin (TB) skin tests are usually performed on the clients; Anterior forearm, 2-3 finger length from the antecubital space to a hands-width above the wrist
The common length of an ID needle is; 3/8 - 1/2 inch
The common needle gauge (bore) for intradermal injection is 25G to 30G
An ID needle is inserted at a; 10-15 degree angle with the bevel up (until the bevel disappears)
A successful ID injection is achieved with the appearance of a; Bleb / Wheal
After the ID injection, quickly withdraw the needle, apply pressure to the injection site with a Sterle 2x2, active the needle safety system, and dispose in a Sharps
Document the ID injection in the clients chart including; 1.Date 2.Military Time 3.Drug name 4.Dosage 5.Route 6.Site 7.Client reaction 8.Expiration Date 9.Lot number 10.Manufacture 11.Client education provided
Intradermal (ID) injections are commonly used for; 1.Allergy testing 2.TST - Tuberculin skin testing
Tuberculin (TST) testing AKA Tine Mantoux PPD
A TST Tuberculin test should be evaluated; 48 - 72hrs
A positive TST test occurs when; 1.15mm induration occurs (standard) 2.5mm induration for clients w/RA or CD 3.10mm induration for; Healthcare workers, diabetics or kidney disease 4.If vesiculation occurs (blisters)
Created by: adrouillard