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Pharm Parent 105

Pharm Parenteral Routes CCC PN105

Three sites for injections deltoid, vastus lateralis, and ventrogluteal muscles
Before giving injection, examine site to determine adeuqate muscle tissue
Areas to avoid lesions, trauma, inflammation, bony prominences
IM angle to insert needle 90 degrees
IM - after puncture, do this aspirate plunger to check for blood return
This confirms needle placement in muscle lack of blood on aspiration
Angle to withdraw needle angle of insertion
Do not _________________ site after IM injection massage
If blood is withdrawn upon IM aspiration withdraw needle and start over
Before injection, always check to see if patient is on blood thinners
Landmarks for deltoid muscle injection acromion process and axillary line
Where to insert needle in deltoid 2-3 finger lengths below acromion process, above axillary line
Landmarks for vastus lateralis injection head of greater trochanter and knee
Where to insert needle in vastus lateralis middle third of muscle at least one hand width below greater trochanter and above knee
Landmarks for ventrogluteal injection head of greater trochanter and anterior superior iliac spine
Reason to not use dorsogluteal site for injection paralysis from sciatic nerve damage
What determines injection volume and needle size age and size of patient and type of medication
If prescribed medication is greater than recommended dosage for particular site Then break into smaller injections and give at different areas
Adult deltiod dose 1ml
Contraindications for deltoid injection infant or toddler age
Adult vastus lateralis dose 3ml
Infant vastus lateralis dose 1ml
Small infant vastus lateralis dose 0.5ml
Preferred injection site for infants vastus lateralis
Adult/ ventrogluteal dose 3ml
Infant ventrogluteal dose 1ml
Small infant ventrogluteal dose 0.5ml
Toddler ventrogluteal dose 2ml
Age 3 and older ventrogluteal dose 2-3ml
Adolescent ventrogluteal dose 3ml
Intradermal injections are used for skin testing and administering local anesthetics
Sites for intradermal injections inner forearm and upper back
What to avoid when giving intradermal injection lesions and hair
Type of syringle for intradermal injection tuberculin or small (1ml)
Angle of insertion for intradermal injection 5-15 degrees, almost parallel to skin
When giving intradermal injection, make sure skin is pulled taut
Bevel should be facing ____ for all injections up
Intradermal injections should be given ___ slowly
Watch for skin to ____________ when giving intrdermal injection blanche and wheal
___ indicates intradermal injection was given incorrectly bleeding or absence of wheal
SubQ injections are used for slow absorbing medication
IM injections are used for rapid absorbing medication
Favored site for subQ injections large areas that are easy for patient to reach for self-administration
Most commong sites for subQ injections upper outer arm, abdomen (2in from unbilicus), anterior thigh, scapula, upper ventrodorsal gluteal
To prevent tissue damage from repeat injections rotate injection sites
Amount to administer subQ 1ml
To determine subQ needle length equivalent to 1/2 width of skinfold from pinching tissue up from underlying muscle
Angle to insert subQ injection for average sized person 45-90 degrees
angle to insert subQ injection for obese person 90 degrees
Best subQ site for thin person upper abdomen
You do not have to __________ before giving subQ injection aspirate
Once subQ needle is inserted release pinched skin and use hand to stabilize syringle
vastus lateralis needle size, oil-based or viscous solutions 18-25 gauge, 1-1.5"
vastus lateralis needle size, aqueous solution 22-27 gauge, 1-1.5"
vastus lateralis needle length for infant 1"
deltoid needle size 5/8-1"
ventrogluteal needle size, oil-based or viscous solutions 18-25 gauge, 1-1.5"
ventrogluteal needle size, aqueous solutions 22-27 gauge, 1-1.5"
infant, toddler, 3+ children ventrogluteal needle size 21-25 gauge, 1/2-1"
intradermal needle size 25-27 gauge, 3/8-5/8"
SubQ needle size 25-30 gauge, 3/8-5/8"
Created by: cmp12345