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Parenteral Injection
| Question | Answer |
|---|---|
| Parenteral route refers to... | intradermal, subcut, IM, & IV |
| Aspirate is used... | in IM injections. prevents injection into blood vessel. |
| Aspirate (technique) | After insertion of needle, pull back slightly on plunger of syringe. |
| Angle of insertion for intradermal injections | 10-15 degrees |
| Gauge used for intradermal injection | smallest avaliable (book: 26-29 gauge) |
| Sites for intradermal injection | forearm, upper back |
| intradermal maximum injection | Manuasa: small amount (book 0.01-0.1mL) |
| Technique for intraderma injection: | hold skim taught, bevel up insert needle. Don't aspirate, don't massage. |
| Subcut angel of insertion | 45 or 90 degrees. (depends on technique and size of patient) |
| subcut needle gauge | 25-30 |
| subcut needle length | 3/8 or 5/8 |
| subcut maximum injection | Manuasa 1 ml or less (book up to 2 mL) |
| subcut sites | upper outer arm, anterior thigh, abdomen, upper back, buttocks |
| subcut injection technique: | bunch or stretch; skin gloves are optional; massage (but not with insulin, heprin or heprin like prodcuts) |
| does subcut injection allow administration of irritating substances? | NO |
| IM injections | medication injected into muscle |
| IM, okay for irritating substances?? | Yes |
| IM angle of insertion | always 90 degrees |
| IM needle gauge | 20-22 |
| needle length for IM | 1 1/2 - 3 inches (1" for deltoid) Can depend on size of patient. |
| Main adult sites for IM injection | Dorsogleuteal, ventrogleuteal, vastus lateralis |
| maximum injected w/ IM | 3 mL except w/ deltoid which is only 1 mL |
Created by:
eeekberry
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