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IM, ID, and SC
LAB
| Question | Answer |
|---|---|
| Angle for IM injection | 90 deg. |
| Max volume for IM | 3 ml |
| needle guage for IM | 21-23 |
| length for IM | 1-1.5 inch |
| aAngle for ID injections | 15 deg. |
| length for ID | 3/8-1/2 inch |
| Max dose for ID | 0.1 ml |
| guage for ID | 25-27 |
| special note when making ID injection | Bevel must be turned up and needle only goes in just past bevel |
| Sites for IM include: | ventrogluteal(use heel of hand on greater trochanter), vastus lateralis(one hand width below hip and one hand width above knee), deltoid (three finger width below acromian process), dorsogluteal(supine-upper lateral buttock quadrant) |
| Do you aspirate with IM injections? | always |
| Do you massage after IM? | yes |
| Do you massage after SC? | Yes except if it is Heperin or Lovenox (anti-coagulant) |
| Do you aspirate with SC? | Yes unless Heparin or Lovenox (anti-coagulants). |
| What do you do immediately after an injection of any kind? | throw needle in sharps, remove golves, wash hands and chart on the MAR. |
| ID sites include: | thin, non-hairy area (inner forearm) |
| Do you rub or massage an ID | no, never |
| Do you use dead space with an ID? | no |
| needle length with SC | 1/2-5/8 inch |
| max dose with SC | 1.5ml |
| guage for SC | 25-27 |
| angle used for SC injections | 45 deg. |
| SC sites include: | outer aspect of upper arm, abdomen and thighs |
| How much dead space do you pull into the syringe? | 0.3ml |
| do you pinch or stretch the skin with an SC injection | pinch up |
| Do you pinch up the skin or stretch with an ID injection? | stretch |
| Do you pinch or spread skin with IM injections? | spread with dorsogluteal site and pinch with the deltoid |