Survey
* Your assessment is very important for improving the workof artificial intelligence, which forms the content of this project
* Your assessment is very important for improving the workof artificial intelligence, which forms the content of this project
Objectives Identify the types of injections administered to patients Describe the angle, site and types of medications for each type of injection Compare and contrast an ampule and a vial. Perform the following skills Intradermal injection Subcutaneous injection Intramuscular injection Intravenous injection Types of injections Many factors determine the type of injection used Site Medication Patient age Compromised site skin, Disease process amputation Types of injections Intradermal Commonly used for Needle size 10-15 degrees Sites used Fine gauge of 26 or 27 3/8 to 5/8 inches in length Angle of injection skin tests (TB) Allergy testing Anterior forearm Mid back Very small amount of medication is administered Types of injections-con’t Subcutaneous not more than 2 cc of medication Needle size Angle of injection 45 degrees Sites used 25g to 27 g ½ to 5/8 inches long Arm (TRICEP area) Abdomen Upper thigh (midvastus lateralis) Common uses Insulin Allergy injections immunizations Meds of rheumatoid arthritis Types of injections-con’t Intramuscular Made into the muscle tissue Common sites Needle size 1-3 inches long 18-23 guage-( dependent of the substance being injected and patient size) Angle of needle Deltoid (upper outer) Gluteus medious (upper outer portion of the hip) Ventrogluteal (lateral outside portion of the hip) Vastus lateralis (midportion of the thigh) 90 degrees Types of medications Pain Antinausea chemotherapy Types of injections-con’t Intravenous Only given by a nurse of MD Medications are introduced directly into the bloodstream Needle size Amount 1-11/2 inches 20- 21 gauge a few ml to large IV drip (piggy back, primary) Types of medications Pain, Anitibiotics Vitamins hydration Preparing the patient Calm anxiety and fears by explaining the procedure to them Don’t allow to view the needle Pediatric patients need added help to restrain Get consent-usually written Secure the site Preparing the patient-con’t Select the site Dependent on medication Size of patient Amount Painful type Weight Muscular development Age of patient Preparing the site Remove restrictive clothing Apply gloves Clean the site Prepare the medication Position the patient decrease muscle tightness leg/arm/=sitting down gluteal=standing or lying down Vials and Ampules Many medications come in vial or ampule form Vial=closed lid with a stopper on the top Ampule= glass container that must be opened Medication is drawn into a syringe for administration. Withdraw medication from a vial See procedure sheet Give an intradermal injection See procedure sheet Give a subcutaneous injection See procedure sheet Give an intramuscular injection See procedure sheet Intravenous medications