Injection Intellection
Apply injection related concepts using flash cards.
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Topics of this game:
- Preferred vaccine site for adolescents and adults. Use at age 12 months and older
- Factors to consider when selecting injection sites
- Needle size and angle of injection for vastus lateralis
- Deep, large muscle that is well developed in young children and adults. No major nerves or blood vessels. Preferred site for viscous/irritating meds
- Needle size/angle of injection for ventrogluteal
- No longer recommended for IM injections because of location of sciatic nerve.
- Medication is administered into fatty tissue using a 5/8" needle. 45 degree angle of injection
- Based on the medication to be administered. Thicker meds use a larger needle
- Most common needle gauge for IM injections
- Ventrogluteal site- maximum volume administered (based on clinical judgment and factors such as patient size, muscle mass, reduced blood flow, skin condition and recommendations from package inserts)
- Vastus lateralis- maximum volume administered (based on clinical judgment and factors such as patient size, muscle mass, reduced blood flow, skin condition and recommendations from package inserts)
- Deltoid- maximum volume administered (based on clinical judgment and factors such as patient size, muscle mass, reduced blood flow, skin condition and recommendations from package inserts)
- Why is it important to select the most appropriate injection site for each patient?
- Subcutaneous- maximum volume administered (based on clinical judgment and factors such as patient size, muscle mass, reduced blood flow, skin condition and recommendations from package inserts)
- Palpate lower edge of acromion process (notch at the base of shoulder). The injection site is about 3 finger widths (3-5 cm) below this point
- Divide the thigh into thirds. The injection site is the outer middle third of the thigh
- Position patient on side. Place palm over greater trochanter with thumb towards groin, index finger toward anterosuperior iliac spine. Injection site is in the "V" between the index and middle fingers
- Pinch up the fatty tissue in selected site, insert needle at 45 degrees, inject into the tissue (avoiding muscle)
- Patient sitting with head slightly back. Insert tip of sprayer into nostril and administer 1/2 dose into each nostril
- Condition of nasal mucosa, patency of nares, respiratory effort. Patient should breathe normally. Do not administer if patient cannot blow their nose.
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