Intramuscular Injection Techniques and Guidelines
18 Questions
0 Views

Choose a study mode

Play Quiz
Study Flashcards
Spaced Repetition
Chat to lesson

Podcast

Play an AI-generated podcast conversation about this lesson

Questions and Answers

What is the maximum volume for subcutaneous injections?

  • 1 mL (correct)
  • 3 mL
  • 5 mL
  • 0.5 mL

    • Aspiration is required for subcutaneous injections.

    False

    What is the angle used for intradermal injections?

    5-15 degrees

    The Z-track method is used in ________ injections.

    <p>intramuscular</p> Signup and view all the answers

    Match the following injection types with their corresponding characteristics:

    <p>Intradermal = Angle 5-15 degrees, less than 0.5 mL volume Subcutaneous = Angle 45-90 degrees, up to 1 mL volume Intramuscular = Angle not specified, up to 3 mL volume Needleless Systems = No need for needles, safer for administration</p> Signup and view all the answers

    What concentration of Chlorothiazide is obtained by reconstituting a 2.5g vial with 20mL of sterile water?

    <p>125 mg/mL</p> Signup and view all the answers

    Used needles should always be recapped before disposal.

    <p>False</p> Signup and view all the answers

    What must be documented regarding electronic charting for medications given?

    <p>Sites and parameters of drugs given</p> Signup and view all the answers

    The Stryker Cactus Smart Sink is used for __________.

    <p>medication disposal</p> Signup and view all the answers

    Match the medication management action with its purpose:

    <p>Narcotic Counts = Ensure accurate tracking of controlled substances Report Discrepancies = Maintain integrity of drug handling Record Partial Doses = Document exact medication given Patient Education = Inform patients about their medications</p> Signup and view all the answers

    What is the primary purpose of aspiration during injections?

    <p>To ensure a low flow blood vessel has not been penetrated</p> Signup and view all the answers

    Aspiration is indicated for intramuscular injections of vaccines.

    <p>False</p> Signup and view all the answers

    List one organization's recommendation regarding aspiration for immunizations.

    <p>Centers for Disease Control (CDC)</p> Signup and view all the answers

    The nurse should add ______ mL of sterile water to reconstitute Cefazolin.

    <p>2</p> Signup and view all the answers

    Which type of injections may require aspiration?

    <p>Intramuscular injections of large molecule medications</p> Signup and view all the answers

    Younger nurses are less likely to follow the latest recommendations on IM injections.

    <p>False</p> Signup and view all the answers

    How many mg of medication are in one vial of Doxorubicin?

    <p>36</p> Signup and view all the answers

    Match the medication to its corresponding dosing instructions:

    <p>Cefazolin = Reconstitute with 2 mL of sterile water Doxorubicin = Reconstitute each 12mg with 2.5mL of NS</p> Signup and view all the answers

    Study Notes

    Aspiration During Injections

    • Aspiration of blood during injections has been a common practice for over 40 years.
    • There is no evidence that aspiration confirms needle placement or eliminates the risk of intramuscular injections into blood vessels.
    • Aspiration is not recommended for subcutaneous or intramuscular injections of vaccines and immunizations.
    • Aspiration may be indicated for intramuscular injections of large-molecule medications, such as penicillin.
    • Organizations that recommend against aspiration for vaccinations and immunizations include: CDC, ACIP, DHS, AAFP, UK Department of Health, WHO.

    Intramuscular Injection Technique

    • Younger nurses are more likely to follow the latest recommendations regarding intramuscular injections.
    • The Z-track method is used for intramuscular injections to minimize irritation and leakage of medication into surrounding tissues.
    • Never recap used needles.
    • Do not massage the injection site after an intramuscular injection.

    Subcutaneous Injections

    • Needle length: 3/8 – 5/8 inch
    • Needle gauge: 25G – 30G
    • Maximum volume: 1 mL
    • Angle: 45-90 degrees
    • Rotate sites regularly.

    Intradermal Injections

    • Needle length: ¼ - ½ inch
    • Needle gauge: 25G, 27G
    • Maximum volume: 0.5 mL
    • Angle: 5-15 degrees
    • Sites: Commonly used for TB tests.

    Parenteral Medications

    • Intradermal: Used for TB tests.
    • Subcutaneous: Used for insulin administration, heparin administration.
    • Intramuscular: Used for injections into the deltoid, ventral gluteal, and vastus lateralis sites.

    Reconstituting Medications

    • The concentration of a reconstituted medication is determined by the amount of diluent added to the vial.
    • Instructions should be carefully followed to ensure the correct concentration of the medication.

    Controlled Substances

    • Controlled substances should be kept locked and secured.
    • Narcotics should be counted at regular intervals, with discrepancies reported immediately.
    • Partial doses of controlled substances should be recorded accurately.

    Medication Errors

    • Patient condition should be monitored closely after a medication error.
    • Vital signs should be obtained and the primary care provider notified immediately.
    • Medication errors must be reported according to facility policy.

    Medication Documentation

    • Document all medications administered electronically, including sites and parameters.
    • Document missed doses and provide an explanation.
    • Document refused medications.
    • Complete incident reports when a medication error occurs.
    • Provide patient education and teaching regarding medications.

    Medication Disposal

    • The Stryker Cactus Smart Sink Medication Disposal System should be used for safe and compliant medication disposal.

    Needle Safety

    • Needles should be disposed of in sharps containers immediately after use.
    • Never recap, bend, or break used needles.

    Medication Safety

    • Needle Gauge: A measure of the needle's diameter, with smaller gauges indicating larger diameters.
    • Needle Length: The length of the needle, chosen based on the injection route and patient size.
    • Needleless Systems: Provide a way to give medication without using a needle, reducing the risk of needlestick injuries.
    • Safety Guards: Devices that cover the needle after use, further preventing accidental needlesticks.
    • Sharps Containers: Special containers designated for safe disposal of used needles, syringes, and other sharps.

    Studying That Suits You

    Use AI to generate personalized quizzes and flashcards to suit your learning preferences.

    Quiz Team

    Related Documents

    Med Admin Part 2 F24-Student PDF

    Description

    This quiz covers critical aspects of intramuscular injection techniques, including the practice of aspiration and recommendations from various health organizations. Explore the methods and guidelines that ensure safe and effective injections for patients. Enhance your understanding of modern practices and the rationale behind these techniques.

    More Like This

    Use Quizgecko on...
    Browser
    Open
    Browser
    Browser