Intramuscular Injection Techniques Quiz
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Questions and Answers

How long should the wiping process last before drying during an injection preparation?

  • 20 seconds
  • 50 seconds
  • 40 seconds
  • 30 seconds (correct)

What is a potential consequence of insufficient muscle relaxation during an intramuscular injection?

  • Rapid heart rate
  • Sterile abscess formation (correct)
  • Medication overdose
  • Severe allergic reaction

What immediate action should be taken if blood is observed during aspiration in an intramuscular injection?

  • Halt the procedure and re-prepare the medication (correct)
  • Continue with the injection
  • Report to a supervisor
  • Apply pressure to the site

Why is intravenous medication administration considered hazardous?

<p>Irreversibility post-administration (B)</p> Signup and view all the answers

What percentage of hospitalized patients typically receive intravenous fluid or medication therapy daily?

<p>90% (A)</p> Signup and view all the answers

What is the primary function of an infusion pump?

<p>To deliver IV fluids and medications through pump mechanisms (D)</p> Signup and view all the answers

What educational requirement is often necessary for patients receiving medications?

<p>Awareness of purpose, dosage, effects, and side effects (B)</p> Signup and view all the answers

What issue may occur due to repeated intramuscular injections in the same location?

<p>Sterile abscess formation (B)</p> Signup and view all the answers

What is the maximum volume of medication that can be injected into the muscle tissue of a typical adult?

<p>5 ml (A)</p> Signup and view all the answers

Which muscle groups are primarily used for intramuscular injections in the dorsogluteal region?

<p>Gluteus maximus and gluteus medius (B)</p> Signup and view all the answers

In children under the age of 2, what is the maximum volume of medication that may be administered via intramuscular injection?

<p>1 ml (A)</p> Signup and view all the answers

What is a recommended action to take in the event of a nerve-vascular injury during intramuscular injection?

<p>Apply cold to the area (C)</p> Signup and view all the answers

How should the injection site be chosen for an intramuscular injection?

<p>Considering the patient's age and clinical condition (B)</p> Signup and view all the answers

Which region is designated for the lowest amount of medication in intramuscular injections?

<p>Deltoid region (D)</p> Signup and view all the answers

Which imaginary point helps identify the injection site in the dorsogluteal region?

<p>Greater trochanter of the femur (C)</p> Signup and view all the answers

What part of the gluteal region serves as the designated injection site?

<p>Upper and outer quadrant (B)</p> Signup and view all the answers

What technology do automatic blood pressure devices use to regulate the pump's operation?

<p>Bluetooth technology (D)</p> Signup and view all the answers

What type of data does the chest-mounted patch sensor transmit to a smartphone?

<p>ECG, body temperature, and pulse data (C)</p> Signup and view all the answers

What was the main focus of the research conducted by Deringöz et al. (2021)?

<p>Selection of wearable technologies for Covid-19 patients (B)</p> Signup and view all the answers

What is the principal benefit of employing atraumatic care in vascular access applications?

<p>To minimize or prevent physical injury and pain (B)</p> Signup and view all the answers

Which wearable technology was investigated for its accuracy in measuring heart and respiratory rates?

<p>Hexoskin wearable vest (C)</p> Signup and view all the answers

What criterion did Akıncı et al. (2021) focus on for selecting wearable technologies for obese patients?

<p>Exercise criterion (D)</p> Signup and view all the answers

What is the purpose of vascular imaging devices in medical applications?

<p>To visualize blood vessels beneath the skin's surface (D)</p> Signup and view all the answers

What common feature do both automatic blood pressure devices and wearable technologies share?

<p>They both connect to smartphones or computers (A)</p> Signup and view all the answers

What is the primary reason for avoiding scratching or irritating the injection site?

<p>To prevent infections and minimize irritation (B)</p> Signup and view all the answers

What should be done with needles and syringes after administering an injection?

<p>Place them in a designated sharps container (D)</p> Signup and view all the answers

Which of the following conditions can arise from repeated subcutaneous injections in the same location?

<p>Lipohypertrophy and lipoatrophy (B)</p> Signup and view all the answers

What volume range is typically appropriate for subcutaneous injections?

<p>0.5-1 ml (B)</p> Signup and view all the answers

Why is it important to alternate injection sites for patients receiving frequent subcutaneous injections?

<p>To prevent accumulation of drugs and tissue damage (D)</p> Signup and view all the answers

Which medication is typically NOT administered via subcutaneous injection?

<p>Oral antibiotics (C)</p> Signup and view all the answers

What is a key factor to ensure when administering subcutaneous injections?

<p>Ensuring the patient's privacy is maintained (A)</p> Signup and view all the answers

How does absorption of drugs via subcutaneous injection compare to other routes?

<p>Slower than intramuscular but faster than oral (B)</p> Signup and view all the answers

What is the primary purpose of infusion pumps in intravenous therapy?

<p>To control the release of medication and ensure precise delivery (B)</p> Signup and view all the answers

Where are infusion pumps primarily utilized?

<p>In intensive care units for patients undergoing treatment (C)</p> Signup and view all the answers

What feature do intelligent intravenous infusion pumps include to reduce errors?

<p>Double check feature for drug dosage (D)</p> Signup and view all the answers

What happens when the programmed dosage exceeds predetermined limits in smart intravenous infusion pumps?

<p>The user receives auditory and visual alerts (A)</p> Signup and view all the answers

What does the barcode system in infusion devices aim to prevent?

<p>Patient identification and dosage errors (D)</p> Signup and view all the answers

Which dressing is advisable for catheter dressings in the event of bleeding?

<p>Sterile gauze (A)</p> Signup and view all the answers

What is a key difference between traditional and smart intravenous infusion pumps?

<p>Smart pumps have a double check feature for safety (A)</p> Signup and view all the answers

What has research indicated about the difference in infection rates between transparent dressings and sterile gauze?

<p>No difference was observed in infection rates (A)</p> Signup and view all the answers

What is the primary function of the body temperature assessment project?

<p>To continuously monitor and record an infant's temperature (D)</p> Signup and view all the answers

Which sensor is utilized for measuring body temperature in the project?

<p>MLX 90615 thermopile non-contact temperature sensor (C)</p> Signup and view all the answers

What role does the HC05 Bluetooth module play in the system?

<p>It facilitates Bluetooth communication with mobile devices (A)</p> Signup and view all the answers

What happens when body temperature readings fall outside the defined thresholds?

<p>An alert is triggered to notify the parent (D)</p> Signup and view all the answers

What type of temperatures can the MLX 90615 sensor measure?

<p>From -40 to +115 °C (C)</p> Signup and view all the answers

What is the communication range of the HC05 Bluetooth module in unobstructed environments?

<p>10 meters (D)</p> Signup and view all the answers

What is a major advantage of using the MLX 90615 sensor in this project?

<p>It can measure temperatures quickly without the need for contact (A)</p> Signup and view all the answers

Which component is NOT part of the body temperature assessment system?

<p>Camera module (A)</p> Signup and view all the answers

Flashcards

Subcutaneous Injection (SC)

Administering medication into the loose connective tissue under the skin.

Drug Absorption

The rate at which a drug is absorbed into the bloodstream.

When to Use SC Injections

SC injections are best for small volumes of medication that need to be absorbed slowly.

Common SC Injection Sites

Areas like the upper arm, thigh, abdomen, and back are commonly used for SC injections.

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Rotating Injection Sites for SC

Rotating injection sites prevents build-up of medication in one area.

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Potential Complications of SC Injections

Possible complications from SC injections include sterile abscesses, fat build-up (lipohypertrophy), and fat loss (lipoatrophy).

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Post-Injection Care

Avoiding scratching or irritating the injection site helps prevent infection and complications.

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Safe Needle Disposal

Proper disposal of needles and syringes is crucial to prevent accidental needle sticks.

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Wiping Process

The act of removing waste or excess material from a surface, typically using a cleaning cloth or wipe.

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Wiping Duration

The time it takes for the wiping process to be completed, typically 30 seconds.

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Drying Period

The period after wiping where the surface is allowed to dry, typically 10 seconds.

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Intramuscular Injection (IM)

An injection that delivers medication directly into a muscle.

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Pain After IM Injection

Pain caused by improper injection technique, leakage of medication or antiseptic, or other factors.

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Sterile Abscess Formation

A localized collection of pus that forms due to repeated injections in the same area.

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Intravenous (IV) Medication Administration

The introduction of medication directly into a vein.

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Intravenous (IV) Infusion

The process of delivering fluids or medications into a vein continuously or intermittently.

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Rotating Injection Sites

Rotating injection sites to avoid irritation and potential nerve damage.

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Maximum Volume for IM Injection (Adult)

The maximum volume of medication that should be injected into an adult's muscle tissue.

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Maximum Volume for IM Injection (Children, Elderly, Cachectic)

The maximum volume of medication that should be injected into children, elderly individuals, and cachectic patients.

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Dorsogluteal Region (Posterior Hip Region)

The preferred site for IM injections in adults and children older than 3 years old.

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Dorsogluteal Injection Site: Route 1

This site is located beneath the iliac crest, above a diagonal line connecting the posterior superior iliac spine with the greater trochanter of the femur.

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Dorsogluteal Injection Site: Route 2

The injection site is located in the upper and outer quadrant of the gluteal region, divided into four equal quadrants by imaginary lines.

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Laterofemoral Region

The region encompassing the Vastus Lateralis and Rectus Femoris muscles, suitable for IM injections.

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Infusion pumps

Specialized medical devices that control the rate and amount of medication delivered intravenously. They ensure accurate and precise administration, especially for small doses over extended periods.

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Smart intravenous infusion pumps

A type of infusion pump that incorporates advanced features to minimize medication errors. They include a 'double check' system to verify dosage and potential programming mistakes before administration.

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Drug dosage alert system

A feature in smart infusion pumps that alerts the user when the programmed dosage exceeds predefined limits, especially for high-risk medications. This helps prevent accidental overdosing.

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Drug library

A database within smart infusion pumps where hospitals can store their specific medication lists. It helps ensure accurate dosage and inventory management.

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Barcode system

A technique employed to prevent medication and patient identification errors during intravenous drug administration.

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Patient warning thresholds

These are safety features built into smart infusion pumps that trigger warnings whenever a patient's medication levels exceed predetermined thresholds, especially for high-risk drugs.

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Intravascular catheter covers

Sterile covers used to protect intravenous catheters. They come in two common types: gauze and semi-permeable transparent covers.

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Sterile gauze

A type of sterile cover for catheters that offers good absorbency, making it useful in situations where bleeding or leakage might occur.

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Infant Body Temperature Monitor

A device that measures and monitors an infant's body temperature wirelessly using a sensor, Bluetooth module, and mobile app.

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Thermopile Sensor

A non-contact sensor used to measure body temperature, offering a quick and convenient method.

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Arduino Nano

A small, programmable board used to process data from the sensor and transmit it wirelessly.

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Bluetooth Module

A module that connects to the Arduino Nano and enables wireless communication with a mobile device.

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Mobile App for Temperature Monitoring

A mobile application designed to receive temperature readings and alert parents in case of high fever.

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Mobile Device Role in Temperature Monitoring

The mobile device receives temperature data via Bluetooth, processes it, displays it on the screen, and keeps a record of the readings.

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Temperature Thresholds and Alerts

The user can set pre-defined temperature thresholds, and the system will trigger an alarm if the temperature falls outside these limits.

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Blood Pressure Measurement with Mobile Camera

Measuring blood pressure using a phone camera lacks reliability due to the limitations of the method.

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What is Peripheral Intravenous Catheterization?

A medical procedure where a thin, flexible tube is inserted into a vein to deliver fluids or medication directly into the bloodstream.

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How does Vascular Imaging help IV Catheterization?

The use of imaging technologies like ultrasound to locate veins beneath the skin, making IV insertions easier and less painful.

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What is the role of Wireless Technology in Healthcare?

Technology that allows medical data like ECG, temperature, and pulse to be transmitted wirelessly from a patient to a smartphone or computer.

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How are Wearable Technologies used in Hypertension Management?

Wearable devices like smartwatches or fitness trackers that measure heart rate and other health indicators, contributing to the monitoring and management of hypertension.

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How are Wearable Technologies used in Managing COVID-19 Patients?

The use of wearable technologies in the monitoring and management of COVID-19 patients focusing on crucial health metrics like heart rate and blood pressure.

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How are Wearables used in Monitoring Hypertension for Athletes?

Wearable technology, particularly smartwatches, are used to gather activity data and track physical activity in the management of hypertension.

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How are Wearables used in Obese Patients?

Wearable technologies are being investigated for use in managing obesity, focusing on the exercise criterion used in hypertension management.

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How does technology improve Vascular Access Procedures?

The use of technology in medical procedures, like vascular imaging, helps reduce pain and complications by making the procedure more efficient and accurate.

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Study Notes

Course Information

Parenteral Injection

  • In situations where enteral drug administration is unsuitable or a rapid effect is required, intravenous or intratissue injection is preferred.
  • Bioavailability of parenterally administered medications is typically complete (100%).
  • Parenteral drug formulations should be sterile and ideally match or closely approximate the body's pH (7.4).
  • They should preferably be isotonic and nonpyrogenic.

Rationale for Parenteral Administration

  • Drugs not absorbed through the gastrointestinal tract.
  • Medications that decompose within the gastrointestinal tract.
  • Situations requiring prompt action of medication.
  • Unresponsive patients.
  • Inability to ingest medication (e.g., nausea, vomiting, diarrhea).

Disadvantages of Parenteral Treatment

  • Infection risk.
  • Toxic and allergic responses.
  • Tissue injury, localized hemorrhage, tissue necrosis, sterile abscesses.
  • Pain
  • High cost

Types of Parenteral Injections

  • Intradermal (ID)
  • Subcutaneous (SubQ)
  • Intramuscular (IM)
  • Intravenous (IV)

Intradermal Injection (ID)

  • Medications are administered into the dermis, beneath the epidermis.
  • It has the slowest absorption rate among parenteral methods.
  • Used in diagnostic procedures (e.g., tuberculin tests, allergen/drug sensitivity tests, local anesthesia).
  • BCG vaccination is also administered this way.
  • Common injection sites: Inner surface of the forearm, dorsal surface of the upper arm, superior surface of the back, and upper chest region.
  • Injection volume: 0.1-0.5 ml.

Subcutaneous Injection (SC)

  • Medications are administered into the loose connective tissue beneath the dermal layer.
  • Drug absorption is slower than intramuscular injection, but faster than intradermal and oral routes.
  • Suitable for small volumes (0.5-1 ml) of non-irritating, water-soluble medications (e.g., vaccines, narcotics, insulin, heparin, epinephrine, growth hormone).
  • Common injection sites: Lateral aspect of the upper arm, anterior side of the thigh, beneath the scapula on the back, above the dorsogluteal region and abdominal region.
  • Factors to consider: Alternating injection sites, avoiding irritating drugs and rotating injection sites.

Intramuscular Injection (IM)

  • Medications are injected into deep muscle tissue.
  • Less nerve endings in muscle tissue so more concentrated medications can be administered safely.
  • Maximum volume is 5 ml for typical individuals (2 ml for children, elderly, and cachectic patients; 1 ml for children under 2 years of age).
  • Common injection sites: Dorsogluteal region (posterior hip region), Vastus Lateralis (the central rectangle on the outer side of the thigh). also the Deltoid muscle.
  • Factors to consider: Safeguarding patient privacy, choosing appropriate sites, alternating between injection sites, using a 70% alcohol or batticon solution as antiseptic, and proper disposal

Intravenous Injection (IV)

  • Delivers fluids and medications directly into a vein.
  • Considered a hazardous practice requiring both knowledge and skill due to fast effects.
  • Called infusion, or intravenous infusion.
  • Often used continuously, as a bolus (loading dose). or intermittently.
  • Infusion pumps are commonly utilized.
  • IV medication errors are significant due to the direct administration into the bloodstream, irreversible effects and rapid onset of effects.

Infusion Devices

  • Used in hospitals and intensive care units.
  • Deliver IV fluids and medications through a pump mechanism.
  • The dosage exceeds predetermined limits, particularly with high-risk medications - the infusion pump emits visual/auditory alerts.
  • The system operates by establishing patient warning thresholds, particularly concerning the administration of high-risk medications.
  • Aims to prevent dosage errors and patient identification errors through a barcode system.
  • Hospitals can create their own database of required medications.
  • Important for minimizing medication administration errors.

Vascular Imaging Methodology

  • Technologies (vascular imaging) help visualize blood vessels below the skin's surface.
  • Making blood vessel localization easier and reducing physical/psychological strain.
  • Improves efficiency for other procedures.
  • Identifying vascular map structures.

Project - Body Temperature Assessment

  • Measures and continuously monitors infant temperature on the forehead.
  • Records data regarding the infant's body temperature that may indicate illness.
  • Incorporates a temperature sensor and Bluetooth module within an Arduino-based system.
  • Data is transmitted to a mobile device, allowing real-time monitoring.
  • Suitable alerts given to parents in case of high fever.
  • The developed system is a mobile device.
  • Mobile device presents temperature data and monitors measurements on the device's screen.
  • The user sets lower and upper temperature threshold values for triggering alerts.

Blood Pressure Assessment

  • Mobile application uses camera input from fingertips (reliability is questionable).
  • Three components for uploading software: cuff, tube, and pump.
  • The tube connects the cuff and pump (can be Bluetooth-connected).
  • Mobile phone controls the pump's operation.

Additional Notes (Miscellaneous)

  • 2020-2021 research on technologies relating to health care are mentioned in some parts of the notes.
  • The provided pages also cover topics like patient safety and the utilization of technology in healthcare.
  • Relevant figures (e.g., charts, images) not directly convertable to bullet points.
  • Details on some medical devices (e.g., infusion pumps, sensors, etc.).
  • A translated text concerning a speech by Mustafa Kemal Atatürk is included.

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Test your knowledge on the protocols and practices surrounding intramuscular injections. Explore essential topics such as preparation, administration, and potential complications. Perfect for healthcare students and professionals seeking to reinforce their understanding of injection techniques.

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