Podcast
Questions and Answers
What is the primary purpose of an intramuscular injection?
What is the primary purpose of an intramuscular injection?
Which injection site is most commonly used for vaccines?
Which injection site is most commonly used for vaccines?
What is the maximum volume of medication that can be injected into the Deltoid Muscle?
What is the maximum volume of medication that can be injected into the Deltoid Muscle?
Which of the following sites is considered the safest for intramuscular injections in adults and children over seven months?
Which of the following sites is considered the safest for intramuscular injections in adults and children over seven months?
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Which of the following characteristics applies to ampoules?
Which of the following characteristics applies to ampoules?
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What is the recommended volume of medication for an intramuscular injection into the Vastus-Lateralis Muscle?
What is the recommended volume of medication for an intramuscular injection into the Vastus-Lateralis Muscle?
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Which of the following is not considered one of the Rights of Medication?
Which of the following is not considered one of the Rights of Medication?
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What is a primary disadvantage of using the Dorso-Gluteal Muscle for intramuscular injections?
What is a primary disadvantage of using the Dorso-Gluteal Muscle for intramuscular injections?
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What is the primary purpose of the Z track method for intramuscular injections?
What is the primary purpose of the Z track method for intramuscular injections?
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Which of the following items is NOT included in the standard equipment for performing the Z track method?
Which of the following items is NOT included in the standard equipment for performing the Z track method?
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What should be done after the medication is injected using the Z track method?
What should be done after the medication is injected using the Z track method?
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Which step is crucial during the preparation phase before administering the injection?
Which step is crucial during the preparation phase before administering the injection?
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What is the appropriate angle of needle insertion for the Z track method?
What is the appropriate angle of needle insertion for the Z track method?
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What is an essential consideration regarding the patient before an injection?
What is an essential consideration regarding the patient before an injection?
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Which of the following actions can help reduce patient anxiety during the injection process?
Which of the following actions can help reduce patient anxiety during the injection process?
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Which factor influences the choice of needle length and gauge for an intramuscular injection?
Which factor influences the choice of needle length and gauge for an intramuscular injection?
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Study Notes
Intramuscular Injections
- Intramuscular (IM) injections deliver medication directly into muscles for quick absorption and systemic effects.
- They are used for medications unsuitable for intravenous administration.
Injection Technique and Sites
- Injection site selection depends on medication type, volume, patient age/condition.
- Common sites include:
- Deltoid: Upper arm, used for vaccines, limited volume (typically ≤1mL).
- Vastus Lateralis: Thigh, recommended for volumes up to 5mL, suitable for self-administration.
- Ventro-Gluteal: Hip, considered safest for adults and children (≥7 months), volume 2.5-3mL.
- Dorso-Gluteal: Buttocks, no longer recommended due to potential sciatic nerve injury and slower absorption.
Rights of Medication Administration
- Right Patient: Verify patient identity.
- Right Time: Administer at correct scheduled time.
- Right Dose: Ensure correct medication amount.
- Right Route: Administer via the intended route (IM).
- Right Drug: Verify medication label.
- Right Documentation: Record all aspects of the injection.
Medication Containers
- Ampoules: Single-dose sealed vials.
- Vials: Multiple-dose, cylindrical glass containers.
Z-Track Method
- The Z-track method keeps medication within muscle tissue, preventing leakage into subcutaneous layers.
- Used for IM injections only.
Equipment
- Syringe and needle
- Sterile swabs and gauze
- Methylated spirit
- Water bowl
- Kidney tray/bag
- Drug order sheet
- Ampoule cutter
- Sterile tray for prepared injections
Preparation
- Patient identification and explanation
- Privacy and comfort
- Selection of appropriate injection site
Procedure
- Medication selection and preparation
- Handwashing
- Correct drug dosage
- Sterile handling of medication and injection equipment
- Injection at 90° angle
- Slow injection if no blood visible
After Care
- Observe for bleeding
- Dressing the patient
- Rest period (15 minutes)
- Monitor limb movement
- Watch for adverse reactions
- Clean-up of equipment
- Handwashing and recording procedure
Nurse Responsibilities
- Verification of medical orders, patient details, diagnosis, and age
- Awareness of patient allergies
- Knowing injection site
- Understanding patient history
- Documenting procedure
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Description
This quiz covers the essentials of intramuscular injections, including techniques, sites, and the rights of medication administration. Understand the key factors in choosing injection sites based on the medication and patient conditions. Test your knowledge on safe practices and volume limitations.
