Intramuscular Injections Quiz: Test Your Knowledge with Our Injection Quiz

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Questions and Answers

What are some symptoms of rapid insulin absorption after an injection?

Increased appetite and weight gain

Muscle cramps and joint pain

Headaches and weakness (correct)

Blurry vision and dry mouth

What complication can occur if injection sites are not rotated?

Lipodystrophy (correct)

Liver failure

Kidney damage

Heart attack

Which muscle is commonly used for intramuscular injections?

Musculus pectoralis

Musculus abdominis

Musculus deltoides (correct)

Musculus gluteus maximus

What is the purpose of an intramuscular injection?

To deliver medication directly into the muscle tissue Signup and view all the answers

Which area is NOT a suitable intramuscular injection site?

Abdomen Signup and view all the answers

What is a possible consequence of rapid insulin absorption after an injection?

Hypoglycemia Signup and view all the answers

What is the recommended technique to minimize patient discomfort during injection administration?

Administer the injection slowly Signup and view all the answers

Which of the following is a purpose of intradermal (ID) injections?

To screen for tuberculin sensitivity Signup and view all the answers

Where is a suitable site for an intradermal injection?

Inner forearm Signup and view all the answers

What is a key consideration for intramuscular injections?

Selecting proper injection sites with fewer blood vessels Signup and view all the answers

How should air bubbles be managed when preparing for an injection?

Expel air bubbles before administering the injection Signup and view all the answers

Why is it important to know the volume and viscosity of medication before injection administration?

To minimize the chances of complications Signup and view all the answers

What should be done after discarding the uncapped needle and syringe in a safe receptacle?

Dispose of used disposable supplies Signup and view all the answers

Why is it important to document the injection site used for intramuscular injections?

To promote rotation of injection sites Signup and view all the answers

What should be recorded if a patient refuses or omits medication administration?

Notify the physician Signup and view all the answers

Why is it essential to identify the patient before giving an injection?

To maintain the privacy of the patient Signup and view all the answers

What is the purpose of palpating for tenderness or hardness when selecting an injection site?

To identify areas to avoid for injections Signup and view all the answers

Why should antiseptic swabbing be performed in a circular motion to disinfect the skin before an injection?

To minimize contamination at the injection site Signup and view all the answers

Study Notes

Administering Injections

Ensure volume and absence of air bubbles at a 90-degree angle at eye level
Expel air bubbles or excess liquid and change the needle according to the route of administration
Suction the needle and vial into a sharps container
Label the syringe and practice hand hygiene before administering medication within 15 minutes

Clinical Recommendations for Injection Administration

Know the volume, characteristics, and viscosity of the medication and location of anatomical structures before injection administration
Minimize patient discomfort by: • Diverting patient attention with open-ended questioning • Positioning the patient comfortably • Selecting the proper injection site • Inserting the needle quickly and smoothly • Holding the syringe steady • Injecting medication slowly and steadily

Intradermal Injection (ID)

Definition: insertion of medication into the dermis, which lies below the epidermis and above the subcutaneous tissue
Purposes: • Diagnostic purposes (e.g. tuberculin screening, skin allergy tests) • Prophylactic purposes (e.g. vaccination against tuberculosis, influenza) • Administering local anesthetics
Drug dosage: 0.01-0.1ml
Suitable injection sites: inner forearm, upper chest, upper back (beneath scapula), and location of the tendon of the lower part of the deltoid muscle
Special considerations: • Infection at the site when aseptic technique is breached • Application into the venous system or intramuscularly, leading to rapid insulin absorption and risk of hypoglycemia • Lipodystrophy complications if injection sites are not rotated

Intramuscular Injection (IM)

Definition: insertion of medication with a sterile syringe and needle through the skin and subcutaneous tissues into certain muscles for curative or preventive purposes
Suitable injection sites: • Dorsogluteal site (musculus gluteus maximus) • Ventrogluteal site (musculus gluteus medius) • Vastus lateralis site (musculus vastus lateralis) • Rectus femoris site (musculus rectus femoris) • Deltoid site (musculus deltoideus)
Absorption volume of drug for IM injection: 1-5 ml in 5-10 minutes
Clinical recommendations: • Choose the right equipment and select an appropriate location • Use correct technique and deliver the correct dose • Choose the right needle length for IM injection • Discard the uncapped needle and syringe in a safe receptacle • Remove gloves and practice hand hygiene • Record IM injection administration, date, time, dosage, site effect, and patient complaints or assessment

Procedure for Intramuscular Injection in the Ventrogluteal Site

Patient position: lying on side or back with knee and hip slightly flexed
Site location: ventrogluteal site
Needle angle: 90-degree angle
Technique of injection: • Perform hand hygiene and prepare the correct medication dose • Identify the patient and provide privacy • Explain the steps of the procedure and minimize anxiety • Prepare the patient and assist them into a comfortable position • Select the appropriate site and palpate for tenderness or hardness • Avoid areas with tenderness or hardness and rotate sites if injections are given frequently • Perform hand hygiene, put on clean gloves, and use an antiseptic swab to disinfect the skin at the site

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Description

Test your knowledge on intramuscular injections, including their definition, complications, and suitable injection sites. Learn about the risks associated with improper injection techniques and the importance of rotation for preventing lipodystrophy.