Podcast
Questions and Answers
Which of the following steps is NOT part of the preparation for using a syringe?
Which of the following steps is NOT part of the preparation for using a syringe?
- Discard the needle and syringe before using them (correct)
- Compare the name and concentration of the drug
- Collect all required materials
- Wash your hands
What does the Luer lock fitting on a syringe allow?
What does the Luer lock fitting on a syringe allow?
- A quick release of the needle
- Easy measurement of fluid volume
- A secure connection between the syringe and needle (correct)
- Automatic disposal of the needle
What does the gauge code of a needle signify?
What does the gauge code of a needle signify?
- The length of the needle in millimeters
- The color of the needle wrapper
- The type of injection fluid used
- The width of the needle's lumen (correct)
Which of the following substances is NOT typically found in vials or ampules?
Which of the following substances is NOT typically found in vials or ampules?
What should you do immediately after using a needle and syringe?
What should you do immediately after using a needle and syringe?
Which part of the syringe has the calibration marks?
Which part of the syringe has the calibration marks?
What is the recommended needle size for sucking up fluid as mentioned?
What is the recommended needle size for sucking up fluid as mentioned?
Which characteristic is crucial in preventing infections during injections?
Which characteristic is crucial in preventing infections during injections?
What is the primary goal of a safe approach during parenteral administration?
What is the primary goal of a safe approach during parenteral administration?
Which type of injection is administered into muscle tissue?
Which type of injection is administered into muscle tissue?
What is a key factor that determines the choice of injection method?
What is a key factor that determines the choice of injection method?
Which action is NOT part of preparing a syringe for drug administration?
Which action is NOT part of preparing a syringe for drug administration?
What must be done with the needle after use?
What must be done with the needle after use?
Which of the following best defines parenteral drug administration?
Which of the following best defines parenteral drug administration?
What is the appropriate location for subcutaneous injections?
What is the appropriate location for subcutaneous injections?
Which of the following is NOT a type of injection mentioned?
Which of the following is NOT a type of injection mentioned?
What factors determine the appropriate length of an injection needle?
What factors determine the appropriate length of an injection needle?
What should be done before administering the injection?
What should be done before administering the injection?
What is the first step in taking fluid from a vial?
What is the first step in taking fluid from a vial?
How should the needle be inserted into the tissue?
How should the needle be inserted into the tissue?
Why is it necessary to suck up an amount of fluid plus 10%?
Why is it necessary to suck up an amount of fluid plus 10%?
What indicates that the needle has hit a vein during the injection process?
What indicates that the needle has hit a vein during the injection process?
What should you do with the needle before injecting air into the vial?
What should you do with the needle before injecting air into the vial?
What should you do if you experience severe pain upon needle insertion?
What should you do if you experience severe pain upon needle insertion?
What protective measure should be taken when breaking a vial?
What protective measure should be taken when breaking a vial?
What actions should be taken after injecting the fluid into the muscle?
What actions should be taken after injecting the fluid into the muscle?
Which action is crucial after sucking air from a syringe?
Which action is crucial after sucking air from a syringe?
What is the correct position of the fingers while holding the syringe before the injection?
What is the correct position of the fingers while holding the syringe before the injection?
How should you position the syringe to remove air bubbles effectively?
How should you position the syringe to remove air bubbles effectively?
What is the purpose of using a dry cotton pad before and after the injection?
What is the purpose of using a dry cotton pad before and after the injection?
What should you do before attaching a new, sterile needle to the syringe?
What should you do before attaching a new, sterile needle to the syringe?
What is the purpose of replacing the protective cap on the needle after expelling air?
What is the purpose of replacing the protective cap on the needle after expelling air?
What should be done immediately if discolouration of the injection fluid with blood is observed?
What should be done immediately if discolouration of the injection fluid with blood is observed?
What is the main indication for administering a subcutaneous injection?
What is the main indication for administering a subcutaneous injection?
What technique is employed to limit leakage of injection fluid into subcutaneous tissue?
What technique is employed to limit leakage of injection fluid into subcutaneous tissue?
Which of the following sites is NOT suitable for subcutaneous injections?
Which of the following sites is NOT suitable for subcutaneous injections?
What is the generally recommended length of a needle for subcutaneous injections in adults?
What is the generally recommended length of a needle for subcutaneous injections in adults?
At what angle should the needle be inserted into the skin fold for a subcutaneous injection?
At what angle should the needle be inserted into the skin fold for a subcutaneous injection?
What action should be taken immediately after disinfecting the skin before an injection?
What action should be taken immediately after disinfecting the skin before an injection?
Why is it necessary to palpate the subcutaneous tissue before performing an injection?
Why is it necessary to palpate the subcutaneous tissue before performing an injection?
What is the primary aim of an intramuscular (IM) injection?
What is the primary aim of an intramuscular (IM) injection?
Which situation is NOT an indication for an intramuscular drug administration?
Which situation is NOT an indication for an intramuscular drug administration?
What is a contraindication for administering an intramuscular injection?
What is a contraindication for administering an intramuscular injection?
How should the needle be positioned when inserting for an intramuscular injection?
How should the needle be positioned when inserting for an intramuscular injection?
What must be done to the syringe before performing an intramuscular injection?
What must be done to the syringe before performing an intramuscular injection?
Where should the injection site be identified on the musculus gluteus maximus?
Where should the injection site be identified on the musculus gluteus maximus?
What should be done if there is a drop hanging from the needle tip before injection?
What should be done if there is a drop hanging from the needle tip before injection?
Which of the following is a recommended step before giving an intramuscular injection?
Which of the following is a recommended step before giving an intramuscular injection?
Flashcards
Parenteral Drug Administration
Parenteral Drug Administration
Any method of administering medication that bypasses the digestive system, typically involving injection directly into the body.
Injection
Injection
The process of delivering a liquid substance into the body using a needle and syringe.
Intracutaneous (IC) Injection
Intracutaneous (IC) Injection
Injection into the skin, used for allergy testing and small-volume medications.
Subcutaneous (SC) Injection
Subcutaneous (SC) Injection
Signup and view all the flashcards
Intramuscular (IM) Injection
Intramuscular (IM) Injection
Signup and view all the flashcards
Intravenous (IV) Injection
Intravenous (IV) Injection
Signup and view all the flashcards
Indication
Indication
Signup and view all the flashcards
Absorption Rate
Absorption Rate
Signup and view all the flashcards
Syringe
Syringe
Signup and view all the flashcards
Injection Needle
Injection Needle
Signup and view all the flashcards
Gauge (G)
Gauge (G)
Signup and view all the flashcards
Ampule
Ampule
Signup and view all the flashcards
Vial
Vial
Signup and view all the flashcards
Aseptic Technique
Aseptic Technique
Signup and view all the flashcards
Drug Verification
Drug Verification
Signup and view all the flashcards
Sharps Container
Sharps Container
Signup and view all the flashcards
Why disinfect a vial's rubber stopper?
Why disinfect a vial's rubber stopper?
Signup and view all the flashcards
Why inject air into a vial?
Why inject air into a vial?
Signup and view all the flashcards
Why suck up air before drawing liquid from a vial?
Why suck up air before drawing liquid from a vial?
Signup and view all the flashcards
Why keep the needle tip below the fluid level?
Why keep the needle tip below the fluid level?
Signup and view all the flashcards
Why break the neck of an ampule?
Why break the neck of an ampule?
Signup and view all the flashcards
Why use cotton pads around an ampule?
Why use cotton pads around an ampule?
Signup and view all the flashcards
Why remove air bubbles from a syringe?
Why remove air bubbles from a syringe?
Signup and view all the flashcards
Why replace the protective cap on the needle?
Why replace the protective cap on the needle?
Signup and view all the flashcards
What is an Intramuscular (IM) injection?
What is an Intramuscular (IM) injection?
Signup and view all the flashcards
When is an IM injection indicated?
When is an IM injection indicated?
Signup and view all the flashcards
What are contraindications for an IM injection?
What are contraindications for an IM injection?
Signup and view all the flashcards
Where is the injection site for the gluteus maximus muscle?
Where is the injection site for the gluteus maximus muscle?
Signup and view all the flashcards
What is the injection site for the quadriceps muscle?
What is the injection site for the quadriceps muscle?
Signup and view all the flashcards
How should the needle be inserted during an IM injection?
How should the needle be inserted during an IM injection?
Signup and view all the flashcards
What is the importance of removing air and excess fluid from the syringe?
What is the importance of removing air and excess fluid from the syringe?
Signup and view all the flashcards
Why is it important to check the drug details before injecting?
Why is it important to check the drug details before injecting?
Signup and view all the flashcards
What is an Injection?
What is an Injection?
Signup and view all the flashcards
What determines the length of the needle used for an injection?
What determines the length of the needle used for an injection?
Signup and view all the flashcards
What is palpation in the context of injections?
What is palpation in the context of injections?
Signup and view all the flashcards
At what angle should a needle be inserted into the muscle for an injection?
At what angle should a needle be inserted into the muscle for an injection?
Signup and view all the flashcards
Why is it important to aspirate after inserting the needle for an injection?
Why is it important to aspirate after inserting the needle for an injection?
Signup and view all the flashcards
How should the medication be injected into the muscle?
How should the medication be injected into the muscle?
Signup and view all the flashcards
What is the purpose of applying pressure after removing the needle?
What is the purpose of applying pressure after removing the needle?
Signup and view all the flashcards
Why is documentation important after giving an injection?
Why is documentation important after giving an injection?
Signup and view all the flashcards
What's the reason to stop an IM injection if blood mixes with the injection fluid?
What's the reason to stop an IM injection if blood mixes with the injection fluid?
Signup and view all the flashcards
What is the "Z-tract" technique?
What is the "Z-tract" technique?
Signup and view all the flashcards
What is a subcutaneous injection?
What is a subcutaneous injection?
Signup and view all the flashcards
What is the primary indication for subcutaneous injections?
What is the primary indication for subcutaneous injections?
Signup and view all the flashcards
What's a suitable site for SC injections?
What's a suitable site for SC injections?
Signup and view all the flashcards
What step is essential before giving a subcutaneous injection?
What step is essential before giving a subcutaneous injection?
Signup and view all the flashcards
How do you prepare the skin for a subcutaneous injection?
How do you prepare the skin for a subcutaneous injection?
Signup and view all the flashcards
What's the optimal angle for inserting a needle for a subcutaneous injection?
What's the optimal angle for inserting a needle for a subcutaneous injection?
Signup and view all the flashcards
Study Notes
Safe Approaches of Parenteral Administration (Injection - I)
- Parenteral drug administration involves injecting drugs directly into the body, bypassing skin and mucous membranes. This is a non-oral method.
- Injection is a way to administer liquid using a needle and syringe. This method is used in various tissues in daily practice.
- The objectives of the training are to raise awareness of safe procedures (patient, doctor, environment)
- To gain sufficient knowledge of different injection types and sites
- To be able to select correct materials for subcutaneous, intracutaneous/intradermal, and intramuscular injections
Objectives of the Training
- Increase awareness of safe injection practices for all involved (patients, medical staff, and the environment).
- Cover different types of injections and their corresponding injection sites
- Learn how to choose proper materials for administering various types of injections (intracutaneous/intradermal, subcutaneous, and intramuscular).
Safe and Aseptic Manner Procedures
- Properly connect and disconnect syringe and needle
- Remove and replace needle caps as needed
- Open ampoules/vials and draw fluid
- Correctly prepare a syringe for drug administration (remove air, connect needle, measure correct amount)
- Administer subcutaneous and intramuscular injections on a model
- Dispose of needles in sharps containers.
Introduction
- Parenteral administration is typically a non-oral injection method.
- Common injection sites include skin (intracutaneous), subcutaneous tissue, muscle tissue (intramuscular), and veins (intravenous).
Important Points of Attention for All Injection Methods
- Always verify the correct patient.
- Maintain aseptic technique to prevent infection.
- Dispose of used needles and syringes in appropriate containers after use.
- Factors determining the choice of administration method include indication, absorption rate, amount of fluid, and fluid characteristics.
Syringes
- Composed of a cylinder with calibration marks, a plunger, and a hub for the needle attachment.
- Some syringes have a Luer lock fitting which allows for the screw-on attachment of the needle.
Anatomy of a Syringe
- A syringe's key parts are the plunger tip (used to push fluid), the volume markings (measuring the fluid amount), the barrel (the syringe's main body), and the flange(the part connected to the plunger).
Types of Syringes
- Different syringe types for different purposes include regular, Luer lock, eccentric, catheter, and Toomey.
- Syringes that have permanently attached needles are also available.
Needles
- Divided into needle cannula, lumen, and conus.
- Standardized by their dimensions (e.g., 0.8 x 40 mm) or gauge (e.g., 14G to 27G).
- Some brands use color-coded needles for easier size identification.
Needle Gauges
- Needle gauge sizes range from 14 to 27.
- Gauge size is directly related to outer diameter (with smaller gauges having wider lumens).
Injection Fluids
- Typically packaged in vials or ampoules.
- Examples of packaged injection fluids are lidocaine, ProZinc, and others.
Other Required Materials
- Materials used in addition to syringes, needles and fluids: alcohol swabs, cotton, bandages, sterile trays, and medical waste containers.
Preparing a Syringe
- Essential materials: syringe, needle (0.8 x 40 mm, 18G typically), disinfectant, cotton pads, kidney bowl or vial, injection fluid and a file (if needed).
Method (Step by step)
- Preparation: Wash hands, gather materials, verify drug amount, and carefully remove packaging for needle and syringe.
- Only touch protective caps and syringe parts.
2A. Taking Fluid from Vials
- Clean the rubber stopper around the vial.
- Remove the protective cap of the needle
- Draw up the required dose of air into the syringe.
2B. Taking Fluid from Ampoules
- Break the ampule safely.
- Secure the ampule with cotton pads for safety.
- Draw up the amount of fluid required from the ampoule (including buffer).
3. Removing Air from a Syringe
- Hold the syringe vertically, needle upwards.
- Check for and remove air bubbles.
- Slowly push the plunger until air is expelled.
Angles for Inserting Injections
- Specific angles are used for different injections (Intramuscular - 90°, Subcutaneous - 45°, Intravenous - 25°, Intradermal - 10-15°).
Intramuscular (IM) Injection
- Administered into muscles to achieve systemic effect
- Indications include unconsciousness, inability to swallow, and gastrointestinal issues.
- Contraindications include bleeding disorders, problematic/damaged muscles, and inflammatory reactions
Injection Sites
- Specific regions for intramuscular and subcutaneous injections. The gluteus muscle and quadriceps femoris are typical sites.
Injection Needle Length
- The length of the needle depends on muscle/subcutaneous tissue thickness and patient factors (condition, age).
Procedure (Step-by-step Instructions)
- Detailed steps for administering different types of injections (intramuscular, subcutaneous, etc.) including site selection, material preparation, and disposal.
Complications
- Potential issues include severe pain (nerve involvement), discoloration with blood (vessel entry), and fluid leakage
Z-tract technique
- A technique used to prevent medication from seeping into subcutaneous tissue during intramuscular injections.
- The Z-tract technique is used to limit leakage at the injection site.
Subcutaneous (SC) Injection
- Administered into subcutaneous tissue for gradual absorption into the bloodstream.
- Suitable injection sites are the upper arms, fronts of thighs, buttock areas, and the abdomen—areas with minimal blood vessels.
- A shorter needle with a smaller gauge is often used for subcutaneous injections
Subcutaneous Injection Sites
- Injection sites: upper outer arms, abdomen, buttocks, and upper outer thighs are commonly used.
Procedure for Subcutaneous Injection
- Detailed steps for subcutaneous injections, from preparation to cleaning/disposal.
References
- Standard therapeutic skills injections handbook (MU)
- SIM booklet.
Studying That Suits You
Use AI to generate personalized quizzes and flashcards to suit your learning preferences.