Correct Answers.
Safe use of medication ampules for injections - Answer - Tap ampule
- Snap the neck with alcohol wipe away from self
- Aspirate the drug using fulter needle/straw/hub
Intradermal injection angle - Answer 15 degrees
Intradermal injection needle size - Answer 25 - 27 guage
3/8 to 5/8 inch needle
Intradermal injection site - Answer forearm and upper back
Subcutaneous injection angle - Answer 45 - 89 degrees
Subcutaneous injection needle size - Answer 25 - 27 guage
1/2 to 5/8 inch needle
Subcutaneous injection site - Answer abdomen, outer thigh, and back
Steps for mixing insulin from two vials for subcutaneous injection - Answer 1. Check med orders
2. Wash hands/gather equipment, apply gloves
3. Rotate the intermediate (cloudy) insulins
4. Wipe both vials with alcohol
5. Take needle guard off, place on tray
6. Pull plunger of syringe to desired units of intermediate or long-acting insulin (vial 2), repeat
with regular insulin (vial 1)
7. Withdraw from regular insulin (1) and then intermediate (2)
8. Clear to cloudy
, Steps for intramuscular injections - Answer 1. check identify of the client
2. provide privacy
3. check med order
4. wash hands, apply gloves
5. gather equipment
6. identify the site
7. cleanse the area
8. hold the syringe like a dart
9. 90-degree angle; Z-track method
10. aspirate, inject drug and withdraw needle
11. activate needle safety device
Intramuscular injection site - Answer deltoid
- less than 2mL
- acromion process
Ventrogluteal
- large volume
- supine or later
- flex knee and hip to relex
- gluteal medium and minimus
- greater trochanter
- anterior superior iliac spine
- dorsal crest of iliac spine
Vastus lateralis
- anterior lateral aspect of thigh
- greater trochanter of the femur
- lateral femoral condyle