Term
IM
Purpose
Amount
Absorption |
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Definition
Intramuscular
To promote rapid absorption; it is an alternate route when a drug is irritating to the subcutaneous tissue.
Amount - may be large; divide into 2 doses if you need to give more than 5 mL
Absorption depends on the patient's circulatory status |
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Term
|
Definition
Ventrogluteal - preferred for clients over 7months of age
Vastus Lateralis
Deltoid |
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Term
| Ventrogluteal - how to locate |
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Definition
1. Place client in side-lying or supine position
2. Put hand on anterior hip
3. Identify the greater trochanter and place palm at this site
4. Keep palm on greater trochanter and point index finger toward client's anterior superior iliac spine and fan out other three fingers
5. Form a "V" area with the index finger separated from the other 3 fingers
6. Inject at 90 degree angle within the "V" area.
7. Always ASPIRATE with an IM injection |
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Term
| Vastus Lateralis - how to locate |
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Definition
1. Client in supine position with thigh exposed
2. Identify the greater trochanter and lateral femoral condyle
3. Using middle third and anterior lateral aspect of thigh, select site
4. Inject directly into muscle at 90 degree angle.
5. Aspirate |
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Term
|
Definition
1. Expose client's upper arm
2. Deltoid site is 2 fingerbreadths below acromion process
3. Place left hand on acromion process and right index finger two fingerbreadths below
4. Inject limited medication volume (0.5-1 mL) in deltoid site at 90 degree angle |
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Term
|
Definition
Use a 1-5 mL syringe
Deltoid: 23-25 gauge 5/8 - 1" needle
V/V: 18-23 gauge 1 - 1.5" needle |
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Term
Subcutaneous
Purpose
Amount
Absorption |
|
Definition
To deliver medications that are absorbed slowly.
Amount is variable, but NEVER more than 2 mL
Slow absorption |
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Term
Subcutaneous
Injection Sites |
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Definition
Fatty tissue of abdomen
Lateral and posterior aspects of upper arm or thigh
Scapular area of the back
Upper ventrodorsal gluteal areas |
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Term
Subcutaneous
Syringe
Gauge
Needle |
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Definition
0.5 - 3 mL
25-29 gauge
3/8 - 5/8 needle |
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Term
ID
Purpose
Amount
Absorption |
|
Definition
Intradermal
Test for antigens
Slow absorption rate |
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Term
|
Definition
Inner aspect of forearm
Scapular area of back
Upper chest
Medial thigh |
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Term
|
Definition
1 mL tuberculin syringe
25-27 gauge, short bevel
3/8 - 5/8" neeedle |
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