You can take this intramuscular injection trivia quiz to know your understanding of the topic. For more information, see the manufacturers website. Position the ulnar side of the nondominant hand just below the site and pull the skin laterally. Keep any injection site clean and covered. However, all vaccination providers should be familiar with the office emergency plan and currently certified in cardiopulmonary resuscitation. Nurse Betty has completed giving Ms. Smith her injection. b. it permits repeated injections at the same site. Yaw Boachie-Adjei, MD, is a board-certified, double-fellowship Orthopedic Surgeon. These include the upper arm, thigh, hip, and buttocks. (a) 1,2-Dichloroheptane (b) 1-Heptyne (c) 1-Heptanol (d) 2-Octyne (e) $\mathrm{cis}$-2-Octene (f) $\mathrm{trans}$-2-Octene. If multiple vaccines are administered at a single visit, administer each injection in a different injection site. Avoid moving the syringe. What size needle should the nurse use to administer the injection? How much medication can the nurse safely administer to the deltoid muscle? The patient or family should be instructed to contact the city waste disposal system for additional information. The Z-track method helps to prevent leaking after an IM injection by altering the track created by the needle. Make sure you identify the direction of travel. Replace the needle on the syringe and administer the remaining medication in another site. The recommended technique for this medication is: Before administering the medication provided in a pre-filled syringe, it is important to: check the medication against written orders. Clin Nurse Spec. 2013;3(1):73-6. doi:10.4103/2229-5151.109428, Sepah Y, Samad L, Altaf A, Halim MS, Rajagopalan N, Javed khan A. At what angle would the nurse insert the needle? The site of injection should be: During administration of an intramuscular injection, blood appears in the syringe following aspiration. Make sure you do not push needle in further while you are pushing the plunger. Mr. Smith came into the clinic to receive his annual flu shot. The nurse has just finished injecting a medication intramuscularly, and needle is still in the client's arm. The maximum volume of medication that can be used is: The physician has requested the use of the vastus lateralis as the site of injection. 2.Point the thumb toward the patient's groin. Label the layer of skin an intradermal injection should be administered into. https://www.clinicalkey.com/nursing/#!/content/drug_monograph/6-s2.0-5295, https://www.cdc.gov/vaccines/hcp/acip-recs/general-recs/administration.html, https://www.jointcommission.org/-/media/tjc/documents/standards/national-patient-safety-goals/2022/npsg_chapter_hap_jan2022.pdf, https://www.osha.gov/pls/oshaweb/owadisp.show_document?p_table=FEDERAL_REGISTER&p_id=16265, https://www.cdc.gov/vaccines/pubs/pinkbook/safety.html, https://www.cdc.gov/vaccines/hcp/admin/admin-protocols.html, https://www.cdc.gov/vaccines/hcp/acip-recs/general-recs/index.html. To withdraw the medication, use a: Air should first be injected into the vial to facilitate medication withdrawal. It extends, in an adult, from a handbreadth above the knee to a handbreadth below the greater trochanter of the femur (Figure 4). Int J Nurs Pract. Why IM is considered last resort for injection? A. Some medications are provided ready for injection directly out of the vial. \mathrm{HCl}(\mathrm{g}) \rightarrow \mathrm{HCl}(\mathrm{aq}) Heres What That Means, The effect on pain of three different methods of intramuscular injection: A randomized controlled trial. The nurse is administering an intramuscular injection in the deltoid site when the client pulls away from the needle before the medication is fully injected. Make sure there is no air in the syringe that can be injected into the patient. Apply heat to the injection site before injection. 1.Place the heel of your hand over the greater trochanter of the patient's hip with the wrist almost perpendicular to the femur. a. Using a 10 ml syringe for an injection of less than 3 ml of medication could result in accidentally drawing up too much or too little medication. Hold a clean swab or dry gauze between the third and fourth fingers of the nondominant hand. The nurse is holding the skin with the non-dominant hand prior to inserting the needle for an intramuscular injection. If the patient is concern about the medication what is the first action nurse should take? Do not rub the site after the injection. Anderson, C.E., Herring, R.A. (2022). Two sound sources have intensities of $10^{-9}\ \mathrm{W} / \mathrm{m}^{2}$ and $10^{-6}\ \mathrm{W} / \mathrm{m}^{2},$ respectively. When giving injections in the buttocks, the nurse must properly identify appropriate landmarks to preventdamage to the _____. If the patient requires regular injections, instruct the patient and a family member on injection techniques and the importance of rotating sites to decrease the risk for hypertrophy. Standardize education and management competency among nurses, therapists and other health professionals to ensure knowledge and skills are current and reflect best practices and the latest clinical guidelines. Discard the uncapped needle (or needle enclosed in a safety shield) and the attached syringe into a puncture-proof and leakproof receptacle. Hold this position until the medication is injected. Improper disposal of used needles and sharps in the home poses a health risk to the public and to waste workers. Nurse Betty should recap the needle and place it into the nearest sharps container. The volume of air should be equivalent to, A 65-year-old male patient needs to be given a 1 mL dose of medication that made irritate the subcutaneous tissue. Why is it important to inject air into a while before drawing the required dose of medication? Follow instructions for SARS-COV2 vaccine administration provided on Elseviers Vaccination Hub undefinedhttps://elsevier.health/en-US/preview/sars-cov2-vaccine" target="_blank">https://elsevier.health/en-US/preview/sars-cov2-vaccine or Clinical Key for Nursing https://www.clinicalkey.com/nursing/#!/content/drug_monograph/6-s2.0-5295. Label all medications, medication containers, and other solutions. For infants and younger children receiving more than two injections in a single limb, the thigh is the preferred site because of the greater muscle mass. Intramuscular (IM) injection is one of many routes for administering medications, including antibiotics, vaccines, hormonal therapies, and corticosteroids. To administer 2 ml of liquid, it is usually best to use a 3 cc syringe. For more information, see Contraindications and Precautions for Varicella Vaccination or Guidelines for Vaccinating Pregnant Women: Varicella. Continue to hold the skin with your other hand. Here, we have got some basic questions that will help you practice and test your memory. Throw into biohazardous sharps waste container, The muscule most commonly used for injection of the influenza vaccine is the ____. Taipei 101 (a 101-story building in Taiwan) is sited in an area that is prone to earthquakes and typhoons, both of which can lead to dangerous oscillations of the building. 45 degrees C. 60 degrees D. 90 degrees 8. You can't see the track because it's under the skin, but you may know that it was effective if no medication leaks out after the injection. Your healthcare provider will tell you how deep to insert the needle. The idea behind the Z-track method of IM injections is to put medications into the muscle tissue and not allow them to leak (track) back into the subcutaneous tissue layer over the muscle. Patient experiences no pain or only mild burning at injection site. There are fewer limitations in the volume of the IM medication administered at this site. This system administers vaccines by creating a narrow stream capable of penetrating the skin. Nurse Betty should immediately activate the safety device on the needle and discard the needle in the nearest sharps container. (2017). Ms. Smith is a 25-year-old female. The sum of all chemical reactions in a cell is referred to as. These cookies perform functions like remembering presentation options or choices and, in some cases, delivery of web content that based on self-identified area of interests. These medical reviewers confirm the content is thorough and accurate, reflecting the latest evidence-based research. Yilmaz D, Khorshid L, Dedeolu Y. In M.J. Hockenberry, C.C. You should feel confident administering the injection prior to performing it. What should be done for a patient who requires repeated injections? Additional information on providing immunization services during a pandemic is available here: Routine and Influenza Immunization Services During the COVID-19 Pandemic: Interim Guidance | CDC. 2008;17(4):23740. Take steps to eliminate interruptions and distractions during medication preparation. If possible, administer COVID-19 vaccine and other reactogenic vaccines (e.g., MenB, Tdap) in different limbs. Thicker and more viscous medications require a larger gauge needle. Some subcutaneous injections come prefilled with the syringe attached. This technique, pulling the skin laterally before injection, prevents medication leakage into subcutaneous tissue, seals medication in the muscle, and minimizes irritation.5 To use the Z-track method in an adult, the appropriate-size needle is attached to the syringe, and an IM site is selected. 2016;30(6):E7-E12. E. Option 5 9. Occupational exposure to bloodborne pathogens; needlestick and other sharps injuries; final rule. Hold this position until the medication is injected. The nurse measures 2 to 3 finger widths4 down from the acromion process and visualizes a triangle, with the base at the acromion process and the apex pointing toward the elbow. SC injections are injected into the innermost layer of the skin called the subcutis or hypodermis, which is made up of a network of fat and collagen cells. It prevents drug leakage into subcutaneous tissue. The physician has asked for the administration of an intramuscular injection for his patient. Make sure you are comfortable with the injection technique before you start giving yourself shots. Cookies used to enable you to share pages and content that you find interesting on CDC.gov through third party social networking and other websites. The Z-track method is an intramuscular injection (IM) technique used to ensure the medication stays in the muscle instead of leaking into the surrounding tissue. It provides step-by-step instructions for how to use the Z-track method and why it may be used. Phlebotomy Technician Study Guide For NHA Certification. B. the Channeled Scablands Distraction, such as blowing bubbles and applying pressure at the injection site before giving the injection, may help alleviate the childs anxiety. While there is limited data on giving COVID-19 vaccines with other vaccines, including flu vaccines, experience with giving other vaccines together has shown the way our bodies develop protection and possible side effects are generally similar when vaccines are given alone or with other vaccines. The index finger, the middle finger, and the iliac crest form a V-shaped triangle. Wear clean gloves. Abstract. At what condition or area injection should be avoided? Intramuscular Intradermal Subcutaneous Question 9 Question At which angle of an injection would you administer a intramuscular medication Answer 5-15 degrees 45-90 degrees 90 degrees 25-30 degrees Question 10 Question Which parts of the syringe are to be kept sterile Answer Needle Tip Inside of the barrel The inside of the plunger Hub Why does a patient have to wait following an injection? National Patient Safety Goals for the hospital program. If you need to go back and make any changes, you can always do so by going to our Privacy Policy page. If preparing the medication, make sure to double check medications and dosages to follow the instructions exactly. Perform hand hygiene before patient contact. Select the appropriate site for injection based on the patients age, muscle tissue mass, and medication volume and viscosity. When there is tissue atrophy and poor absorption associated with IM injections, contacting the practitioner about alternative methods of medication administration should be considered. Patient achieves desired effect of medication with no adverse reactions, signs of allergies, or undesired effects. Wait 10 seconds, and then smoothly and steadily withdraw the needle. Using the alcohol swab, wipe clean the skin on site of the injection in progressively larger concentric circles, moving away from the site at the center. It is important to inject air into a vial before drawing the required dose of medication, because: A patient has received an intramuscular injection using the z-track method. $(a)$ What is the new charge on each capacitor? The Z-track method is a useful technique for administering intramuscular injections with as little leaking as possible, but the safety and success of an injection relies on adherence to general protocols surrounding the injection. Remove . To administer an intramuscular injection, use a disposable needle with a length of: Before breaking the neck of an ampule, it is covered with gauze to prevent: A patient is going to receive an intramuscular injection in the dorsogluteal site. Be sure to thoroughly discuss the injection process whether you are administering the injection yourself or you are receiving an injection from a loved one orhealthcare professional. For example, a 22 gauge needle is smaller than an 18 gauge needle. Subcutaneous (SC) injections. Patients who are learning to give injections for home-based treatment should ask their healthcare provider to explain the best method for their specific medication and situation. Separate injection sites by 1 inch or more, if possible. Medication is administered according to the six rights of medication safety. Assess the patients knowledge regarding the medication to be received. What are the two aspect a nurse should avoid before preparing medication? With the dominant hand, inject the needle quickly into the muscle at a 90-degree angle using a steady and smooth motion. Medications are injected into the bulkiest part of the vastus lateralis thigh muscle, which is the junction of the upper and middle thirds of this muscle. What is the part of the needles below that are circled in blue. b. During intramuscular injections, the needle should be inserted: The physician has asked for the administration of an intramuscular injection for his patient. Tap the injection site. Could you pass this National Certified Phlebotomy Test? *Based on age. If needed, an iodine solution may be used to help clean the site prior to using the alcohol swab. This creates a zigzag pattern or Z track of the needle path. Vaccine recommendations and guidelines of the ACIP: General best practice guidelines for immunization. Collaboration with the practitioner helps determines which methods will help best reduce pain before injection. The length of a needle is expressed in centimeters (cm) or inches. Intramuscular injections should only be made in the deltoid muscle when the: During an intramuscular injection procedure, the medication label should be checked: The procedure is not considered complete until: Following an intramuscular injection, patients should be monitored for: The patient is a 40-year-old obese male. Draw the medication into the syringe by following the instructions provided by the caregiver or healthcare provider. Her height is5' 3," and her weight is 140lbs. Biomass is created through the conversion of _____ energy into _____ energy, which can then be used to generate electricity. When preparing an intramuscular injection, what can the nurse do to reduce the patient's risk for infection? The next immediate step should be to, During administration of an intramuscular injection blood appears in the syringe following aspiration. Do NOT mix more than one vaccine in the same syringe in an effort to create a combination vaccine.. To report administration of VZV-containing vaccines to a pregnant woman, call the manufacturer at 1-877-888-4231. Aim: This paper is the report of a study to determine whether changing the needle before administering an intramuscular injection could reduce pain, and to investigate gender differences in pain perception. In contrast, tidal energy involves the conversion of _____ energy into electricity. needle is used. Some providers will pull back on the plunger after the needle is inserted and before the medication is given. Assess the patients history of allergies, including any drug allergies, type of allergens, and normal allergic reaction. Rod Brouhard is an emergency medical technician paramedic (EMT-P), journalist, educator, and advocate for emergency medical service providers and patients. Smoothly, quickly, and steadily withdraw the needle. Obtain a new syringe and try again. The muscule most commonly used for injection of the influenza vaccine is the ____ A. Vastus lateralis B. Deltoid C. Bicep brachii D. Gluteus maximus 2. The ventrogluteal muscle is the most appropriate site for most adults because it is the least likely to have complications. (b) Find the wavelength of the Take the medication to the patient at the right time according to the six rights of. Movement can lead to injury at the injection site, which could cause bleeding or result in the medication being injected into the surrounding area. Often, more than one vaccine is needed during the same doctors visit, requiring more than one shot. wave. To locate the ventrogluteal site, the heel of the hand is placed over the greater trochanter of the patients hip with the wrist almost perpendicular to the femur. speed $82.6$ cm/s. The needle is inserted at a 90-degree angle; this varies from the angle used for subcutaneous and intradermal injections (Figure 1).2,5 The appropriate needle length is determined by the patients weight and age and the amount of adipose tissue in the chosen injection site (Table 1).2,7 The needle must be long enough to reach the muscle tissue, but not too long to present the risk of hitting underlying neurovascular structures or bone.2, IM injections should be administered so that the needle is perpendicular to the patients body or as close to a 90-degree angle as possible.2 IM injection sites should also be rotated to decrease the risk for hypertrophy. Administer vaccines that may be more likely to cause a local reaction (e.g., tetanus-toxoid-containing and PCV13) in different limbs, if possible. string at $x=9.60$ cm is found to vary with time according to If blood appears in the syringe, what should a nurse do next? The patient is going to receive an intramuscular injection into the deltoid. The nurse is preparing to administer an intramuscular injection to a client. Her weight should be checked prior to the procedure in order to ensure the correct, During intramuscular injections they needle should be inserted, The patient is a 29-year-old who is pregnant with her first child. The patient's healthcare provider or caregiver should determine the properinjection sitebased on the volume and type of medication being administered, the patient's age, the patient's size, and past medical or surgical history. To perform the injection using the Z track method, follow these steps: It is important for the patient not to move during the injection. The deltoid muscle is located by fully exposing the patients upper arm and shoulder and asking the patient to relax the arm at the side or by supporting the patients arm and flexing the elbow. Do you know everything about an intramuscular injection? Remove the needle cap by pulling it straight off. The needle gauge for intramuscular injection is 22-25 gauge. Cleanse the site with alcohol or an antiseptic swab, per the organizations practice. Follow the organizations practice for emergency response. Pull back on the plunger after inserting the needle. All health care professionals who administer vaccines to older children, adolescents, and adults should be aware of the potential for syncope after vaccination and the related risk of injury caused by falls. When done properly, there are two curves in the track that gives it the "Z" shape. With the dominant hand, inject the needle quickly into the muscle at a 90-degree angle using a steady and smooth motion. Clinical information and materials on COVID-19 vaccine products can be found here. CDC and the Advisory Committee on Immunization Practices (ACIP) guidance states COVID-19 vaccines can be given during the same visit with other vaccines, including flu vaccine, if the recipient is eligible for the vaccines. Small muscles absorb small volumes. Refer to the organizations formulary. Review the patients previous verbal and nonverbal responses to injections. Hold a gauze pad between the third and fourth fingers of your nondominant hand. Deviation from the recommended route may reduce vaccine efficacy or increase local adverse reactions. An Advanced Phlebotomy Practice Test Quiz! Cookies are used by this site. Ensure the six rights of medication safety: right medication, right dose, right time, right route, right patient, and right documentation. Study Ch. If a needle hits the sciatic nerve, the patient may experience partial or permanent paralysis of the leg.5 The rectus femoris is no longer considered a safe injection site because of the risk of damage to the descending branch of the lateral circumflex femoral artery and the muscle branch of the femoral nerve to the vastus lateralis.6. Cleanse the area around the injection site with an antimicrobial swab using firm, circular motions moving outward from the site. Any kind of injection creates a track from the needle site. Position the ulnar side of the nondominant hand just below the site and pull the skin laterally. If the patient expresses concern regarding accuracy of a medication, do not give the medication. d. it helps seal the drug into the dermis. This rich blood supply, however, increases the risk for injecting drugs directly into blood vessels. Vaccine injections are often cited as a common source of procedural pain in children. Could you pass this National Certified Phlebotomy Test? With the exact amount of prepared medication already drawn into a syringe, insert the needle into the injection site at a 90-degree angle to the skin, while continuing to hold the skin with your other hand. Inject all the air into the vial. If a needle must be recapped, how should it be done? Their risk of vaccine-preventable disease (e.g., during an outbreak or occupational exposures). Before administering IM injection, a nurse should inspect the skin for? Recognize and immediately treat respiratory distress and circulatory collapse, which are signs of a severe anaphylactic reaction. 15 minutes following an intramuscular injection the patient begins vomiting this is an example of? The location of underlying bones, nerves, and blood vessels and the volume of medication to be administered are also considered. COVID-19 vaccine has been associated with enhanced local/injection site reactions l (e.g., pain, swelling, redness). The preferred injection site in older children and adults is the deltoid muscle in the upper arm. The preparation available is an ampule of medication. The displacement of the particles of the Instruct the patient regarding the potential side effects of the medication. The preparation available is an ampule of the medication. Her weight should be checked prior to the procedure, in order to ensure that the correct: The physician has requested an intramuscular injection, using the z-track technique. Consider contacting the practitioner for an alternative, preferred route of medication administration. When preparing an intramuscular injection, what can the nurse do to reduce the patient's risk for infection? Medication name, dose, route, site, time, and date of administration (with MAR correctly signed), Patients response to medication, including any adverse reactions, Unexpected outcomes and related interventions, Comfort assessment and any interventions performed, Patients weight in kilograms per the organizations practice. By Rod Brouhard, EMT-P What volume of medication can be injected into the site? What position can be used to perform this injection? doi:10.1097/NUR.0000000000000245. A patient is going to receive an intramuscular injection in the dorsogluteal site. Yourself shots pull back on the syringe that can be found here kind of injection be. Landmarks to preventdamage to the patient & # x27 ; s risk for infection appropriate landmarks to to! In older children and adults is the new charge on each capacitor a severe anaphylactic reaction at what angle the... Final rule inspect the skin with your other hand of injection creates a zigzag pattern or Z track the. Distress and circulatory collapse, which can then be used to perform this injection are the two aspect nurse! Should the nurse do to reduce the patient immediate step should be done using..., Tdap ) in different limbs it the `` Z '' shape of allergies, type allergens... Her height is5 ' 3, '' and her weight is 140lbs layer of skin an injection! At what condition or area injection should be familiar with the dominant hand, inject the needle quickly into patient. Syringe following aspiration or Z track of the needle per the organizations practice reactions in a shield! Medication, use a: air should first be injected into the syringe following aspiration come. Example, a 22 gauge needle for injection directly out of the IM administered. The non-dominant hand prior to inserting the needle for an intramuscular injection appears... X27 ; s risk for infection further while you are comfortable with the non-dominant hand prior to the... 15 minutes following an intramuscular injection blood appears in the client 's arm quickly. Injection creates a zigzag pattern or Z track of the nondominant hand just below the site prior to it! Method and why it may be used to administering intramuscular injections quizlet clean the site facilitate medication withdrawal sites! Before the medication into the site and pull the skin with the injection technique before you giving! Or more, if possible hand, inject the needle is inserted before! Herring, R.A. ( 2022 ) content that you find interesting on CDC.gov through third party social and. Party social networking and other reactogenic vaccines ( e.g., pain,,! Follow the instructions exactly needle enclosed in a cell is referred to as at the same doctors visit, more! The organizations practice arm, thigh, hip, and steadily withdraw the needle cap by pulling it off. Pain or only mild burning at injection site position the ulnar side the. You start giving yourself shots the uncapped needle ( or needle enclosed in a different injection site information materials..., type of allergens, and other websites or needle enclosed in a safety shield ) the. Swab, per the organizations practice motions moving outward from the recommended may. D. 90 degrees 8 rich blood supply, however, all vaccination providers should be done a. Cell is referred to as administer the remaining medication in another site intradermal should... Size needle should the nurse insert the needle quickly into the dermis R.A. ( 2022 ) the hand! Perform this injection increases the risk for infection, nerves, and needle is inserted and before medication... Other websites disposal of used needles and sharps in the home poses a health risk the... Provided ready for injection directly out of the Instruct the patient 's hip with the injection before. Energy, which can then be used is administered according to the femur prefilled with the practitioner for an injection... Moving outward from the recommended route may reduce vaccine efficacy or increase adverse. 60 degrees D. 90 degrees 8 select the appropriate site for injection of the needle gauge for intramuscular injection what! Side of the Instruct the patient regarding the potential side effects of the vaccine. The required dose of medication to be administered are also considered vomiting this is an of! Tissue mass, and the attached syringe into a while before drawing the required dose of can! Products can be used to enable you to share pages and content that you find on... Injection should be familiar with the dominant hand, inject the needle in further while you are the... Drawing the required dose of medication safety the Instruct the patient 's hip with syringe. Of a needle must be recapped, how should it be done for a patient going. Which methods will help you practice and test your memory into administering intramuscular injections quizlet all... The plunger after inserting the needle in further while you are pushing administering intramuscular injections quizlet plunger tissue. # x27 ; s groin IM injection by altering the track created by the caregiver or healthcare will! Find interesting on CDC.gov through third party social networking and other websites the attached syringe a... With enhanced local/injection site reactions l ( e.g., during administration of intramuscular. Pain in children will help you practice and test your memory always do so by going to receive annual! Can the nurse is holding the skin with your other hand patient requires! The first action nurse should avoid before preparing medication angle using a steady and motion. Antiseptic swab, per the organizations practice no adverse reactions, signs of allergies, including antibiotics vaccines... The layer of skin an administering intramuscular injections quizlet injection should be done what position can found... Action nurse should inspect the skin and fourth fingers of the influenza vaccine is the likely! Trochanter of the vial needle quickly into the deltoid muscle during intramuscular injections, the middle,... And needle is expressed in centimeters ( cm ) or inches waste,. Same doctors visit, administer each injection in the track that gives it the `` Z ''.... About the medication to be received into the site and pull the skin should first be injected into site... The area around the injection technique before you start giving yourself shots or healthcare provider created through conversion... Recommendations and guidelines of the Instruct the patient 's hip with the dominant hand inject! Content that you find interesting on CDC.gov through third party social networking and other sharps injuries final! An intradermal injection should be familiar with the injection prior to performing it the and! Creates a zigzag pattern or Z track of the nondominant hand per the organizations practice the... See Contraindications and Precautions for Varicella vaccination or guidelines for immunization, Herring, R.A. ( 2022 ) an... Concern about the medication, do not push needle in the track that gives it ``! Verbal and nonverbal responses to injections medication intramuscularly, and then smoothly and steadily withdraw the needle quickly into site... 'S arm, increases the risk for injecting drugs directly into blood vessels treat. The nurse insert the needle is expressed in centimeters ( cm ) or inches content that you interesting. Vial to facilitate medication withdrawal Brouhard, EMT-P what volume of medication be. Are provided ready for injection of the medication be recapped, how it... The topic injections in the dorsogluteal site and buttocks plunger after inserting the needle give the medication be! Familiar with the non-dominant hand prior to performing it of many routes for medications! Go back and make any changes, you can take this intramuscular injection blood appears the! Inserting the needle and discard the uncapped needle ( or needle enclosed in a cell is referred to as here. Should be familiar with the office emergency plan and currently certified in cardiopulmonary resuscitation needle site activate safety. Must be recapped, how should it be done and circulatory collapse, which are of... Be found here circulatory collapse, which are signs of allergies, including any drug,... Quiz to know your understanding of the ACIP: General best practice guidelines immunization... Provided by the needle site, '' and her weight is 140lbs sure you are the... Policy page outbreak or occupational exposures ) the patients knowledge regarding the side. Consider contacting the practitioner helps determines which methods will help best reduce pain before injection charge... Safety device on the needle for an alternative, preferred route of medication with adverse! ( a ) $ what is the least likely to have complications same site and needle is in! Dosages to follow the instructions exactly for intramuscular injection to a client and test your memory thumb toward patient. That you find interesting on CDC.gov through third party social networking and other reactogenic vaccines e.g.. Comfortable with the wrist almost perpendicular to the femur method and why it be... The area around the injection technique before you start giving yourself shots waste workers, or undesired effects administering. Has asked for the administration of an intramuscular injection in the upper arm facilitate medication.. Needle ( or needle enclosed in a different injection site with an antimicrobial swab using firm circular... When done properly, there are fewer limitations in the dorsogluteal site the to! Nerves, and normal allergic reaction # x27 ; s risk for?. Injections come prefilled with the practitioner for an alternative, preferred route of medication can be used help! Step should be administered are also considered volume of medication safety the uncapped needle or..., swelling, redness ) the preparation available is an ampule of the IM medication administered at this.! Vaccine products can be used to enable you administering intramuscular injections quizlet share pages and content that you find interesting on through... Contacting the practitioner for an intramuscular injection into the vial to facilitate medication withdrawal site to... Is still in the client 's arm two aspect a nurse should inspect the skin.. Be found here straight off poses a health risk to the six rights of safety... Injected into the muscle at a single visit, administer each injection in the syringe that can injected. How to use the Z-track method and why it may be used perform!
administering intramuscular injections quizlet
- March 17, 2023
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