Injections “101” The Basics on Injection Types, Sites, and Procedures
Nursing injection 101
-
Upload
shayiamk -
Category
Health & Medicine
-
view
382 -
download
0
Transcript of Nursing injection 101
![Page 1: Nursing injection 101](https://reader036.fdocuments.in/reader036/viewer/2022062514/5583edd9d8b42a66288b491e/html5/thumbnails/1.jpg)
NURSING INJECTIONS
![Page 2: Nursing injection 101](https://reader036.fdocuments.in/reader036/viewer/2022062514/5583edd9d8b42a66288b491e/html5/thumbnails/2.jpg)
INJECTIONS
• Is insertion into the body with a syringe • Is a way to give medication• Has a different a technique for each type• Requires standard precaution & some require
sterile technique• Can cause complications– Hematoma– Bleeding– Infection
![Page 3: Nursing injection 101](https://reader036.fdocuments.in/reader036/viewer/2022062514/5583edd9d8b42a66288b491e/html5/thumbnails/3.jpg)
INJECTIONS
• Type of Injections– Subcutaneous– Intradermal– Intramuscular– Intravenous (a separate lesson)– Z Track Method
![Page 4: Nursing injection 101](https://reader036.fdocuments.in/reader036/viewer/2022062514/5583edd9d8b42a66288b491e/html5/thumbnails/4.jpg)
SUBCUTANEOUS INJECTION
• Made into loose tissue between dermis & muscle layer• Absorption is slower that IM or IV• < 2 mL deposited• Always perform premedication assessment• Always follow 8 Rights of Administration• Given at 45 degree angle• Rotate injection site• Common sites :
– Upper arm– Anterior thighs– Abdomen
• Most common– Heparin– Enoxaparin (Lovenox)– Insulin
![Page 5: Nursing injection 101](https://reader036.fdocuments.in/reader036/viewer/2022062514/5583edd9d8b42a66288b491e/html5/thumbnails/5.jpg)
SQ TECHNIQUE
• Wash hands
• 2 identifiers
• 8 Rights of Administration
• Check master rotation
schedule
• Explain procedure
• Provide privacy
• Don gloves
• Expose site
• Cleanse skin (circular motion) & allow drying
• Grasp skin creating a small roll
• Insert needle @ 45 degree angle
• Inject slowly
• Withdraw needle w/gentle pressure
• DO NOT RECAP
• Remove gloves
• Wash Hands
• Provide emotional support & answer all questions as appropriate
• Education
![Page 6: Nursing injection 101](https://reader036.fdocuments.in/reader036/viewer/2022062514/5583edd9d8b42a66288b491e/html5/thumbnails/6.jpg)
SQ INJECTION
![Page 7: Nursing injection 101](https://reader036.fdocuments.in/reader036/viewer/2022062514/5583edd9d8b42a66288b491e/html5/thumbnails/7.jpg)
INTRADERMAL INJECTIONS• Into dermal layer• Small volumes usually 0.1 mL• Absorption is slow• Always perform premedication assessment• Routes:
– allergy sensitivity test– desensitization injections– local anesthetics– Vaccinations
• 15 degree angle• Sites
– on any surface– Hairless– Upper chest– Scapular– Inner forearms
![Page 8: Nursing injection 101](https://reader036.fdocuments.in/reader036/viewer/2022062514/5583edd9d8b42a66288b491e/html5/thumbnails/8.jpg)
ID TECHNIQUE
• Wash hands• Provide privacy• 2 identifiers• 8 Rights• Don gloves• Prepare solution
w/aseptic technique• Insert needle @ 15
degree angle bevel up
• Remove needle quickly• Do Not Wipe site
w/alcohol afterwards• DO NOT RECAP put in
sharps container• Wash hands• Provide emotional
support• Answer all question as
appropriate• Provide Education
![Page 9: Nursing injection 101](https://reader036.fdocuments.in/reader036/viewer/2022062514/5583edd9d8b42a66288b491e/html5/thumbnails/9.jpg)
ID INJECTIONS
![Page 10: Nursing injection 101](https://reader036.fdocuments.in/reader036/viewer/2022062514/5583edd9d8b42a66288b491e/html5/thumbnails/10.jpg)
INTRAMUSCULAR INJECTION
• Penetrates thru dermis and subcutaneous tissue into muscle layer
• Medication deep in muscle mass• Absorption more rapid than SQ• Site selection important• Incorrect placement may cause nerve or blood vessel
damage• Muscles free from infection or wounds• 0.5-2 mL & 0.5-1 mL for infants or children• Divide doses in amt. > 3 mL (adults)• 20-22 gauge
![Page 11: Nursing injection 101](https://reader036.fdocuments.in/reader036/viewer/2022062514/5583edd9d8b42a66288b491e/html5/thumbnails/11.jpg)
IM SITES
• Vastus Lateralis• Rectus Femoris• Gluteal area – dorsogluteal not used < 3yrs– Ventrogluteal < 2yrs
• Deltoid
![Page 12: Nursing injection 101](https://reader036.fdocuments.in/reader036/viewer/2022062514/5583edd9d8b42a66288b491e/html5/thumbnails/12.jpg)
IM TECHNIQUE• Wash hands
• 2 Identifiers
• 6 Rights
• Check agency policy if 0.1 or 0.2 mL or air
• Consult master rotation schedule• Explain procedure
• Provide privacy
• Don gloves
• Cleanse skin circular motion & allow drying
• Insert needle correct angle (90 degree) & depth
• Aspirate & then if no blood return
• Slowly inject gently w/steady pressure
• Remove needle apply gentle pressure
• Apply bandage
• DO NOT RECAP but put in sharps container
• Remove gloves
• Wash hands
• Provide emotional support & answer questions as appropriate
• Education
![Page 13: Nursing injection 101](https://reader036.fdocuments.in/reader036/viewer/2022062514/5583edd9d8b42a66288b491e/html5/thumbnails/13.jpg)
VASTUS LATERALIS INJECTION
![Page 14: Nursing injection 101](https://reader036.fdocuments.in/reader036/viewer/2022062514/5583edd9d8b42a66288b491e/html5/thumbnails/14.jpg)
IM INJECTIONS
Ventrogluteal Site Deltoid Site
![Page 15: Nursing injection 101](https://reader036.fdocuments.in/reader036/viewer/2022062514/5583edd9d8b42a66288b491e/html5/thumbnails/15.jpg)
Z TRACK INJECTION
• IM injection• 90 degree angle• Into dermis down to the muscle layer• Iron Dextran injections• Prevent Drug from staining or irritating
sensitive tissue
![Page 16: Nursing injection 101](https://reader036.fdocuments.in/reader036/viewer/2022062514/5583edd9d8b42a66288b491e/html5/thumbnails/16.jpg)
Z TRACK METHOD
• Always perform premedication assessment• Assess skin integrity• Assure skin is able to stretch ~1 inch• Wait 10 sec. after injection• DO NOT MASSAGE• Never Inject into Arm
![Page 17: Nursing injection 101](https://reader036.fdocuments.in/reader036/viewer/2022062514/5583edd9d8b42a66288b491e/html5/thumbnails/17.jpg)
Z TRACK METHOD
• Wash hands• 2 Identifiers• 8 Rights of Administration• Provide privacy• Don gloves• Expose dorsogluteal site• Calculate & prepare then add
0.5 mL of air• Position client• Cleanse area• Stretch skin to 1 side 1 in.
• Insert needle 90 degree angle• Aspirate & if no blood return• Gently inject med & wait 10
sec.• Remove needle allow skin to
return to its position• DO NOT MASSAGE OR RECAP
& dispose• Remove gloves• Wash hands, provide support• EDUCATE
![Page 18: Nursing injection 101](https://reader036.fdocuments.in/reader036/viewer/2022062514/5583edd9d8b42a66288b491e/html5/thumbnails/18.jpg)
Z TRACK METHOD
![Page 19: Nursing injection 101](https://reader036.fdocuments.in/reader036/viewer/2022062514/5583edd9d8b42a66288b491e/html5/thumbnails/19.jpg)
THANK YOU!