Medication injection

Question 1

Differences in Sub cu and IM injections

• Needle size
• Needle length
• Injection angle
• Max injection amount at site

Answer 1

Subcutaneous

• 24 to 26 gauge
• 1/2” to 1”
• 45 degrees
• 1mL

IM

• 21 gauge
• 1” to 2”
• 90 degrees
• 5mL

Question 3

2 steps of prep

Answer 3

• Ask about known allergies

- Clearly explain procedure to patient

Question 4

Select, check and assemble equip (5)

Answer 4

• Med
• Appropriate syringe and needle
• Sharps container
• Alcohol swabs
• Bandage or sterile gauze and tape

Question 5

What to document on the run report (6)

Answer 5

• Time med was given
• Med name
• Med concentration
• Med dose
• Administration site
• Medication effect

Question 6

5 R’s and administer meds (19)

Answer 6

• Right patient, med, dose, time, route
• Med clarity
• Expiration
• Assemble syringe and needle
• Draw up correct amount of med and dispel air, stay sterile
• Reconfirm med
• PPE
• ID and cleanse injection site
• Stretch or pinch skin, needle at proper angle
• Drawback to check for blood
• Push correct dose at correct rate
• Remove needle, dispose properly
• Direct pressure
• Cover site
• Observe pt for desired effect