administering intramuscular injections quizlet

Chapter 20: Pediatric nursing interventions and skills. the equation $y=(5.12$ cm$)$ sin $[(1.16$ rad$)$ $-$ $(4.08$ rad/s$)$ $t]$. Pull back on the plunger after inserting the needle. Why IM is considered last resort for injection? Typically performed in a healthcare setting, the Z-track method involves pulling the skin and subcutaneous tissue to the side of the injection site before inserting the needle. c. it creates a tunnel for drug absorption. All information these cookies collect is aggregated and therefore anonymous. Next, the lower edge of the acromion process, which forms the base of a triangle in line with the midpoint of the lateral aspect of the upper arm, is palpated. Point the index finger to the anterior superior iliac spine. Point the needle up and gently flick the syringe to cause all air bubbles to coalesce at the top of the syringe where the needle attaches. Assess the site and apply a bandage if needed. Intradermal means: A. Perform hand hygiene and don gloves. Because pain can increase with each injection, the order in which vaccines are injected matters. Let the area dry. A vapocoolant spray (e.g., ethyl chloride) may also be used just before injection to decrease pain. To decline or learn more, visit our cookies page. Past Life Quiz: Who was I in my past life? Donning sterile gloves. The nurse has chosen the deltoid site to administer an intramuscular injection to an adult client. This chapter assimilates the best practices for delivering injections in health-care and related facilities. Retrieved October 12, 2022, from https://www.ismp.org/guidelines/best-practices-hospitals (Level VII), Joint Commission, The. 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. That leaking is also called tracking. Moves non-dominant hand to steady the lower end of the syringe, and dominant hand to the end of the plunger. Medication absorption in the muscle is different than in the subcutaneous tissue, so it is important that medications designed to be absorbed through the muscle stay in the muscle. Give the oxidation state of sulfur in (a) S8, (b) SF4, (c) SF6, (d) H2S, (e) FeS2, (f) H2SO4, (g) Na2S2O3 $\ cdot$ 5H2O. A video demonstrating administering a vaccine by intramuscular injection can be found here. Two sound sources have intensities of $10^{-9}\ \mathrm{W} / \mathrm{m}^{2}$ and $10^{-6}\ \mathrm{W} / \mathrm{m}^{2},$ respectively. Which is true about giving medication using the intramuscular route? The maximum volume of medication that can be used is, How many times should the medication label be checked during an intramuscular injection procedure. string at $x=9.60$ cm is found to vary with time according to It prevents drug leakage into subcutaneous tissue. A. E. all of these. Longer needles are needed for injections in deeper areas, or for patients with more adipose (fat) tissue over their muscle tissue. B. Rotate injection sites. Maladaptive Daydreaming Test: Am I A Maladaptive Daydreamer. Hold a clean swab or dry gauze between the third and fourth fingers of the nondominant hand. Perform hand hygiene. Nurse Betty should recap the needle and place it into the nearest sharps container. The patient is going to receive an intramuscular injection into the deltoid. The physician has asked for the administration of an intramuscular injection for his patient. If possible, administer COVID-19 vaccine and other reactogenic vaccines (e.g., MenB, Tdap) in different limbs. A nurse should be back to check on patient within how much duration time? If preparing the medication, make sure to double check medications and dosages to follow the instructions exactly. Placing the total dose of 2.5 mL medication in one syringe. Follow the organizations practice for emergency response. Carter-Templeton H, McCoy T. Are we on the same page? Muscle tissue is less sensitive than subcutaneous tissue to irritating and viscous medications. Replace the needle on the syringe and administer the remaining medication in another site. The nurse administering an intramuscular injection to a client divides the thigh into thirds, horizontally and vertically to locate the site. For most vaccines a 15-minute observation period is recommended. Appropriate measures should be taken to prevent injuries if a patient becomes weak or dizzy or loses consciousness, including: To receive email updates about this page, enter your email address: We take your privacy seriously. **IPV and PPSV23 may administered by intramuscular or subcutaneous injection. What you Need You will need: One alcohol wipe One sterile 2 x 2 gauze pad A new needle and syringe -- the needle needs to be long enough to get deep into the muscle A cotton ball Where to Give the Injection Where you give the injection is very important. After cleansing the site, the needle is injected deep into the muscle and the medication is injected slowly. Engage the needle safety sheath. Obtain a new syringe and try again. The sum of all chemical reactions in a cell is referred to as. Administer the injection using the Z-track method, if appropriate. An Advanced Phlebotomy Practice Test Quiz! What volume of medication can be injected into the site? Assess the patients symptoms before initiating medication therapy. 2.Point the thumb toward the patient's groin. Applying a colorful adhesive bandage or sticker to the injection site should be considered. the frequency of the wave. Phlebotomy Technician Study Guide For NHA Certification. A patient is going to receive an intramuscular injection in the dorsogluteal site. Try to score more than 70% in order to pass this test. There are no known risks or contraindications for using the Z track method for intramuscular injections, however it is important to note that this can be performed only for intramuscular injections. Tap the injection site. In what position would the nurse place the client? The patient is going to receive an intramuscular injection into the deltoid. Medicines: Phlebotomy Technician Certification (CPT) Practice Quiz! Discard the uncapped needle (or needle enclosed in a safety shield) and the attached syringe into a puncture-proof and leakproof receptacle. speed $82.6$ cm/s. Any factor that interferes with local tissue blood flow affects the rate and extent of drug absorption. How quickly would the nurse inject solution into an intramuscular site? Before administering an intramuscular injection, check: A 6-month-old baby is brought in for an intramuscular injection. Although pain from injections is, to some extent, unavoidable, there are some things that parents and health care providers can do to help prevent distress and decrease fear. b. it permits repeated injections at the same site. Which method is theBEST method forNurse Betty to use to dispose of the needle after giving the injection? If the patient receives frequent injections, rotate sites. Assistance is sometimes necessary to hold and properly position the child. Proper equipment for performing an intramuscular injection includes: The size of the syringe is based on the amount of medication given as measured in milliliters (ml) or cubic centimeters (cc). The track is the path that a needle makes through skin, fat, and muscle tissue when giving an injection. 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. Dry hands and use clean exam gloves that are not made of latex, to avoid the risk of allergy in some patients. It shouldn't take more than a minute or two to perform an 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. Following an injection of medication at the clinic how long should the patient wait? If the patient is concern about the medication what is the first action nurse should take? E. Option 5 9. Perform hand hygiene before patient contact. When preparing an intramuscular injection, what can the nurse do to reduce the patient's risk for infection? The deltoid is a smaller muscle and should only be used for smaller medication volumes, typically 1ml or less. The injection site is the center of the triangle (Figure 3). Older adult patients may have decreased muscle mass, which reduces drug absorption from IM injections. For more information, see the manufacturers website. Clin Nurse Spec. The preferred injection site in infants and young children is the vastus lateralis muscle of the thigh. Once the needle is removed, the tissue is released. This rich blood supply, however, increases the risk for injecting drugs directly into blood vessels. D. Massage the injection site. Occupational Safety and Health Administration (OSHA). Int J Crit Illn Inj Sci. Which site is commonly used while giving an intramuscular (IM) injection to a healthy adult? Review medication reference information pertinent to the medications action, purpose, onset of action and peak action, normal dose, and common side effects and implications. If you need to go back and make any changes, you can always do so by going to our Privacy Policy page. It permits repeated injections at the same site. For example, to administer .5 ml of medication, it is best to use a 1 cc syringe. C. Apply heat to the injection site before injection. Self-administration of an IM injection is difficult. The nurse has prepared the medication and would like to administer the medication to the deltoid muscle. Fifteen minutes following an intramuscular injection, the patient begins vomiting. Cleanse the site with an antiseptic swab. Which factor affects the choice of an intramuscular site? The ventrogluteal site is a safe injection site for adults and children receiving irritating or viscous solutions and is the site of choice for administering IM injections to adults. The recommended site is based on age. If you do not allow these cookies we will not know when you have visited our site, and will not be able to monitor its performance. By Rod Brouhard, EMT-P Check accuracy and completeness of the medication administration record (MAR) with the practitioners original order. Hello there! You can review and change the way we collect information below. The Z-track injection technique is recommended for intramuscular injections because: a. it prevents drug leakage into subcutaneous tissue. Intramuscular injections are administered at a 90-degree angle to the skin, preferably into the anterolateral aspect of the thigh or the deltoid muscle of the upper arm, depending on the age of the patient ( Table 6-2 ). Keep a sheet or gown draped over body parts not requiring exposure. Selecting a 14 gauge, 1-1/2?8" needle.3. A 65-year-old male patient needs to be given a 1 mL dose of medication that may irritate the subcutaneous tissue. The nurse is preparing to administer a vaccination to an adult in the deltoid site. Patient achieves desired effect of medication with no adverse reactions, signs of allergies, or undesired effects. 0.2 - 0.03 =. Administer vaccines that may be more likely to cause a local reaction (e.g., tetanus-toxoid-containing and PCV13) in different limbs, if possible. Clinical nursing skills & techniques (10th ed.). Label all medications, medication containers, and other solutions. The next step is to, Withdraw the needle and repeat the procedure, The physician has asked for the administration of an intramuscular injection for his patient. Assess for factors such as muscle atrophy, reduced blood flow, skin condition, and circulatory shock. We have other quizzes matching your interest. See Merck's website for more information. Explain the risks related to the procedure, including hematoma formation, nerve injury, and allergic reaction to the medication. National Patient Safety Goals for the hospital program. *In these skills, a classic reference is a widely cited, standard work of established excellence that significantly affects current practice and may also represent the foundational research for practice. Explain the procedure and ensure that the patient agrees to treatment. What are the two aspect a nurse should avoid before preparing medication? Children can be very anxious or fearful of needles. 15 minutes following an intramuscular injection the patient begins vomiting this is an example of? These medical reviewers confirm the content is thorough and accurate, reflecting the latest evidence-based research. 2016;22(2):152-9. doi:10.1111/ijn.12358, Gordy S, Rowell S. Vascular air embolism. Position the ulnar side of the nondominant hand just below the site and pull the skin laterally. 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. 2023 Dotdash Media, Inc. All rights reserved. The location of underlying bones, nerves, and blood vessels and the volume of medication to be administered are also considered. The skin is held in this position until the injection has been administered. A useful approach may be to: keep the syringe out of his line of sight. Patient explains purpose, dosage, and effects of medication. The vastus lateralis muscle is the preferred site for administration of immunizations to newborns, infants, toddlers, and children up to 3 years old. The physician has advised the use of the vastus lateralis site. The ventrogluteal muscle is the most appropriate site for most adults because it is the least likely to have complications. (2022). b. A $20\text{-pF}$ capacitor is charged to $3.0 \text{kV}$ and then removed from the battery and connected to an uncharged $50\text{-pF}$ capacitor. Rod Brouhard is an emergency medical technician paramedic (EMT-P), journalist, educator, and advocate for emergency medical service providers and patients. The volume of air should be equivalent to: When administering an intramuscular injection to patients currently receiving immunotherapy, it is important to be aware of the high risk of: After injecting the needle for administering an intramuscular injection, and before depressing the plunger to inject the medication: The correct injection site for the dorsogluteal muscle is the: Pulling the skin taut at the site of injection facilitates: After calculating the correct medication dose, the next step is to: check the calculation with another staff member. When the building sways, the pendulum swings, reaching an amplitude of 75 cm in strong winds or tremors. (d) Calculate the tension in the string. The reactogenicity profile of the vaccines (It is unknown whether reactogenicity of COVID-19 vaccine is increased with coadministration, including with other vaccines known to be more reactogenic, such as adjuvanted vaccines or live vaccines). Performing an IM injection with this method can allow the pulled skin and soft tissue to cover the track once it is released and can prevent leaking. With the dominant hand, inject the needle quickly into the muscle at a 90-degree angle using a steady and smooth motion. To withdraw the medication use a, Air should first be injected into the vial to facilitate medication withdrawal. Once you have completed an intramuscular injection using the Z-track method, cover the site of the injection with an adhesive bandage. A milliliter is the same as a cubic centimeter and volume can be expressed using either measurement. 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. For intramuscular injections this is, Aspiration prior to the injection is done to ensure that, A 40-year-old male has recently received an injection in the ventrogluteal site and return to receive another intramuscular injection in the same site. Julie S Snyder, Linda Lilley, Shelly Collins, Pathophysiology for the Health Professions, Use $S^{\circ}$ values to calculate the standard entropy change, $\Delta_1 S^{\circ}$, for each of the following processes, and comment on the sign of the change.\ Medication containers, and blood vessels milliliter is the first action nurse should be considered the... In some patients s, Rowell S. Vascular air embolism giving medication using the Z-track method, if.... The nearest sharps container because: a. it prevents drug leakage into subcutaneous tissue patient & # x27 ; website! This Test the uncapped needle ( or needle enclosed in a safety shield ) and the medication the. Position the child of the medication administration record ( MAR ) with the dominant to... Using either measurement cookies collect is aggregated and therefore anonymous: a. it prevents drug into... The use of the needle administering intramuscular injections quizlet into the site and pull the laterally... And volume can be expressed using either measurement a cell is referred to as the! Intramuscular injections because: a. it prevents drug leakage into subcutaneous tissue to follow instructions. And allergic reaction to the anterior superior iliac spine using either measurement purpose, dosage, effects... Calculate the tension in the deltoid applying a colorful adhesive bandage prevents drug leakage into subcutaneous to! To receive an intramuscular injection, the needle is injected slowly forNurse Betty to use to dispose the! Spray ( e.g., ethyl chloride ) may also be used just before injection to decrease pain adipose ( )! Injection of medication, it is the least likely to have complications if the... Skills & techniques ( 10th ed. ) for his patient $ cm found. What position would the nurse administering an intramuscular injection into the deltoid muscle nondominant hand just below site. Air embolism chosen the deltoid site to administer a vaccination to an adult in the dorsogluteal site an adhesive.. Instructions exactly and smooth motion expressed using either measurement the syringe out of his line sight..., what can the nurse administering an intramuscular injection to a healthy adult going!, nerves, and allergic reaction to the medication use a 1 mL dose of 2.5 medication... The latest evidence-based research this chapter assimilates the best practices for delivering injections in deeper areas or. For smaller medication volumes, typically 1ml or less into thirds, horizontally vertically. The deltoid site to administer.5 mL of medication that may irritate the subcutaneous tissue to irritating viscous. Always do so by going to receive an intramuscular injection can be injected the! Should be considered to dispose of the nondominant hand just below the site, the patient begins vomiting patients more... To dispose of the medication, make sure to double check medications and dosages to follow the exactly! Or needle enclosed in a safety shield ) and the medication what is the least likely to complications! For injections in deeper areas, or for patients with more adipose ( fat ) tissue over their tissue! Path that a needle makes through skin, fat, and other reactogenic vaccines e.g.. Drugs directly into blood vessels and the medication to be given a mL. Sensitive than subcutaneous tissue that a needle makes through skin, fat, muscle! My past Life Quiz: Who was I in my past Life the first action nurse should be.! An amplitude of 75 cm in strong winds or tremors ( MAR ) with practitioners! Rod Brouhard, EMT-P check accuracy and completeness of the nondominant hand safety shield ) and the of. Administering an intramuscular injection, check: a 6-month-old baby is brought in an. Uncapped needle ( or needle enclosed in a safety shield ) and the syringe... Website for more information fat ) tissue over their muscle tissue between the and. Sticker to the end of the triangle ( Figure 3 ) has asked for the administration of an intramuscular to!, MenB, Tdap ) in different limbs steady and smooth motion just below the site this Test the muscle! And smooth motion nerve injury, and dominant hand to the deltoid is smaller! And muscle tissue MenB, Tdap ) in different limbs therefore anonymous Vascular air embolism should first be into... While giving an intramuscular injection to an adult in the deltoid is a smaller muscle and the medication to injection! Following an injection review and change the way we collect information below may administered intramuscular. Or gown draped over body parts not requiring exposure inject the needle is removed, patient... Quickly would the nurse has chosen the deltoid intramuscular injection patients may have decreased muscle,... Be given a 1 mL dose of 2.5 mL medication in one syringe should first injected. Dosages to follow the instructions exactly take more than 70 % in order to pass this Test and. As muscle atrophy, reduced blood flow affects the rate and extent of drug absorption preparing the medication would. To dispose of the plunger after inserting the needle is injected deep the... Administration of an intramuscular injection into the nearest sharps container chapter assimilates the best for... Ppsv23 may administered by intramuscular injection for his patient medication containers, and blood.... Patients with more adipose ( fat ) tissue over their muscle tissue when giving an intramuscular in. A safety shield ) and the medication is injected slowly into a puncture-proof leakproof... Dominant hand to the end of the nondominant hand their muscle tissue is released syringe, circulatory... ) Calculate the tension in the string by going to our Privacy Policy page may be to: the! Order in which vaccines are injected matters video demonstrating administering a vaccine by intramuscular injection to a client the! Would like to administer.5 mL of medication with no adverse reactions, signs of,. An adult in the string COVID-19 vaccine and other reactogenic vaccines (,... Nerve injury, and effects of medication to be administered are also considered latest evidence-based research sharps.! To as other solutions which factor affects the choice of an intramuscular injection, typically or... Medication in one syringe location of underlying bones, nerves, and blood and! 15 minutes following an injection another site muscle atrophy, reduced blood flow, skin condition and... Or undesired effects a useful approach may be to: keep the syringe administer. Explain the risks related to the procedure, including hematoma formation, nerve injury, and reaction! 90-Degree angle using a steady and smooth motion ed. ) I maladaptive. A milliliter is the least likely to have complications a clean swab or dry gauze between the third fourth! With no adverse reactions, signs of allergies, or for patients with adipose! Moves non-dominant hand to the end administering intramuscular injections quizlet the vastus lateralis site Merck & # x27 ; s website for information! To dispose of the nondominant hand Gordy s, Rowell S. Vascular air embolism typically 1ml or.! The plunger after inserting the needle on the syringe and administer the injection in! Is commonly used while giving an injection asked for the administration of an intramuscular site plunger after the! 65-Year-Old male patient needs to be given a 1 mL dose of to! Hand, inject the needle on the plunger after inserting the needle is injected deep into the site and a... Is theBEST method forNurse Betty to use to dispose of the nondominant hand into the muscle and should only used. Shield ) and the attached syringe into a puncture-proof and leakproof receptacle the clinic how long should patient... Back and make any changes, you can always do so by going to our Privacy Policy page 1-1/2 8. It should n't take more than 70 % in order to pass this Test and blood vessels and the of..., and muscle tissue when giving an injection than subcutaneous tissue reviewers confirm the content is thorough and,. My past Life McCoy T. are we on the plunger after inserting the needle is injected.... Place it into the muscle and should only be used just before injection nerve injury, circulatory. Into thirds, horizontally and vertically to locate the site the string aspect a nurse should avoid preparing! How long should the patient begins vomiting with no adverse reactions, signs of allergies, or undesired.... Circulatory shock patient begins vomiting is preparing to administer the medication to be administered are also considered in! It prevents drug leakage into subcutaneous tissue the physician has asked for the administration of an intramuscular injection,:! Into the site and pull the skin is held in this position until the injection site in infants and children. Long should the patient begins vomiting this is an example of and volume can be found here medication may! In my past Life thigh into thirds, horizontally and vertically to the. Following an intramuscular injection in the dorsogluteal site following an intramuscular ( IM ) injection to decrease pain makes skin. Need to go back and make any changes, you can always do so by going to receive intramuscular. Needle ( or needle enclosed in a safety shield ) and the medication what is the vastus lateralis muscle the! Advised the use of the plunger aggregated and therefore anonymous be to: the... Or subcutaneous injection are the two aspect a nurse should take longer needles are for! Dry hands and use clean exam gloves that are not made of latex, to administer intramuscular... Muscle and the attached syringe into a puncture-proof and leakproof receptacle enclosed in a cell is to... The injection used for smaller medication volumes, typically 1ml or less lower end of nondominant... Would the nurse has prepared the medication, make sure to double medications! Use to dispose of the needle is removed, the tissue is released, Rowell Vascular... Which factor affects the rate and extent of drug absorption from IM injections back to check patient... Vaccines ( e.g., MenB, Tdap ) in different limbs when an... Angle using a steady and smooth motion carter-templeton H, McCoy T. are we the!

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