Ad Minster Ing Injections

8/8/2019 Ad Minster Ing Injections

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GIVINGGIVINGINJECTIONSINJECTIONS

ERNIE. D. CARRIDO,RNERNIE. D. CARRIDO,RN

Professor Professor

NCM 200NCM 200



RequirementsRequirements



Materials to be used in Materials to be used in

Administering InjectionsAdministering Injections

SyringeSyringe

NeedleNeedle

GlovesGloves

Alcohol swab/cotton balls w/ alcohol Alcohol swab/cotton balls w/ alcohol

Drug/medicationDrug/medication



SyringesSyringes

TYPES:TYPES:

Glass syringeGlass syringe

Disposable plastic syringeDisposable plastic syringe

Prefilled syringes and cartridgesPrefilled syringes and cartridges

Insulin syringeInsulin syringe

Tuberculin syringeTuberculin syringe



NeedlesNeedles

½½-- 2 inches in length2 inches in length

1818--26 gauge26 gauge

PARTSPARTS

HubHub

ShaftShaft

BevelBevel

PointPoint

LumenLumen



Medication ContainersMedication Containers

Two types of containers for injectableTwo types of containers for injectable

medications:medications:

VIALVIAL-- small, glass, round container withsmall, glass, round container with

an airtight rubber stopper sealed to thean airtight rubber stopper sealed to the

glass by a metal rim.glass by a metal rim.

AMPULE AMPULE-- an allan all--glass container that hasglass container that hasa narrow necka narrow neck





PROCEDURE FOR WITHDRAWINGPROCEDURE FOR WITHDRAWING

SOLUTIONS FROM

CONTAINERSSOLUTIONS FROM

CONTAINERS VIALSVIALS

1. Wash your hands for infection control.1. Wash your hands for infection control.

2. Using an alcohol or other type of antiseptic2. Using an alcohol or other type of antiseptic

swab, clean the rubber top of the vial with aswab, clean the rubber top of the vial with afirm circular motion. Allow the alcohol to dr y tofirm circular motion. Allow the alcohol to dr y toobtain maximum antibacterial action.obtain maximum antibacterial action.

3. Discard the swab.3. Discard the swab.

4. Prepare the syringe and needle , selecting4. Prepare the syringe and needle , selectingthe type of syringe used in your facility. Bethe type of syringe used in your facility. Becareful to keep the needle, the syringe tip, thecareful to keep the needle, the syringe tip, theinside of the barrel, and the side of the plunger inside of the barrel, and the side of the plunger sterile to prevent contamination of thesterile to prevent contamination of the

medication.medication.




SOLUTIONS FROM


CONTAINERS 5. Draw as much air into the syringe as the5. Draw as much air into the syringe as the

volume of solution you have calculated you willvolume of solution you have calculated you willneed.need.

6. With the vial resting on the countertop,6. With the vial resting on the countertop,remove the needle guard and insert the needleremove the needle guard and insert the needlethrough the rubber top of the vial.through the rubber top of the vial.

7. Inject the air into the vial by pushing the7. Inject the air into the vial by pushing theplunger to the syringe into the barrel. Doingplunger to the syringe into the barrel. Doingthis prevents a vacuum when you withdraw thethis prevents a vacuum when you withdraw themedication.medication.




SOLUTIONS FROM


CONTAINERS 8. Pick up the vial in your nondominant hand8. Pick up the vial in your nondominant handand hold the vial upside down at eye level. Youand hold the vial upside down at eye level. Youcan also hold the vial between your index andcan also hold the vial between your index andmiddle fingers. Pull the plunger down tomiddle fingers. Pull the plunger down to

withdraw the necessar y amount of medication.withdraw the necessar y amount of medication.Make sure the needle tip is beneath the fluidMake sure the needle tip is beneath the fluidlevel in the inverted vial and that you do notlevel in the inverted vial and that you do nottouch the sides of the plunger as you withdrawtouch the sides of the plunger as you withdraw

medication.medication. 9. Examine the medication for air bubbles and9. Examine the medication for air bubbles and

remove any that are present by keeping theremove any that are present by keeping thesyringe vertical and flicking your index finger syringe vertical and flicking your index finger

against the side of the syringe over the air against the side of the syringe over the air bubble.bubble.






SOLUTIONS FROM CONTAINERSSOLUTIONS FROM CONTAINERS

You can then push up on the plunger andYou can then push up on the plunger andexpel the air into the vial.expel the air into the vial.

10. Once all air is removed from the syringe,10. Once all air is removed from the syringe,make sure that you have the exact volumemake sure that you have the exact volumeneeded.needed.

11. Remove the needle form the vial.11. Remove the needle form the vial.

12. Change the needle if the medication is12. Change the needle if the medication isirritating to tissue.irritating to tissue.

13. Replace the needle guard, being careful to13. Replace the needle guard, being careful totouch the needle to the inside of the needletouch the needle to the inside of the needle

guard only.guard only.





AMPULES AMPULES

1. Wash your hands for infection control.1. Wash your hands for infection control.

2. If the medication is in the upper part of the2. If the medication is in the upper part of theampule, move it down into the lower part by ampule, move it down into the lower part by flicking the tip of the ampule with your indexflicking the tip of the ampule with your indexfinger. Another method is to grasp the ampulefinger. Another method is to grasp the ampule

by the tip and shake it firmly downward, as youby the tip and shake it firmly downward, as youwould shake down a thermometer.would shake down a thermometer.

3. Using an alcohol or other type of antiseptic3. Using an alcohol or other type of antisepticswab, clean the narrowest part of the ampuleswab, clean the narrowest part of the ampulewith a firm circular (twisting) motion.with a firm circular (twisting) motion.





4. Prepare the syringe and needle and always4. Prepare the syringe and needle and alwaysuse sterile technique.use sterile technique.

5. Wrap a swab or gauze square around the5. Wrap a swab or gauze square around theneck of the ampule to protect your hand fromneck of the ampule to protect your hand from

cuts. Break off the top of the ampule away fromcuts. Break off the top of the ampule away fromyourself. Discard the top in the disposalyourself. Discard the top in the disposalcontainer for ³sharps´.container for ³sharps´.

6. Remove the needle guard and hold the6. Remove the needle guard and hold theampule firmly in your nondominant hand, either ampule firmly in your nondominant hand, either resting on the counter or supported in your resting on the counter or supported in your hand between your index and middle fingers.hand between your index and middle fingers.





7. Insert the needle into the open end of the7. Insert the needle into the open end of theampule, being careful to touch the ampule withampule, being careful to touch the ampule withthe needle on the inside only.the needle on the inside only.

8. Pull the plunger of the syringe back, being8. Pull the plunger of the syringe back, beingcareful to keep the needle in the solution tocareful to keep the needle in the solution toavoid drawing air into the syringe.avoid drawing air into the syringe.

9. Withdraw the needle from the ampule when9. Withdraw the needle from the ampule whenyou have drawn slightly more than the amountyou have drawn slightly more than the amountof solution needed.of solution needed.

10. With the needle pointing vertically, pull10. With the needle pointing vertically, pullback slightly to aspirate the fluid from theback slightly to aspirate the fluid from theneedle into the syringe.needle into the syringe.





11. Push the plunger gently into the barrel until11. Push the plunger gently into the barrel until1 drop of medication appears at the point of the1 drop of medication appears at the point of theneedle. This drop can be removed with aneedle. This drop can be removed with agentle shake of the syringe and needle over agentle shake of the syringe and needle over asink or container.sink or container.

12. Make sure you have the exact volume12. Make sure you have the exact volumeneeded.needed.

13. Change the needle if the medication is13. Change the needle if the medication isirritating to tissue.irritating to tissue.

14. Replace the needle guard, being careful to14. Replace the needle guard, being careful totouch the needle to the inside of the needletouch the needle to the inside of the needleguard only.guard only.





SUBCUTANEOUSSUBCUTANEOUS

ADMINISTRATIONADMINISTRATION In subcutaneous injection, either a 90In subcutaneous injection, either a 90--degreedegree

angle or a 45angle or a 45--degree angle may be used if degree angle may be used if

adequate subcutaneous is present.adequate subcutaneous is present. 1 ½1 ½--2cc2cc-- maximum amount of solution that canmaximum amount of solution that can

be comfortably administered.be comfortably administered.

Gauge 25 needle can be used.Gauge 25 needle can be used.

SitesSites-- upper arms, anterior aspect of theupper arms, anterior aspect of the

thighs, upper back and abdominal wall.thighs, upper back and abdominal wall.





INTRAMUSCULAR INTRAMUSCULAR

ADMINISTRATIONADMINISTRATION

1919-- to 22to 22--gauge, 1 ½ inch needlegauge, 1 ½ inch needle

9090--degree angledegree angle 33--5 cc syringe5 cc syringe

Sites: dorsogluteal, ventrogluteal, vastusSites: dorsogluteal, ventrogluteal, vastus

lateralis,rectus femoris & deltoidlateralis,rectus femoris & deltoid







INTRADERMALINTRADERMAL


Commonly used for diagnostic purposes,Commonly used for diagnostic purposes,

usually for diagnosing allergies andusually for diagnosing allergies and

sensitivities and for administering tuberculinsensitivities and for administering tuberculintest.test.

1 ml or tuberculin syringe, gauge 251 ml or tuberculin syringe, gauge 25--27, ¼ inch27, ¼ inch

needle.needle. Intradermal means ³between the skin layers´Intradermal means ³between the skin layers´

1010--1515--degree angle.degree angle.



INTRAVENOUSINTRAVENOUS












































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Ad Minster Ing Injections