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1013b Injections

This document provides information on different types of injections including indications, procedures, reasons for use, safety checks, equipment, and techniques. It discusses intravenous, intramuscular, subcutaneous, and intradermal injections. For each type it describes absorption rate, suitable volumes, needle sizes, and common injection sites. Safety checks including verifying the six rights are also outlined. The document instructs on techniques for filling syringes from ampoules and bottles then concludes by announcing a practical skills station on injections.

Uploaded by

Zainescu Dan
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© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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529 views15 pages

1013b Injections

This document provides information on different types of injections including indications, procedures, reasons for use, safety checks, equipment, and techniques. It discusses intravenous, intramuscular, subcutaneous, and intradermal injections. For each type it describes absorption rate, suitable volumes, needle sizes, and common injection sites. Safety checks including verifying the six rights are also outlined. The document instructs on techniques for filling syringes from ampoules and bottles then concludes by announcing a practical skills station on injections.

Uploaded by

Zainescu Dan
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PPT, PDF, TXT or read online on Scribd
  • Injections Overview: Provides an introduction to various injection techniques relevant to medical practice, highlighting anatomical considerations.
  • References: Lists background information sources related to human anatomy, specifically skin and body membranes.
  • Terminal Learning Objectives: Outlines the main learning goals for understanding the indications and procedures for different drug administration routes.
  • Reasons for Injections: Discusses conditions under which injections may be required, such as rapid absorption needs and unconscious patients.
  • Checks Prior to Giving Injection: Details the six essential checks to ensure safe and correct injection administration including right person and right drug.
  • Equipment: Lists the medical equipment necessary for administering injections, including gloves, syringes, and correct drugs.
  • Techniques for Syringe Filling: Explains procedures for filling a syringe from ampoules and bottles, highlighting precautions and technique specifics.
  • Intra-Venous Injections: Highlights points on intra-venous injections, emphasizing speed of absorption and volume concerns.
  • Intra-Muscular Injections (I.M.): Discusses intra-muscular injection technique, detailing proper needle use and absorption aspects.
  • Sub-Cutaneous Injections (S.C.): Explores sub-cutaneous injection method focusing on slow absorption and limited injection volumes.
  • Intra-Dermal Injections: Covers intra-dermal injections technique intended for testing allergic reactions and other diagnostic purposes.
  • Conclusion and Questions: Provides an open forum for questions following the session, summarizing key points and clarifying doubts.
  • Practical Skill Station: Indicates a break before participants engage in a practical skill station to apply learned injection techniques.

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INJECTIONS

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REFERENCES
ESSENTIALS OF HUMAN ANATOMY & PHYSIOLOGY
BACKGROUND INFORMATION ON PAGES:
91 110 (SKIN AND BODY MEMBRANES)

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Terminal Learning Objectives


INDICATIONS & PROCEDURE for drugs administration
INTRA-VENOUS (I.V.)
INTRA-MUSCULAR (I.M.)
SUB-CUTANEOUS (S.C.)

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REASONS FOR INJECTIONS


WHEN MORE RAPID ABSORPTION IS REQUIRED
SEVERE DIARRHEA AND / OR VOMITING
ABDOMINAL WOUNDS
UNCONSCIOUS PATIENT

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CHECKS PRIOR TO GIVING INJECTION

SIX RIGHTS
1. RIGHT PERSON
2. RIGHT DRUG
3. RIGHT DOSE
4. RIGHT TIME
5. RIGHT ROUTE
6. RIGHT EXPIRATION DATE
(NOT EXPIRED)

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EQUIPMENT
GLOVES
ALCOHOL SWAB FOR DISINFECTIONS
SYRINGE
2 NEEDLES
CORRECT DRUG (AMPOULE, BOTTLE, VIAL, etc.)
NaCl 0.9% FOR EVENTUAL DILUTION

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TECHNIQUE TO FILL IN A SYRINGE


FROM AN AMPOULE
CHECK DRUGS AND EQUIPMENT ARE IN DATE
DRAW LIQUID FROM
AMPOULE INTO A SYRINGE

EXPEL AIR AND


BEAD OF THE DRUG

CHANGE THE NEEDLE

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TECHNIQUE TO FILL IN A SYRINGE


FROM A BOTTLE
CHECK DRUGS AND EQUIPMENT ARE IN DATE
LOAD THE SYRINGE WITH AIR (SAME AMOUNT OF
MILLILITERS YOU WANT TO DRAW)
REMOVE THE PLASTIC CAP FROM THE BOTTLE
INJECT AIR INTO THE BOTTLE THROUGH THE RUBBER
CAP
DRAW LIQUID FROM THE BOTTLE INTO THE SYRINGE
EXPEL AIR AND BEAD OF THE DRUG
CHANGE THE NEEDLE

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INTRA-VENOUS INJECTIONS
MOSTLY THROUGH EXISTING IV LINE
FASTEST ABSORPTION
LARGE AMOUNTS
SEVERAL DRUGS ARE NOT INJECTABLE

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INTRA-MUSCULAR INJECTIONS (I.M.)


LESS RAPIDLY ABSORBED THAN IV
POOR ABSORPTION WHEN IN SHOCK
90 ANGLE TO SURFACE
LONG HARD NEEDLE
20G X 1 1/2
23G X 1

DIRECTLY INTO THE MUSCLE

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10

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INTRA-MUSCULAR INJECTIONS (I.M.)


UPPER ARM: DELTOID MUSCLE

THIGH: OUTER SIDE


OF THE MIDDLE THIRD

BOTTOM: UPPER
OUTER QUADRANT

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SUB-CUTANEOUS INJECTIONS (S.C.)


SLOW & STEADY ABSORPTION INTO THE BLOOD
(LESS RAPIDLY ABSORBED THAN IM)
45 DEGREES ANGLE, UNDER THE SKIN INTO THE
SUBCUTANEOUS LAYER (FAT)
SMALL VOLUMES: MAX 2ml
SHORT NEEDLES 25G 5/8

SITE: UPPER OUTER ASPECT OF ARM, ABDOMEN


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INTRA-DERMAL INJECTIONS
SLOWEST ABSORPTION (STORAGE)
10 ANGLE, INTO THE SKIN, CAUSING A WHEAL
SMALLEST VOLUMES: 0.1ml
SHORT & THIN NEEDLES 30G
ALLERGIC REACTION TEST
SITE: FOREARM
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TAKE 5 BREAK AND AFTERWARDS

PRACTICAL SKILL STATION!

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