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Intradermal Injection Techniques Guide

Intradermal injections are administered into the dermal layer of the skin at a 10-15 degree angle. Only a very small dose of less than 0.5ml is used, usually 0.01-0.1ml. It is used for tuberculosis and allergy testing. The needle is inserted slowly and a small bleb should form under the skin to indicate proper administration in the dermal layer. The client must be observed closely following an intradermal injection as a severe allergic reaction can occur.

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652 views13 pages

Intradermal Injection Techniques Guide

Intradermal injections are administered into the dermal layer of the skin at a 10-15 degree angle. Only a very small dose of less than 0.5ml is used, usually 0.01-0.1ml. It is used for tuberculosis and allergy testing. The needle is inserted slowly and a small bleb should form under the skin to indicate proper administration in the dermal layer. The client must be observed closely following an intradermal injection as a severe allergic reaction can occur.

Uploaded by

Annie Priscilla
Copyright
© Attribution Non-Commercial (BY-NC)
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

Introduction to Injections

Administer and Monitor Medication in the Work Environment Topic 8 Intradermal

Intradermal Injection
Administered usually into the forearm.
Other sites include the upper chest, the upper arm, and shoulder blades. - given into the dermal layer of the skin, just under the epidermis. - Injected at about a 10 150 angle.

Intradermal Injection
- Only a very small dose can be given <
0.5ml, usually 0.01 0.1ml. - Used for TB & allergy testing. - As there is a reduced blood supply, drug absorption can occur slowly.

Subcutaneous Injection
Administration sites include: abdomen,
anterior thigh, and the fat pad over the deltoid muscle in the upper arm - given under the skin into the loose fat & connective tissue - Absorption of drug is via the capillaries ... slower acting than IM or IV - slow, steady absorption

Injection Routes
Subcutaneous - should never be given into scar tissue, a
lesion or over a bony prominence - As subcutaneous tissues contain pain receptors, only a small volume < 2ml should be given - Unsuitable for any drug that may be irritating to the tissues

Injection Routes
Intramuscular - given into the muscle
tissue below the fatty subcutaneous layer - Rich blood supply ... readily absorbed into the bloodstream - Suitable for drugs that are soluble, non irritant to soft tissue & require quick absorption

Injection Routes
Intramuscular - Up to 4ml can be injected without causing
undue discomfort - Solution can be more viscous than that given by SC route permits thicker, oil based compounds

Administering injections
Intradermal - these medications are very potent
requiring very slow absorption - Only very small amounts can be administered 0.01 0.1ml - The needle is inserted at an angle of 10 15 0 to the skin - a small bleb should appear on the surface of the skin

Administering injections
Intradermal - if a bleb doesnt appear, most likely the
medication has entered the sc tissue & any results from the skin testing will be invalid - The inner forearm & upper back are the most common sites used

Administering injections
Intradermal

What equipment do you need?

Procedure
Intradermal injection - perform the standard
protocol for beginning the procedure - Select injection site & clean skin with an alcohol swab; allow to dry - Expel any air from the syringe - Pull the skin taught & insert the needle into the skin approximately 3mm at a 10 150 angle, bevel face upwards

Procedure
Intradermal - do not aspirate but inject slowly it should
produce a small bleb under the skin - Withdraw the needle smoothly & wipe the injection site - Do not massage may disperse medication into sc layer - Complete the standard protocol for the completion of a procedure

Things to consider
Client must be observed closely as they
may have a severe anaphylactic reaction if a test allergen is being injected The site chosen should be free of lesions & only lightly pigmented enables clear inspection & assessment of any changes from the injection

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