Injectable Medication Administration Flashcards

Flashcards covering landmarks, needle specifications, and maximum volumes for injectable medication administration across different age groups and injection sites.

Vastus lateralis landmarks

The head of the greater trochanter and the knee.

Vastus lateralis insertion site

The middle third of the muscle in the anterolateral aspect of the leg.

Vastus lateralis superior boundary

At least one hand width below the greater trochanter.

Vastus lateralis inferior boundary

One hand width above the knee.

Ventrogluteal landmarks

The head of the greater trochanter and the anterior superior iliac spine.

Ventrogluteal hand placement (palm)

Placed on the head of the greater trochanter.

Ventrogluteal thumb positioning

Pointing toward the client's abdomen.

Ventrogluteal index finger placement

Extended up to the anterior superior iliac spine.

Ventrogluteal finger spread

Spread back along the iliac crest.

Ventrogluteal needle insertion point

The V formed between the index and third fingers.

Needle selection determinants

The site used, age and size of the client, and medication to administer.

Max volume protocol

If total volume exceeds the maximum recommended for a site, split the injection into two or more smaller injections at different sites.

Deltoid adult maximum volume

Up to $2\,mL$ of medication.

Deltoid needle length (average adult/adolescent)

$1\,inch$ to $\frac{1}{2}\,inch$ needle.

Deltoid infant/toddler restriction

Do not use the deltoid site for infants and toddlers younger than $3$ years.

Deltoid needle length (preschoolers/older children)

$12-$ to $1\,inch$ needle.

Vastus lateralis adult maximum volume

Up to $3\,mL$ of medication.

Vastus lateralis needle gauge (oil-based/viscous, adult)

$18$ to $25$ gauge.

Vastus lateralis needle length (oil-based/weighted, adult)

$5-$ to $1\,inch$ needle.

Vastus lateralis needle gauge (aqueous, adult)

$22$ to $27$ gauge.

Vastus lateralis needle length (aqueous, adult)

$5-$ to $1\,inch$ needle.

Vastus lateralis infant volume (limit)

Up to $1\,mL$.

Vastus lateralis infant needle length (standard)

$1\,inch$ needle.

Vastus lateralis small infant volume (limit)

Up to $0.5\,mL$.

Vastus lateralis small infant needle length

$5\,inch$ needle.

Vastus lateralis infant status

One of the preferred sites for infants.

Vastus lateralis infant needle length (Correction)

$12-$ to $1\,inch$.

Vastus lateralis infant/toddler gauge (Correction)

$21$ to $25\,gauge$.

Vastus lateralis toddler maximum volume

Up to $2\,mL$.

Vastus lateralis toddler needle length

$1\,inch$.

Vastus lateralis children 3+ volume limit

Up to $2$ to $3\,mL$.

Vastus lateralis children 3+ needle length

$12-$ to $1\,inch$.

Vastus lateralis adolescent maximum volume (Correction)

Up to $2\,mL$.

Vastus lateralis adolescent needle length (Correction)

$1-$ to $12\,inch$.

Vastus lateralis solution preference

Preferred site for administering irritating or oily solutions to clients of any age.

Intramuscular needle change protocol

If a needle was used to draw up medication, change it to a clean, dry needle for injection.

Reason for IM needle change

To prevent tissue irritation or damage.

VENTROGUTEAL adult maximum volume

Up to $3\,mL$ of medication.

VENTROGUTEAL adult oil-based gauge

$18$ to $25$ gauge.

VENTROGUTEAL adult needle length

$1\frac{1}{2}-inch$ needle.