NRSE 2212 Med Admin checkoff

IM injection sites

deltoid, vastus lateralis, ventral glute

IM needle size (same for all sites)

21-25G; 1-1.5in up to 3in (depending on pt size)

IM angle/how to insert (same for all sites)

90 degree angle, z-track and aspirate

one type u don't z track and aspirate for=

vaccines

IM (deltoid site) acceptable volume

less than or equal to 2mL

IM (deltoid site) landmarks/how to find

3 fingers below acromion process (tell pt to relax)

IM (vastus lateralis site) acceptable volume

3-5mL (can have less)

IM (vastus lateralis site) landmarks/how to find, make a rectangle

one hand on greater trochanter (hip) and one on femoral chondyle

IM (ventral glute site) acceptable volume

3-5mL (can have less)

IM (ventral glute site) landmarks/how to find

hand on greater trochanter; thumb pointed toward front of pt; pointer to ASIS and middle to crest; inject in the triangle btwn pointer and middle

Sub Q injection sites

outer posterior aspect of the arm, abdomen, anterior aspect of thigh, scapular region, upper ventral dorsal glute (love handle)

Sub Q injection (all sites) volume

0.5-1.5mL

Sub Q injection (all sites) needle size

25-27G; 3/8-5/8 in

Sub Q injection insulin needle size (up to....is ok)

up tp 34G is ok if needed

Sub Q injection (all sites) angle/how to give

45-90 degrees (90 only for a more obese pt); pinch the skin

Sub Q injection (outer posterior aspect of arm) landmark/how to find

just the back of upper arm

Sub Q injection (abdomen) landmark/how to find

at least 2 inches from umbilicus

Sub Q injection (anterior aspect of thigh) landmark/how to find

front of thighs

Sub Q injection (scapular region) landmark/how to find

upper back

Sub Q injection (upper ventral-dorsal glute region) landmark/how to find

??

Intradermal (ID) injection sites

Inner forearm and upper back

Intradermal (ID) injection sites volume

0.01-0.1mL

Intradermal (ID) injection sites needle size

25-28G; 1/4-5/8 inch

Intradermal (ID) injection sites angle/how to give

5-15 degrees; pull skin tight, bevel up (only stick enough to cover bevel) and look for bleb