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Intradermal
1 ml syringe, 25-29 gauge, 1/2-5/8 needle, tuberulin syringe
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Subcutaneous
1-3 ml syringe, 25-31 gauge, 1/2-5/8 needle
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Intramuscular
3 ml syringe, 20-25 gauge, 5/8-3 needle,
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Intramuscular sites
Deltoid, ventrogluteal, dorsogluteal, vastus lateralis
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Intradermal sites
Inner forearm, upper back
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Subcutaneous sites
Abdomen, upper outer arms, upper outer thighs, upper back
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Intermuscular
deltoid needle
0.5 styinge, 23-25 gauge, 5/8-1" needle
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Ventrogluteal needle
1-5 ml syringe, 20-23 gauge, 1.5-2" needle
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Dorsogluteal needle
1-3 ml syringe, 20-23 gauge, 1.5-3" needle
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Vastus lateralis needle
1-3 ml syringe, 21-25 gauge, 5/8-1 1.5" needle
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Describe the deltoid site
Middle of deltoid muscle below the acromion process
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Describe the ventrogluteal site
Between the iliac crest and greater trochanter
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Describe the dorsogluteal muscle site
Between the posterior superior iliac spine and the greater trochanter
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Describe the vastus lateralis muscle site
Halfway between the greater trochanter and the vastus lateralis (middle third)
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Z track
3 ml syringe, at least 1.5" needle, 3" required for some meds
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Z track sites
Large muscle e.g. dorosgluteal, ventrogluteal
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Intradermal volume dose
Usually 0.1 ml
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Intradermal, aspirate?
No
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Intradermal, what meds?
TB and other skin tests
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Intradermal angle
5-15 degrees
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Subq, med volume
0.5-1 ml
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Which Subq meds do not get massaged?
Insulin, heparin
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Intramuscular volume in deltoid site
1 ml
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Intramuscular angle
90 degrees unless very thin
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Intramuscular aspirate?
Yes
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Intramuscular meds
Demerol, flu shots, vitamib b13
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- deltoid
- intramuscular
- 3 ml syringe
- needle: 20 - 25 gauge, 5/8" - 3"
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- dorsogluteal
- intramuscular
- 3 mL syringe
- Needle: 20 - 25 gauge, 5/8" - 3"
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- subqutaneous
- 1 - 3 mL syringe
- needle: 25 - 31 gauge, 1/2" - 5/8"
- aspirate expect insulin and heparin
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- intradermal
- 1 ml syringe
- needle: 25 - 29 gauge, 1/2" - 5/8"
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- vastus lateralis
- intermuscular
- 1 - 3 mL syringe
- needle: 21 - 25 gauge, 5/8" - 1.5"
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- ventro gluteal
- intramuscular
- 1 - 5 mL syringe
- needle: 20 - 30 guage, 1.5" - 2"
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