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3 Types Injections
- 1. Intramuscular
- 2. Subcutanious
- 3. Intradermal
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Intramuscular Injection
- 1. Three muscles (Deltoid, Gluteus, Vastus Lateralis)
- 2. Vastus Lateralis (used on peds, EpiPens)
- 3. Gluteus - 1 to 3cc (21gx1)
- 4. Deltoid - up to 1cc (23gx1)
- 5. Use at least 3cc syringe
- 6. 90deg angle always
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Subcutaneous Injection
- 1. Fatty layer beneath skin (adipose)
- 2. Back of arm
- 3. Lower abdomen
- 4. Lateral upper leg
- 5. 3cc syringe (25g x 5/8)
- 6. 45deg angle always
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Intradermal Injection
- 1. Anterior forearm 4" above wrist, 4" below elbow
- 2. .1cc (27g x 1/2)
- 3. 1cc syringe
- 4. Create wheel in skin
- 5. Upper back used for allergies
- 6. 10-15deg angle always
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Syringe Parts
- 1. Plunger
- 2. Rubber Stopper
- 3. Flange
- 4. Barrel
- 5. Lock / Plain Tip
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Needle Parts
- 1. Hub
- 2. Hilt
- 3. Shaft
- 4. Lumen (guage)
- 5. Point
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Ampule
- One dose, sealed glass container
- No need to inject air
- Flick point end to drop med in main body
- Hold gauze at middle and snap top off
- Draw up meds with filter needle
- Remove/discard filter needle
- Replace with propper needle and inject
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Vial
- Swab vial top with alcohol every time
- Inject air equal to med required in vial
- Draw med at eye level
- Remove air bubbles
- Administer meds
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PPD
- TB Test
- 4" above wrist and 4" below anticubical space
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