Gauge and needle size depend on amount of solution, muscle to be used, condition of patient
Ampule – Glass, unit dose, draw up using filter needle then change to injection needle, do not inject air into ampule
Vial – Rubber seal, unit or multiple dose, clean top prior to withdrawing medication, inject air into vial equal to the amount to be withdrawn
Reconstitution – adding of sterile water or sterile normal saline
Mixing Medications – if compatible
Use if volume is 0.5 - 1 cc, but not more than 1 ml. Use a 23 -25 gauge, 1 inch needle.
Client may be positioned sitting, standing, supine, or prone.
Locate site by measuring 2–3 fingerbreadths below the acromion process on the lateral midline of the arm.
Use if volume is 1 - 3 cc, but less than 4 cc. Use a 20 - 23 gauge, 1-1/2 inch needle.
Position client in side-lying or supine position, with knee flexed on injection side,
Locate site by palpating the posterior iliac spine where the spine and pelvis meet. Imagine a line from the posterior iliac spine to the greater trochanter. Administer medication above imaginary line at midpoint.
Use if volume is 1 - 3 cc. Use a 20 - 23 gauge, 1-1/2 inch needle
This is the preferred site for adults
Position client in supine, prone, lateral position.
Locate site by placing the hand with heel on the greater trochanter and thumb toward umbilicus. Point to the anterior iliac spine with the index finger (forming a "V"). Injection of medication is given within the "V" area.
Use 22–25 gauge, 5/8–1 inch needle.
Position client in supine or sitting position.
Locate by identifying the greater trochanter and lateral femoral condyle. Injection site is the middle third and anterior lateral aspect of the thigh.
Subcutaneous(SQ) – Ex. Insulin
#25 gauge, 3/8 or 5/8-inch needle, 2ml syring, inserted at either a 45 degree or 90 degree angle.
Site: Abdomen, upper arm, thigh
Sites rotated to avoid tissue damage, aid absorption
Intradermal (ID) – Ex. TB
#25-#27guage needle, ¼ to 5/8 inch needle; insert at a 5 to 15 degree angle, bevel up
Medication forms a bleb under the epidermis (small wheal on the skin)
Site: inner lower arm, the upper chest, & the back beneath the scapulae
Figure 33-35 Mixing two types of insulin
Enter directly into blood stream –rapid effect
Large Volume – 500-1,000 ml
Intermittent – piggy back
IV push (IVP) – verify rate of infusion
Assess IV site, redness, swelling, s/s infection,
Verify IV patency prior to administering IV medications
All IV fluids must be labeled
Infection – (catheter related) – sepsis
Air embolism – introduction of air during administration