This document provides information about intradermal injections, including the purpose, common sites, required equipment, and procedure. An intradermal injection deposits medication into the dermis just below the epidermis, allowing for long absorption. Common sites are the inner forearm, upper arm, back, and chest. The procedure involves preparing the medication, cleaning the injection site, inserting the needle at a 5-15 degree angle just under the skin, injecting the medication to form a wheal, and properly disposing of supplies. Potential complications include redness, tenderness, abscess, and keloid scarring.

1. INTRADERMAL INJECTION
Presented by: Ganga Tiwari
Bsc. Nsg 4th year, Teaching
Learning
TU, IOM, MNC, Kathmandu,

2. Contents
 Introduction of intradermal injection
 Purposes
 Common sites
 Article required
 Procedure
 Complications

3. Contents..
 Introduction of intravenous injection
 Purposes
 Types of intravenous administration
 Articles required
 Procedure for intravenous bolus
administration.

4. Intradermal injection
 The intradermal injections are
administered into the dermis, just
below epidermis.
 Intradermal routes has longest
absorption time of all parenteral route.

6. Intradermal injection.

7. Dose:
 Less than 0.5 ml
 Mantoux test 0.1 ml
 BCG 0.05 ml
Angle of injection:
 5 to 15 degrees.

9. Common sites
 Inner surface of the fore arm.
 Upper arm
 Upper back under the scapula.
 Upper chest just below the clavicle.

10. Common sites

11. Articles required:
 Medication tray containing
 cardex
 Medicine (ampule or vial)
 syringe( tuberculin syringe/ BCG
syringe) and needle(26-27 gauge)
 sprit swab
 Disposable gloves
 Kidney tray
 Ampule cutter or opener

12. Procedure
 Check the physician’s instructions and
identify the patient.
 Explain the procedure to the patient.
 Wash hands
 Arrange necessary articles. Check
medication against the cardex before
preparing the medication.
 Prepare the medication from ampule
or vial.

13. Procedure..
 Maintain privacy
 Position the patient comfortably and
locate the sites for intradermal
injection.
 Asses the area for any scars,
tenderness, tattoo , lesions, abscess
etc.
 Assemble the necessary articles at
patient’s bed site.
 Wear disposable gloves.

14. Procedure..
 Clean the site with spirit swab in a firm
circular motion (about 5 cm) and
moving outward from the injection site
 Allow skin to dry.
 In case of live vaccine (BCG Vaccine)
do not clean the area with spirit swab,
it may interfere with the viability of the
vaccine. So clean the area with
sterile water swab.

15. Procedure..
 Remove the cap with non-dominant
hand to spread skin taut over injection
site.
 Grasp the syringe in dominant hand
holding in between thumb and fore
finger.
 Place the needle almost against the
patient skin at 5 -15 degree angles
and insert the needle into the skin with
the bevel site up so that needle can be
seen through the skin.
 Insert 1/8 inch of the needle.

16. Procedure..
 Slowly inject the drug, watching for a
bleb / wheal or blister to develop. If not
present withdraw the needle slightly
and inject the medication.
 Withdraw needle quickly in the same
angle as it was inserted.
 Don’t massage.
 Don’t recap the needle.
 Discard the needle and syringe in
puncture proof container.

17. Procedure..
 Assist patient in comfortable position.
 Draw a circle using blue or black pen
in injection area.
 Remove gloves and dispose them
properly.
 Wash hands.
 Record and report the medication
administration.

18. Health teaching
 Do not massage or scratch the
injection site.
 Do not put anything on injection site
oil, soap, powder etc.
 Keep the area clean and dry.

19. Health teaching..
 Avoid putting bandage, lotions and
cream to the injection site.
• If water spills in the injection site it is
not harmful but do not wipe or scrub
the area.
• Inform patient about the reading of
mantoux and sensitivity test.

20. Complications
 Abscess
 Tenderness
 Itching
 Irritation
 Severe immediate allergic reactions.
 Redness
 Keloid scar formation in case of BCG
vaccination

21. Redness

22. Abscess

23. Keloid Scar

24. References
 Health learning material center. Institute of
medicine of medicine ,Tribhuwan
University.Fundamentals of nursing (
second edition reprint ,2010).
Kathmandu:Heidal Press ,Dillibazar.
 Basvanthappa,B.T.(2004). Fundamentals of
Nursing. New Delhi :Jaypee Brothers.
 Perry, A.G. and Potter, P.A. (2007).Basic
Nursing Essentials For Practice .(sixth
edition): Mosby
 Giri, M. and Sharma,P. (2013). Essential
Fundamental Of Nursing.(first
edition).Kathmandu: Medhavi Publication.

25. References
 Pathak ,S.and Devkota ,R.(2011).A
Textbook of Fundamentals of
Nursing.(second
edition).Kathmandu:Vidyarthi Prakashan.
 Taylor,C.R. and Lillis,C.(2008).
Fundamental of
Nursing.(Volume1):Lippincott William and
Willikins
 Skidmere ,L . Nursing Drug
Reference(2009): Mosby

26. THANK YOU!!