INTRADERMAL INJECTION - ROUTE OF DRUG ADMINISTRATION

1. INJECTION

2. DEFINITION-
INTRADERMAL INJECTION IS
THE INJECTION OF THE
SUBSTANCE INTO THE
DERMIS OR LAYER OF SKIN
JUST BELOW THE
EPIDERMIS.

3. INDICATION -
 -IDENTIFY SKIN ALLERGY TO ANY DRUGS.
 -TUBERCULIN SKIN TEST.
 -XYLOCAINE SENSITIVITY TEST.
 –ADMINISTRATION OF LOCAL ANESTHESIA .
 -TESTING ANTIBODY FORMATION

4. SITES -
 ANTERIOR ASPECT OF FOREARM .
 UPPER CHEST .
 UPPER BACK

5. EXAMPLES OF ID INJECTION-
 TUERCULIN INJECTION.
 ALLERGY SENSITIVITY TEST.
 LOCAL ANESTHESIA.
 BCG VACCINE

6. EQUIPMENTS-
 TUBERCULIN SYRINGE 1 ML.
 NEEDLE 25-27 GAUZE. ]
 ANTISEPTIC OR ALCOHOL SWAB
 MEDICATION CARD OR MRDICATION
ADMINISTRATION RECORD
 DISPOSABLE GLOVES.
 MEDICATION AMPULE OR VIAL

7. PROCEDURE-
 1-GATHER ALL THE EQUIPMENTS NEEDED AND
CHECK THE PHYSICIAN ORDER.
 2-EXPLAIN THE PROCEDURE TO THE PATIENT.
 3-WASH HANDS AND DON THE GLOVES.
 4-PREPARE THE MEDICATION IN THE NURSES
STATION AND DISCARD ALL THE UNWANTED
EQUIPMENTS ACCORDING TO THE BMW.
 5-POSITION THE CLIENT AND SELECT THE
APPROPRIATE SITE FOR THE INJECTION.
 6-CLEANSE THE SITE WITH THE ALCOHOL SWAB IN
CIRCULAR MOTION I.E FROM INNER TO OUTER
ASPECT.

8. CONTINUE….
7-REMOVE THE NEEDLE CAP WITH NON-
DOMINANT HAND BY PULLING STRAIGHT
AWAY.
8-NOW SPREAD THE SKIN TAUT AND PLACE THE
NEEDLE ALMOST FLAT AGAINST PATIENTS SKIN.
9-INSERT 1/8 INCH BEVEL UP SO THAT NEEDLE
CAN BE SEEN THROUGH THE SKIN
10-SLOWLY INJECT THE DRUG WATCHING FOR A
BLEB TO DEVELOP.
11-WITHDRAW THE NEEDLE FROM THE SAME
ANGLE AS IT WAS INSERTED.

9. CONTINUE….
 12-DO NOT RECAP THE NEEDLE. DISCARD
SYRINGE AND NEEDLE INTO APPROPRIATE BAG.
DO NOT MASSAGE THE SITE
 13-REMOVE THE GLOVES AND DO WASH THE
HANDS.
 14-PERFORM DOCUMENTATION.
 15-DRAW CIRCLE USING PEN AROUND THE
INJECTION SITE. WRITE THE DATE AND TIME OF
MEDICATION ADMINISTRATION.

10. GOLDEN RULES
 ANGLE 10-15 DEGREE
 NEEDLE GAUZE-26-27G
 SPREAD THE SKIN [TAUT]
 DO NOT RUB OR MASSAGE THE SITE AFTER
MEDICATION ADMINISTRATION.
 WATCH FOR BLEB OR INDURATION.
 BEVEL SHOULD FACE UPWARDS.

11. THANK YOU….