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Type of Injection Equipment Needed Depth and Anatomical Locations and Injection Nursing Considerations (needle gauge/length, syringe, alcohol swab, etc.) Angle Maximum Amounts Procedure/Method (i.e. concerns/side effects/issues when administering this type of injection) Intramuscular (IM) Intradermal (ID) Subcutaneous (SQ) - Heparin - Insulin 04.01.1

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Type of injection Equipment needed Depth and angle Anatomical locations Injection Procedure Nursing consideration.
IM

2 sterile needle,

Syringe 2 or 5ml

Spirit swab

Gloves

Sharp container

90° angle.

1- 1.5 inches depth.

Divide the buttocks in + shape, give injection in upper outer quaterent.

1. Find injection site.

2. Stretch the skin to make it tight.

3. Insert the needle in to 90° angle.

4. Aspirate the needle.

5. Give medication.

6. Massage it.

1. Explain the procedure get consent.

2. If the patient is getting frequent I'm injection, then rotate the site.

3. Follow all rights of medications.

4. Administration. of medications as per physician order.

ID

2 sterile needle

Spirit swab

Syringe

Gloves

Sharp container.

15° angle.

2-5 mm depth.

1. Inner surface of fore arm.

2. Upper back

3. Under scapula

1. Select appropriate site.

2. Check the physician order.

3. Explain procedure.

4. Deliver injection just below epidermis.

1. Explain procedure.

2. Get consent.

3. Select appropriate site.

4. Follow all rights.

5. Documentation.

Heparin

2 sterile needle

Syringe

Spirit cotton.

Gloves.

Sharp container.

45-90° angle.

2inch depth.

1. Upper arm

2. Abdomen

3. Thighs.

1. Select appropriate site.

2. Load injection

3. Clean skin with spirit.

4.administer medicine.

5. Don't massage.

1. Check physician order.

2. Get consent from patient.

3.Check RBS level frequently.

4. Get ready with meals.

4. Follow all rights.

5. Documentation.

Insulin.

Insulin strive with needle

Spirit cotton

Gloves

Sharp container

45-90° angle

2inch depth.

1. Abdomen.

1. Select appropriate site.

2. Check physician order.

3. Clean the site with spirit.

4. Administer drug with 45- 90 degree angle.

5. Documentation.

1. Explain procedure get consent.

2. Check doctors order.

3. Follow all rights.

4. Do not massage after injection.

5. Pt, inr ratio.

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