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INJECTIONS

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REFERENCES
ESSENTIALS OF HUMAN ANATOMY & PHYSIOLOGY
BACKGROUND INFORMATION ON PAGES:
91 110 (SKIN AND BODY MEMBRANES)

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Terminal Learning Objectives

INDICATIONS & PROCEDURE for drugs administration
INTRA-VENOUS (I.V.)
INTRA-MUSCULAR (I.M.)
SUB-CUTANEOUS (S.C.)

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REASONS FOR INJECTIONS

WHEN MORE RAPID ABSORPTION IS REQUIRED
SEVERE DIARRHEA AND / OR VOMITING
ABDOMINAL WOUNDS
UNCONSCIOUS PATIENT

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CHECKS PRIOR TO GIVING INJECTION

SIX RIGHTS
1. RIGHT PERSON
2. RIGHT DRUG
3. RIGHT DOSE
4. RIGHT TIME
5. RIGHT ROUTE
6. RIGHT EXPIRATION DATE
(NOT EXPIRED)

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EQUIPMENT
GLOVES
ALCOHOL SWAB FOR DISINFECTIONS
SYRINGE
2 NEEDLES
CORRECT DRUG (AMPOULE, BOTTLE, VIAL, etc.)
NaCl 0.9% FOR EVENTUAL DILUTION

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TECHNIQUE TO FILL IN A SYRINGE

FROM AN AMPOULE
CHECK DRUGS AND EQUIPMENT ARE IN DATE
DRAW LIQUID FROM
AMPOULE INTO A SYRINGE

EXPEL AIR AND

BEAD OF THE DRUG

CHANGE THE NEEDLE

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TECHNIQUE TO FILL IN A SYRINGE

FROM A BOTTLE
CHECK DRUGS AND EQUIPMENT ARE IN DATE
LOAD THE SYRINGE WITH AIR (SAME AMOUNT OF
MILLILITERS YOU WANT TO DRAW)
REMOVE THE PLASTIC CAP FROM THE BOTTLE
INJECT AIR INTO THE BOTTLE THROUGH THE RUBBER
CAP
DRAW LIQUID FROM THE BOTTLE INTO THE SYRINGE
EXPEL AIR AND BEAD OF THE DRUG
CHANGE THE NEEDLE

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INTRA-VENOUS INJECTIONS
MOSTLY THROUGH EXISTING IV LINE
FASTEST ABSORPTION
LARGE AMOUNTS
SEVERAL DRUGS ARE NOT INJECTABLE

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INTRA-MUSCULAR INJECTIONS (I.M.)

LESS RAPIDLY ABSORBED THAN IV
POOR ABSORPTION WHEN IN SHOCK
90 ANGLE TO SURFACE
LONG HARD NEEDLE
20G X 1 1/2
23G X 1

DIRECTLY INTO THE MUSCLE

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INTRA-MUSCULAR INJECTIONS (I.M.)

UPPER ARM: DELTOID MUSCLE

THIGH: OUTER SIDE

OF THE MIDDLE THIRD

BOTTOM: UPPER
OUTER QUADRANT

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SUB-CUTANEOUS INJECTIONS (S.C.)

SLOW & STEADY ABSORPTION INTO THE BLOOD
(LESS RAPIDLY ABSORBED THAN IM)
45 DEGREES ANGLE, UNDER THE SKIN INTO THE
SUBCUTANEOUS LAYER (FAT)
SMALL VOLUMES: MAX 2ml
SHORT NEEDLES 25G 5/8

SITE: UPPER OUTER ASPECT OF ARM, ABDOMEN

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INTRA-DERMAL INJECTIONS
SLOWEST ABSORPTION (STORAGE)
10 ANGLE, INTO THE SKIN, CAUSING A WHEAL
SMALLEST VOLUMES: 0.1ml
SHORT & THIN NEEDLES 30G
ALLERGIC REACTION TEST
SITE: FOREARM
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TAKE 5 BREAK AND AFTERWARDS

PRACTICAL SKILL STATION!

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