DEMONSTRATION

ADMINISTRATION OF
SUBCUTANEOUS
INJECTION

Submitted to: Submitted by:

Mrs. P. Amudhavalli M. Madhiyazhagi
Professor B.Sc (Nursing) 2nd Year
Sri Lakshmi Narayana Sri Lakshmi Narayana
College of Nursing. College of Nursing
Puducherry.
Submitted on:

1
Name of the Student : M. MADHIYAZHAGI

Designation : Student

COURSE : B.SC NURSING 2ND YEAR

SUBJECT : DEMONSTRATION

TOPIC/UNIT : ADMINISTRATION OF SUBCUTANEOUS

INJECTION

METHODS OF TEACHIN : LECTURE CUM DISCUSSION

A.V. AIDS :

DATE :

NAME OF THE TEACHER/EVALUATOR :

2
GENERAL OBJECTIVES:
At the end of the class all student will be able to develop their knowledge on Administration of
Subcutaneous Injection and develop desirable skill & attitude and the indication, contraindication
advantages and disadvantages of subcutaneous injection.

Specific Objectives:-
• definition of subcutaneous injection.
• list out the types of syringe
• identify the sites of subcutaneous injection.
• rule out the indication & contraindication of subcutaneous
injection.
• list out the equipment needed for subcutaneous injection.
• describe the procedure
• mention the essentials step for subcutaneous injection.
• list out the side effects of subcutaneous injection.
• mention the complication
• list out the advantages & disadvantage of subcutaneous injection.

3
 TEACHER
SPECIFIC
TIME CONTENT LEANER A.V. AIDS EVALUATION
OBJECTIVES
ACTIVITY
INTRODUCTION:

The administration of subcutaneous

injection is an important part of drug
administration and a common nursing
intervention in clinical practice.
definition of Among the different drug injection
subcutaneous methods, subcutaneous injection is
injection the one which is applied to the safety
layer of subcutaneous issues just
beneath the skin.

subcutaneous injection is
administered into the safety layer of
skin directly below the dermis and
epidermis subcutaneous injection are
highly effective in administering
injections/vaccines such as insulin,
measles, mumps, rubella &
medications such as morphine, di-
acctyle morphine and geserelin.

4
 TEACHER
SPECIFIC
TIME CONTENT LEANER A.V. AIDS EVALUATION
OBJECTIVES
ACTIVITY

Syringe for subcutaneous injection

1. INSULIN SYRINGE:-
This helps maximum of 1 ml of
medicine. The Syringe has markings
from 1o to 100. The Marking at 100 is
the same as 1 ml.

list out the types

of syringe 2. TUBERCULIN SYRINGE:-
This syringe hold up to 1 ml of
medicine. It has a needs that is slightly
longer than or insulin syringe. The
syringe is marked every 0.1 ml.

• Abdomen: At or under the level of

the belly bottom, about 2 inches
away from the ravel.

5
 TEACHER
SPECIFIC
TIME CONTENT LEANER A.V. AIDS EVALUATION
OBJECTIVES
ACTIVITY
• Arm: Back or side of the upper
arm.

• Thigh: Front of the thigh.

• Buttocks: Imagine a line that runs

rule out the across the back just above the
indication and crack between the buttocks. An
contraindication injection may be given below the
of subcutaneous waist and above this line.
injection.
Indication:-
• Server dysphasia/swallowing
difficulties
• Mouth, throat and Oesophageal
lesions
• Intestinal obstruction
• Profound weakness

6
 TEACHER
SPECIFIC
TIME CONTENT LEANER A.V. AIDS EVALUATION
OBJECTIVES
ACTIVITY
• Poor absorption of oral drugs
• unacceptable number of oral
medications
• Unconscious patient
Contraindication:-
• Emergency cases
• Malnourished
• Burns
• Open wounds
• Large volume of drugs

list out the

• Syringe appropriate for the
equipment
medication being given
needed for
• needle (3/8 or 5/8 inch)
subcutaneous
• Alcohol Pad
injection.

7
 TEACHER
SPECIFIC
TIME CONTENT LEANER A.V. AIDS EVALUATION
OBJECTIVES
ACTIVITY
• Medication ampoule or vial
• disposable gloves
• kidney tray
• one sterile gauze or cotton piece
• one tray

Subcutaneous injections are inserted

at 45o to 90o degree angles, depending
describe the on amount of subcutaneous tissue
precaution for present and length of needle.
subcutaneous
injection • Do not aspirate it is not necessary
to aspirate because the epidermis
and demise is relatively without
vessels.

• Review lab values and assessment

date prior to injection

8
 TEACHER
SPECIFIC
TIME CONTENT LEANER A.V. AIDS EVALUATION
OBJECTIVES
ACTIVITY

• Avoid sites that are bruised,

tender, hard or swollen

• Be careful when preparing and

administering high alert
medications

describe the • Wash hands to minimize list of

Procedure injection to the patient
• Clean gloves
• Check the patient's identification
• Position patient either sitting or
being down
• Check the drug, formulation,
indication, Route, Volume and side
effects.

9
 TEACHER
SPECIFIC
TIME CONTENT LEANER A.V. AIDS EVALUATION
OBJECTIVES
ACTIVITY

• Assess the skin and the patient's

condition
• Prepare the patient
• Clean the area with the an alcohol
pad in a spiral motion, clean,
outward 3 inches
• Assist the client into a comfortable
position
• Relax the arm, leg or abdomen
• Distract client by taking about an
interesting subject or explaining
what we are doing step by step.
• Injection administration procedure

10
 TEACHER
SPECIFIC
TIME CONTENT LEANER A.V. AIDS EVALUATION
OBJECTIVES
ACTIVITY

• Consider rotation of injection sites

and assess there that are
repeatedly used for injection

• Hold the syringe between thumb

and forefinger of dominant hand
like a dart

• Pinch skin with non-dominant

hand
• Inject needle quickly and firmly at
45o degree to 90o

• Ensure the fold of skin is injured

into released only when the
needle is removed

• Wait at least 10 second before

withdrawing the needle

11
 TEACHER
SPECIFIC
TIME CONTENT LEANER A.V. AIDS EVALUATION
OBJECTIVES
ACTIVITY

• Do not massage or rub the site

afterwards unless otherwise
indicated
• Re- assess for the therapeutic
effects and-or any side effects
• Assist the client to a comfortable
position
• Discard the uncapped needle and
syringe in a disposable needle
receptacle
• Remove glow : Wash hands
document accurately and
appropriately

mention the Check for administration rights:

essential step for • Right Route
subcutaneous • Right drug / Medication
injection

12
 TEACHER
SPECIFIC
TIME CONTENT LEANER A.V. AIDS EVALUATION
OBJECTIVES
ACTIVITY

• Right client / patient

• Right dose
• Right time
• Right assessment
• Right approach
• Right education
• Right prescription
• Right nurse dinician
• Right principal of care
• Right evaluation
• Right documentation

list out the side

• Anxiety, irritability or mood
effects of
changes
subcutaneous
injection

13
 TEACHER
SPECIFIC
TIME CONTENT LEANER A.V. AIDS EVALUATION
OBJECTIVES
ACTIVITY

• Difficulty with breathing or

swallowing
• Headache
• Skin itching, rash, or redness
• Swelling of the face, throat or
tongue
• Unusual tiredness or weakness

• Secure pain
Mention the • redness
complication • swelling or braising
• Skin invitation
• Thrombus formation
• Pulmonary embolism
• Allergic reaction
• Restlessness
• Tenderness

14
 TEACHER
SPECIFIC
TIME CONTENT LEANER A.V. AIDS EVALUATION
OBJECTIVES
ACTIVITY

• May be experience screens or

bleeding

list out the Advantages:-

advantages and • Safe and easy route
disadvantages of • Slow and sustained absorption
subcutaneous • Self medication is possible
injection. • Prolonged duration of action
• Foul swelling
• Irritating drugs can be given
•
Disadvantages:-
• Painful
• Skin pigmentation
• Hypersensitivity reaction may
occurs
• Large volume of drug cannot
be given
• Discolouration of skin may
occur
• Irritation, injection, tissue
necrosis to the site of injection
may cares

15
CONCLUSIONS:-

The subcutaneous injection technique requires skill, knowledge and a good

understanding of the indications for the injection. Rotation of sites is therefore
recommended to avoid irritation. Scarring of tissue and pain.

References:-

1. Dr. Md. Mokbul Hossain MBBS . M Phil (Pharmacology) A - Handbook of

easy Pharmacology

2. Hunter J (2008) Subcutaneous injection technique nursing standard 22, 21,

41, 44

3. Sherri Ogston - Tuck

16