ADMINISTERING AN INTRADERMAL, SUBCUTANEOUS AND INTRAMUSCULAR INJECTIONS

Rosella Marie M. Ocampo, RN

such as for tuberculin testing (screening test for tuberculosis referred to as a tine test) and allergy testing (placing very small amounts of the suspected antigen or allergen in a solution under the skin) .Intradermal Injections ‡Given to a patient in which the goal is to empty the contents of the syringe between the layers of the skin ‡Small thin needle of 25 or 27 gauge and 3/8 to 3/4 inch (1-2 cm) ‡Diagnostic measure.

the patient is unable to take the drug orally.Subcutaneous Injection ‡Up to 2 ml of a drug solution can be injected directly beneath the skin ‡drug becomes effective within 20 minutes ‡the method used to administer drugs when a small amount of fluid is to be injected. or the drug is destroyed by intestinal secretions .

In this Way. and muscle tissue can often hold a larger volume of fluid without discomfort ‡Absorbed less rapidly and takes effect more slowly that medication that is injected intravenously ‡Are given directly into the central area of selected muscles . the blood vessels supplying that muscle distribute the injected medication via the cardiovascular system.Intramuscular Injection ‡An injection given directly into the central area of a specific muscle. ‡Offers a faster rate of absorption than the subcutaneous route.

withdraw medication from ampule or vial. Allow skin to dry. . Don disposable gloves. ‡Cleanse the area with an alcohol swab by wiping with a firm circular motion and moving outward from the injection site.STEPS INTRADERMAL INJECTION ‡Assemble equipment and check physicians order. Upper chest or upper back beneath the scapulae also are sites for intradermal injections. ‡If necessary. ‡Select area on inner aspect of forearm that is not heavily pigmented or covered with hair. If skin is oily. ‡Perform hygiene. clean area with pledget moistened with acetone. ‡Explain procedure to patient.

‡Withdraw needle quickly at the same angle it was inserted. Insert needle into skin so that point of needle can be seen through skin. If none appears. withdraw needle slightly. ‡Remove needle cap with nondominant hand by pulling it straight off. ‡Place needle almost flat against patient¶s skin. . Insert needle only about ? inch.INTRADERMAL INJECTION ‡Use nondominant hand to spread skin taut over injection site. bevel side up. ‡Slowly inject agent while watching for a small wheal or blister to appear.

to 72periods. . ‡Chart administration of medication. ‡Do not recap used needle. ‡Observe the area for sign of reaction at ordered intervals. usually at 24. Discard needle and syringe in the appropriate receptacle.INTRADERMAL INJECTION ‡Do not massage area after removing needle. Perform hand hygiene. ‡Assist patient into a position of comfort. Inform the patient of this inspection. ‡Remove gloves and dispose of them properly.

. Hold the syringe with your writing hand and pull the cover off with your other hand. ‡Take the cover off the needle. ‡Wipe the area where you plan to give the shot.Subcutaneous Injection ‡Subcutaneous shots can be given straight in at a 90 degree angle (2 inches of skin). like taking a cap off a pen. or at a 45 degree angle (1 inch of skin). Let the area dry. ‡Open the foil covering the first alcohol wipe.

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