Term
| What is the recommended IM injection site for children ages birth to 12 months? |
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Definition
| Anterolateral thigh muscle |
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Term
| What is the recommended IM injection site for children ages 12 mos. to 10 years? |
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Definition
| Thickest portion of deltoid muscle-above the level of the axilla, and below the acromion. Also, the anterolateral thigh may be used. |
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Term
| What is the recommended IM injection site for persons ages 11 years and older? |
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Definition
| Thickest portion of the deltoid muscle-above the level of the axilla and below the acromion. |
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Term
| What is the recommended IM needle gauge for children ages birth to 12 months? |
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Definition
| 5/8'' for newborns, 1'' for older infants, and 22-25 gauge for closer to 12 months. |
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Term
| What are the guidelines for choosing a 5/8" IM needle for a child? |
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Definition
| This needle can be used if the skin is stretched tight and the subcutaneous tissue is not bunched. |
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Term
| What is the guideline for using a 5/8" needle for IM in the deltoid muscle of a child age 12 mos or older and adults? |
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Definition
| They must weight less than 130 lbs. |
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Term
| What angle must an IM needle be inserted? |
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Definition
| 90 degrees, and with a quick thrust. |
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Term
| When must you aspirate when giving an IM injection? |
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Definition
| It is not necessary to aspirate before administering and IM injection. |
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Term
| What is the protocol for giving multiple IM injections? |
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Definition
| Those given in the same extremity should be separated by a minimum of 1" if possible. |
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Term
| Which vaccines should be administered via SQ route? |
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Definition
| MMR, Varicella, Meningococcal polysaccharide (MPSV), and zoster (shingles). |
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Term
| Which two vaccines may be administered IM or SQ? |
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Definition
| IPV (inactivated polio) and PPV (pneumococcal polycaccharide (PPV). |
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Term
| What is the recommended site of injection for children age birth to 12 months for SQ injections? |
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Definition
| The fatty tissue over the anterolateral thigh. |
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Term
| What is the recommended site of SQ injection for those age 12 mos. and older? |
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Definition
| The fatty tissue over the triceps. |
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Term
| How does the nurse insure the needle is not inserted into the muscle when giving a SQ injection? |
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Definition
| By pinching the SQ tissue to prevent injection into the muscle. |
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Term
| At what angle should a SQ injection be given? |
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Definition
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Term
| When should aspiration be done during a SQ injection? |
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Definition
| It is not necessary to aspirate. |
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Term
| What is the rule regarding multiple SQ injections? |
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Definition
| They should be separated by a minimum of 1". |
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Term
| How many cubic centimeters are in an ounce? |
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Definition
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Term
| How many cubic centimeters are in a tablespoon? |
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Definition
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Term
| How is the injection site properly located when giving an IM injection in the ventrogluteal site? |
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Definition
| The palm is placed on the greater trochanter, and the index finger is situated toward the anterior, superior iliac spine, with the middle finger on the iliac crest. Give the injection between the knuckles of the index and middle fingers in a dart-like motion. |
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Term
| How is the proper spot for an IM injection in the vastus lateralus found? |
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Definition
| Divide the thigh into thirds and give the injection in the upper outer middle 3rd. |
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Term
| What is the maximum amount of fluid that can be injected into the deltoid muscle? |
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Definition
| 1ml. Make sure the acromion process is palpated. |
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Term
| How much fluid can be injected into the dorsogluteal area? |
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Definition
| less than or equal to 4ml. |
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Term
| What is a site that we learned about that must be aspirated in IM injections? |
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Definition
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Term
| What gauge needle should be used when giving an IM injection in the dorsogluteal muscle? |
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Definition
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Term
| What are the 5 areas best suited for SQ injections? |
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Definition
| Upper arms, abdomen, thigh, upper back, and upperventral or dorsogluteal muscle. |
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Term
| What volume is recommended for ID injections? |
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Definition
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Term
| What are the recommended sites for ID injections? |
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Definition
| Inner surface of the arm and on the back, under the scapula. |
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Term
| What is the recommended angle of insertion for ID injections? |
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Definition
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Term
| What size needle is used for ID injections? |
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Definition
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Term
| Which type of injection is used for administering irritating drugs such as antibiotics, hormones, and vaccines? |
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Definition
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Term
| Which injection type is used to administer heparin and certain immunizations? |
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Definition
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