NUR 324 Lecture Notes - Lecture 3: Heparin, Greater Trochanter, Iliac Crest
1 Sep 2016
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Mixing insulin: avoid needle sticks, use safety devices, never recap, guidelines to follow for a smooth injection. Intradermal, sub q, and im injections in the adult: potter and perry text. Ventral (inner ) surface of forearm between dermis and epidermis, inject to about. Stretch in opposite direction of injection with non-dominant index finger. Bunch sub q tissue during injection or stretch between non-dominant thumb/ forefinger. Hold barrel with thumb/forefinger on top, bevel up. 45 o - 90 o as needed to inject into sub q tissue. If you can grasp 2 in. of tissue, use a 90 o angle. If you can grasp only 1 in. of tissue, use a 45 o angle. *always aspirate unless you are giving a vaccine. Intradermal forearm 3-4 finger breadths below antecubital fossa, hands-breadth above wrist. Sub q upper arm hands-breadth below acromium process, hands-breadth above antecubital fossa in posterior aspect of upper arm.
