CPSS 9 Injections Exam Questions And 100% Correct Answers
Benefit of injection (vs. other routes)
1. If a drug is poorly absorbed
Or degraded by stomach acid or gastric enzymes
2. Need a rapid response (emergent situation)
3. When localized drug therapy is desired
Injection required PPE
Gloves
Name the 5 rights
Significance?
Right pt, drug, dose, route, time
Important to prevent medical errors
Injection - contraindications
Allergy
Impaired peripheral absorption (PVD)
Coagulopathy*
Lipodystrophy
Review layers of the skin (superficial → deep)
Epidermis
Dermis
SubQ
Muscle
INSERT
Degeneration/atrophy of subq fat d/t chronic SQ use - must alternate sites
, 3 injections
Intradermal (ID)
Subcutaneous (SC)
Intramuscular (IM)
Intradermal - explain, degree of angle, major site(s), indications
Most superficial - directly on top of dermis
Insert at 15 degrees - bevel up
Ventral surface of forearm
TB testing, allergy testing
Subcutaneous (SC) - describe, degree of angle, sites
Inject between the dermis and muscle
45 degrees
Dorsal aspect of the upper arm
Abdomen
Medial aspect of the thigh
Subcutaneous (SC) - advantages
For which medications
Poor absorption, extended action
Insulin, heparin, certain vaccines
Intramuscular (IM) - degree of angle, sites
90 degrees (perpendicular)
Dorsogluteal**
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