SOLUTIONS TO EXERCISES. LESSON 2
When fairly rapid and long-lasting dosage of medication is required. 5 ml.
Ask patient about allergies. Provide privacy. Explain procedures.
Buttocks, lateral thigh, upper arm. (para 2-3i)
Draw an imaginary line across the buttocks from hip bone to hip bone. Divide
each buttock in half with an imaginary vertical line. Select the upper outer
quadrant. (para 2-3i(1)(b))
Not over 1-1/2 inches, usually 1-1/4 inches. (para 2-3i(1)(e))
Lying face down, toes together, and heels apart. (para 2-3i (1)(g))
Hold the barrel of syringe firmly between the thumb and index finger of the
dominant hand. Move the needle tip to about one-half inch from the injection site
with the bevel up and position the needle at a 90 degree angle to the skin surface.
Plunge the needle firmly and quickly into the muscle to the depth of the needle
with a steady straight forward motion. (para 2-3m)
Release hold on skin. Move the free hand to plunger. Pull back plunger until
slight resistance is felt. Check for blood entering syringe. (para 2-3n)
Withdraw needle at a 90o angle. Dispose of needle and syringe. Obtain another
needle and syringe. Tell patient that you must give a second injection. Select new
injection site. Start the injection procedure over. (para 2-3n(4))
Place thumb on the plunger and index and middle fingers under hook of syringe
barrel. Push plunger into syringe barrel with a slow, continuous downward
movement as far as the plunger will go. (para 2-3o)
Place an alcohol pad over the injection site and apply pressure. Remove the
needle straight out at a 90 o angle with a quick outward motion. (para 2-3p)
Observe the patient for unusual reactions such as signs of breathing difficulties
and shock. (para 2-3s(1))
When the reaction time desired is faster than can be obtained when medication is
given by mouth, but slower than oral medication or IM injection methods yield.