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Injections Injection Angles and Nursing Considerations Intradermal Subcutaneous (SC) Intramuscular (IM) Z Track Method
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Injection Injection angles and Nursing consideration
Intradermal
  1. To be administered at 5 to 15°angle
  2. To be injected into the dermis
  3. Pull the skin taught, bewel of the needle to be placed upside and drug injected slowly
  4. Must make a marking on it with date and time of administering the medication
  5. To be administered in upper forearm (other sites are upper back ,area under the shoulder blade
Subcutaneous
  1. To be administered at 45°angle
  2. injected in the subcutaneous area
  3. The nurse should prefer the following sites (upper arms, around the belly button,lateral thighs,rarely lower back)
  4. Do not massage the site after administering the injection
  5. Rotate the site if administering subcutaneous (insulin) injection daily to prevent lipodystrophy
  6. The maximum amount to be administered is less than 1.5ml
Intramuscular
  1. To be injected at 90° angle
  2. Administered innthe subcutaneous area
  3. Consider to withdraw the piston after injecting to ensure that it is in the right place (air bubble indicates the drug is in right place and if bloid is noted it is injected in the vein,the nurse shoukd remove and reinsert again)
  4. A wrong site administration can injure the sciatic nerve and can cause paralysis of the limb
Track method
  1. Given at 90° angle
  2. Pull the skin with nondominating hand and inject the medication at 90° and release the skin
  3. Do not massage after administration because this can disperse the medication to nearby tissue
  4. Observe the sire immediately after 2 to 4 hours for hematoma formation.
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