INTREDERMAL INJECTION
- It is the injection of a medicine into
Assessment
 Appearance of injection site
 Specific drug action and expected
response
 Client’s knowledge of drug action
and response
PREPARATION for SKIN TESTING
1. Prepare all materials needed
 Vial or ampule of correct
medication
 Sterile water
 Sterile 1ml
syringe/tuberculin syringe
 Needle gauge 25-27: ¼- 6/8
inch lone
 Filter needle/ aspiration
needle
 Cotton balls (dry and with
alcohol)
 2x2 sterile gauze square
 Clean gloves (optional)
 Black ballpen
“PRROCEDURES ARE ON THE BOOK” pg 312
Positive ID skin test Shows: A raised, RED,
itchy bump, and SURROUNDING flare
around the wheal
Common MISTAKE on marking the wheal
 Don’t mark TOO FAR from the wheal
 Never use a RED pen
INTRAMUSCULAR INJECTION
a muscle tissue
Assessment
 Client allergies to medication
 Specific drug action, side effects, and
adverse reactions
 Client’s knowledge of and learning
needs about medication
 Tissue integrity of the selected site
 Client’s age and weight to determine
site and needle size
 Client’s ability or willingness to
cooperate
Requisites:
 sterile syringe with needle (2-3ml or
5ml)
 extra sterile needle 20-30 gauge, 1-
11/2 inches, long bevel
 filter needle (if needle and available)
 medication in an ampule or vial
 cotton balls with alcohol/ antiseptic
wipe
 medicine tray/hyprotray
 sterile water or normal saline, if
drug is in powdered form
 disposable gloves
Factors in the selection of needle size and
length
1. muscle
2. type of solution
3. amount of adipose tissue covering
the muscle
4. age of the client
Special Consideration:  Sterilize gauze
 Sterile water or normal saline, if
1. in the administration of IM
drug is in powdered form
injections, select a safe site located
 Disposable gloves
away from large blood vessels,
nerves, and bone
2. do not administer in sites which has
injuries, nodules, lumps, abscess,
tenderness or other pathology
3. Literature an integrative reviews of
evidence indicate that the practice
of aspiration before vaccination
injections into deltoid has no basis in
scientific evidence (Crawford &
Johnson, 2012)

SUBCUTANEOUS INJECTION

- It is the injection of a drug into the

subcutaneous (below the skin) tissue
of the body

DRUGS ADMINISTERING IN SQ

 Vaccines
 Insulin
 Heparin

Requisites:

 Sterile syringe with needle

 Extra needle of proper gauge and
length in accord with site
 Filter needle (if needed and
available)
 Vial or ampule of medicine
 Cotton balls with alcohol/antiseptic
wipe
 Medicine tray/hypotray