Antonette T.

Cawaling
UI-1BSNUR-A

FUNDAMENTALS OF NURSING PRACTICE (LABORATORY)

SESSION #26

PRETEST

Enumerate and define the different types of parenteral medication administration.

Subcutaneous injection
- Involve placing medications into the loose connective tissue under the dermis.Because
subcutaneous tissue is not as richly supplied with blood as the muscles, medication
absorption is somewhat slower than with IM injections. However, medications are
absorbed completely if the patient's circulatory status is normal. Because subcutaneous
tissue contains pain receptors, a patient often experiences slight discomfort.

Intramuscular injection
- An injection into a muscle. It provides faster medication absorption than the
subcutaneous route because of the greater vascularity of muscles.

Intradermal injection
- Injection into the dermis just under the epidermis. ID injections typically are used for skin
testing (e.g., tuberculin screening and allergy tests). Because these medications are
potent, they are injected into the dermis, where blood supply is reduced and medication
absorption occurs slowly.

Intravenous injection
- An injection into a vein.. It is one of the fastest ways to get a drug into the body. IV
administration involves a single injection followed by the insertion of a thin tube or
catheter into a vein.

CHECK FOR UNDERSTANDING

1. Which among the following recommendations is NOT followed to prevent needlestick injuries
among nurses: Select all that apply.
A. Do not recap any needle after medication administration.
B. Plan safe handling and disposal of needles before beginning a procedure.
C. Attend education offerings on bloodborne pathogens and follow recommendations for
infection prevention, including receiving the hepatitis B vaccine.
D. Utilize needles even when effective needleless systems or sharps with engineered sharps
injury protection (SESIP) safety devices are available.
Rationale: Option D is not included. Option A, B and C are the following recommendations to
prevent needlestick injuries. For Prevention of Needlestick Injuries, AVOID using needles when
effective needleless systems or sharps with engineered sharps injury protection (SESIP) safety
devices are available.

2. It is made of glass with a constricted neck that must be snapped off to allow access to the
medication:
A. Syringes
B. Vials
C. Needles
D. Ampules
Rationale: An ampule is made of glass with a constricted neck that must be snapped off to
allow access to the medication. A colored ring around the neck indicates where the ampule is
prescored so you can break it easily.

3. In this type of parenteral medication administration, it involves placing medications into the
loose connective tissue
under the dermis:
A. Intraveneous injection
B. Intradermal injection
C. Subcutaneous injection
D. Intramuscular injection
Rationale: Subcutaneous injections involve placing medications into the loose connective
tissue under the dermis. Because subcutaneous tissue is not as richly supplied with blood as
the muscles, medication absorption is somewhat slower than with IM injections. However,
medications are absorbed completely if the patient's circulatory status is normal.

4. This type of parenteral medication administration, the needle passes through subcutaneous
tissue and penetrate deep muscle:
A. Intravenous injection
B. Intradermal injection
C. Subcutaneous injection
D. Intramuscular injection
Rationale: Intramuscular injection route provides faster medication absorption than the
subcutaneous route because of the greater vascularity of muscles.

5. This site of IM injection is the preferred and safest site for all adults, children, and infants,
especially for medications that have larger volumes and are more viscous and irritating:
A. Outer posterior aspect of the upper arms
B. Ventrogluteal
C. Deltoid
D. Vastus lateralis
Rationale: The ventrogluteal muscle involves the gluteus Medius; it is situated deep and away
from major nerves and blood vessels. This site is the preferred and safest site for all adults,
children, and infants, especially for medications that have larger volumes and are more viscous
and irritating.

6. In performing IM injections, this technique is used to minimize local skin irritation by sealing
the medication in muscle tissue:
A. A-Track Method
B. AZ-Track Method
C. Z-Track Method
D. None of the above
Rationale: The Z-track method be used to minimize local skin irritation by sealing the
medication in muscle tissue.

7-10. Identify the type of parenteral administration and indicate the angle of needle insertion
observed.

7. Intramuscular, (90 degrees)

8. Subcutaneous, (45 degrees)
9. Subcutaneous, (90 degrees)
10. Intradermal, (15 degrees)

Activity: 3-2-1

3 things you learned:

1. I learned the recommendations for Prevention of Needlestick Injuries.
2. I learned how to Correctly and safely prepare and administer medications.
3. I learned the different types of parenteral administration of medications
2 things that you’d like to learn more about:
1. I'd like to learn more about different types of syringes and there uses
2. I'd like to learn more about needles of syringes.
1 question you still have:
1. I don't have any question, everything are clear.