Injections

There may be occasion where you need to give someone or even yourself an injection.
It’s actually very easy except for the psychological fear of injecting yourself.

Don’t inject into a blood vessel!!!
Both of the methods listed below have you checking for blood BEFORE you inject. 
 


How to give an IM injection (Into muscle)

  1. Assemble all the supplies you’ll need: the medication to be given, syringe and needle (usually 20g or 22g, and 1 1/2″ long), alcohol prep pad, gauze, band-aid.
  2. Wash your hands.
  3. Prepare, or mix the medication according to your instructions and draw the medication into the syringe.
  4. Attach a new needle to the syringe.
  5. Gently flick the barrel of the syringe will help to loosen any trapped air and gradually press the plunger in to expel any trapped air.
  6. You’ll be giving this medication into the muscle in the buttock, so have the person getting the medication lower their pants slightly and lie down on their stomach.
  7. Divide one buttock into quadrants. You will always want to give the injection in the outer, upper quadrant, almost toward the hip.
  8. Select the site: It should be free of scars or bumps.
  9. Clean the site with an alcohol pad and allow to dry. Do not blow on it or fan the site to quicken the drying process. That just pushes the bacteria back onto the site.
  10. Spread the skin with your fingers and inject the needle straight down in a dart-like motion all the way.
  11. Pull back on the plunger a little. If you see blood enter the syringe, pull the needle out a little and inject the medication. If you do not see blood, simply inject.
  12. Pull the needle out and dispose of properly in a sharps container. Do not put medical or sharp waste in the regular garbage.
  13. Use the gauze to dab up any blood, if necessary, and cover with a bandage or plaster.
  14. Wash your hands.

Tips:

  1. Apply ice onto the site to numb the area just prior to cleaning it.
  2. Have the patient relax their buttock. Tension in the muscle makes the injection more painful.
  3. Massage the area afterwards to enhance absorption of the medication.
  4. After drawing up the medication, change the needle. The sharper the needle is, the less painful the injection will be.
  5. Hold the syringe by the barrel and not the plunger. Keeping a finger on the plunger may cause you to inadvertently push the plunger before the needle is entirely in the tissue. This can help prevent you from wasting medication.

How to Give a SC Injection (Under the skin)

Here’s How:

  1. Gather your supplies. You will need an alcohol pad, bandage, and your prepared or mixed medication.
  2. Wash your hands.
  3. Assemble all the supplies you’ll need: the medication to be given, syringe and needle (usually 25g or 30g, and 1 1/2″ long), alcohol prep pad, gauze, band-aid.
  4. Wash your hands.
  5. Prepare, or mix the medication according to your instructions and draw the medication into the syringe.
  6. Attach a new needle to the syringe.
  7. Gently flick the barrel of the syringe will help to loosen any trapped air and gradually press the plunger in to expel any trapped air.
  8. Select your site and clean it using the alcohol pad.
  9. Take a large pinch of skin at least 2 inches to pull the fatty tissue away from the muscle underneath it.
  10. Holding the pen or syringe like a dart, quickly insert the needle at a 90 degree angle to the skin.
    Note:- If you can only pull back an inch of skin, inject at 45 degrees
  11. Slowly inject the medication.
  12. Release the pinch of skin, then withdraw the needle.
  13. Apply bandage or gauze as necessary.

Tips:

  1. Make sure to change your site each time you give the injection. Move from thigh to thigh or change locations on the abdomen.
  2. If you are nervous about the pain of needle insertion, numb the area with a little ice prior to cleaning it.
  3. You may notice a little bead of medication or a drop of blood. This is normal.
  4. Insert the needle quickly. If you go too slowly, the injection will be more painful.
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