Injections
Needle size for IM injection on average sized adult
1 1/2"
The vastus lateralis site is recommended for who?
Infants and children younger than 3
#1 reason dorsogluteal site is used for IM injection
well developed - so can absorb large amount of medication
How to hold the skin for TB testing
taut
Next step after patient has positive TB skin testing
chest xray
Needle length range for Subcutaneous Injections (SQ / SC)
1/2 to 5/8 inch
Subcutaneous injections should not exceed _____ mL
1
Needle range for intradermal (ID) injections
3/8 to 5/8
Type of TB that lays dormant in body
Latent TB
When should TB test be read?
48-72 hours after administration
Angel of insertion for Intramuscular injections (IM)
90 deg
Intradermal (ID) route is used to administer what types of tests?
allergy testing; tuberculin testing
Needle gauge range for intradermal (ID) injections
25 to 27
How is patient determined to have latent TB test? What types of symptoms do they have?
no symptoms; chest xray normal; cannot spread to others; has positive skin test
Two examination techniques used to read TB reasults
Z-track method
Medications administered subcutaneous are:
epinephrine; insulin; allergy injections
induration and erythema
Give me 3 symptoms of active TB
chronic cough (mucopurulent sputum); chest pain; low grade fever
Also hemoptysis; fatigue; weakness; loss of appetite; unexplained wt loss; night sweats
An abnormal hypersensitivity of the immune system of the body to substances that are ordinarily harmless
Each line of the TB syringe is worth how many mL
0.01
Name the 4 IM injection sites
deltoid; vastus lateralis; dorsogluteal; ventrogluteal
Subcutaneous injection medication should not exceed _____ mL for adults
1 mL
Main patient teaching before having allergy skin testing
discontinue antihistamines 3 days before testing
Name of blood tests used to identify individuals who are infected with TB
IGRA's (Interferon Gamma Release Assays)