Subcutaneous (SQ)
Sites?
fatty tissue of abdomen, 2 in from umbilicus
lateral/posterior upper arm
scapular area of back
upper ventrodorsal gluteal areas
Sites
inner aspect of forearm
scapular area of back
upper chest
medial thigh
Sites
deltoid
vastus lateralis
ventrogluteal site (preferred)
Vastus Lateralis
Max Volume?
Where to inject?
Max vol 3 ml
Thigh is divided into 3rd's horizontally & vertically, inject in outer middle 3rd
Needle minimum
1 1/2 inches
Needle
Inch?
Gauge?
Syringe?
Max volume?
-1/2-5/8 inch
-25-27 gauge
-1 or 3 ml (TB, insulin syringe)
-1.5 ml max vol
Needle
Inch?
Gauge?
Syringe?
Max volume?
-3/8-1/2 inch
-25-27 gauge
-tuberculin syringe (1 ml)
-0.1 ml max vol
Deltoid:
Needle
Inch?
Gauge?
Syringe?
Max volume?
-5/8-1 inch
-23-25 gauge
-1 or 3 ml syringe
-1 ml max vol
Deltoid
Max?
Where?
-limited to 1 ml only for adults
-acromion process, upside down triangle formed, inject inside triangle belly of muscle
Massage?
Gentle pressure after injection
How many degrees?
45-90 degrees
How many degrees?
10-15
Vastus Lateralis & Ventrogluteal needle
Inch?
Gauge?
Syringe?
Max volume?
-1-1 1/2 inch
-19-23 gauge
-3 or 5 ml syringe
-3 ml max vol
Ventrogluteal
Max?
Where?
3 mL
locate greater trochanter, index finger on anterior superior iliac spine & middle finger on crest of ileum, inject in middle of triangle
Purpose?
Reduces pain and discomfort
Massage?
Aspirate?
Skin taught?
Yes
No, pinch an inch
Skin taught?
Massage?
Aspirate?
Yes
No
How many degrees?
90
Dorsogluteal
Max?
Where?
3mL
locate greater trochanter, index finger on anterior superior iliac spine & middle finger on crest of ileum, inject in middle of triangle
IM, ID, or SQ?
IM
Name a common injection
Insulin
name a common injection
TB skin test
Massage?
Aspirate?
Skin taught?
Yes
Yes
Yes
Name 3 sites for subcutaneous injections
Upper ventrogluteal area of the buttocks
scapular are of the back
fatty belly tissue 2 inches from the umbilicus
freebie