SELF INJECTIONS IN THE

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KATIE DOUGHER
VANESSA GONZALES
TAYLOR DEEMER
GINA CAPPUCCIO
MICHELLE VIDALE
SELF INJECTIONS

SETTING UP AND PREPARING THE MEDICATION

BY KATIE DOUGHER
 SAFETY
• CORRECT DOSE
• CORRECT INJECTION SITE
• KEEPING THE AREA SANITARY (SKIN AND PREPARATION AREA)
• PREVENTING INFECTION
• STORING THE MEDICATION PROPERLY
• NEEDLE SAFETY (NOT POKING THEMSELVES)
• PROPER DISPOSAL
• CALLING 911 FOR ADVERSE REACTIONS
 THE SET UP
• GATHER ALL THE MATERIALS
• HAND HYGIENE
 PREPARING TO USE THE
MEDICATION
• REMOVE MEDICATION FROM REFRIGERATOR
• CLEAN DRY SPACE
• FOLLOW ADMINISTRATION INSTRUCTIONS
• DIFFERENT WAYS THE MEDICATIONS COME
• GETTING RID OFF AIR BUBBLES
 HOW TO PREPARE
INSULIN
• SINGLE INSULIN
• MIXED INSULIN
• INSULIN PEN
 TRUE OR FALSE
• WHEN PREPARING MIXED INSULIN, YOU
MIX CLOUDY BEFORE CLEAR?
 FALSE
•ALWAYS MIX CLEAR
BEFORE CLOUDY
 WHAT IS THE MOST
APPROPRIATE LENGTH OF TIME
TO WASH YOUR HANDS?

• 15 TO 20 SECONDS
• 5 TO 10 SECONDS
• 30 TO 45 SECONDS
• 2 MINUTES
15 TO 20 SECONDS
SELF INJECTIONS
VANESSA GONZALEZ
 TYPES OF INJECTION

• SUBCUTANEOUS INJECTION- IS A METHOD OF

ADMINISTERING MEDICATION. SUBCUTANEOUS MEANS
UNDER THE SKIN. IN THIS TYPE OF INJECTION, A SHORT
NEEDLE IS USED TO INJECT A DRUG INTO THE TISSUE
LAYER BETWEEN THE SKIN AND THE MUSCLE.
• INTRAMUSCULAR INJECTION- IS A TECHNIQUE USED TO
DELIVER A MEDICATION DEEP INTO THE MUSCLES. THIS
ALLOWS THE MEDICATION TO BE ABSORBED INTO THE
BLOODSTREAM QUICKLY.
PARTS OF THE NEEDLE AND
SYRINGE
 TYPES OF INJECTIONS

INTRAMUSCULAR SUBCUTANEOUS
 INTRAMUSCULAR INJECTION
SITES
COMMON INJECTION SITES
• DELTOID MUSCLE OF THE ARM
• VASTUS LATERALIS MUSCLE OF THE THIGH
• VENTROGLUTEAL MUSCLE OF THE HIP
• DORSOGLUTEAL MUSCLES OF THE BUTTOCKS
INTRAMUSCULAR INJECTIONS SITES
 SUBCUTANEOUS INJECTION
SITES
COMMON INJECTION SITES
• ABDOMEN
• THIGH
• LOWER BACK
• UPPER ARM
 COMPLICATIONS
- Lipoatrophy - is loss of
subcutaneous fat and appears as
slight dimpling or more serious
pitting of subcutaneous fat.

- Lipohypertrophy- is the
development of fibro fatty masses
at the injection site

- If insulin is injected into scarred

areas, absorption may be delayed
- This is why it is important to
rotate your sites
 TRUE OR FALSE

A subcutaneous injection can be

administered in the muscle?
 ANSWER

False: a subcutaneous injection

is administered into the fatty
tissue under the skin.
 TRUE OR FALSE

The higher the needle gauge

the smaller the needle
diameter is.
 DEMONSTRATION OF HOW
TO CORRECTLY GIVE AN
INTRA MUSCULAR AND
SUBCUTANEOUS INJECTION
TAYLOR DEEMER
 SIGHTS FOR INTRAMUSCULAR
INJECTIONS

• THIGH
• HIP
• DELTOID
 THE THIGH
• GATHER SUPPLIES( ALCOHOL SWAB, 2X2 SWAB, BAND AID, GLOVES, SYRINGE
AND CORRECT NEEDLE)

• WASH YOUR HANDS THEN PUT ON YOUR GLOVES

• FIND LANDMARK( DIVIDE THE THIGH INTO TIC TAC TOE BOARD THE MIDDLE
OUTER SQUARE IS YOUR SPOT!)

• OPEN THE ALCOHOL AND WIPE THE AREA

• PREPARE THE NEEDLE FOR INSERTION THAT IS COMFORTABLE TO YOU

• PULL THE SKIN TAUNT

• INSERT THE NEEDLE INTO THE SKIN AT A 90 DEGREE ANGLE WITH A DARTING
MOTION

• INSERT THE MEDICATION AND LEAVE THE NEEDLE IN FOR 10 SECONDS

• REMOVE THE NEEDLE AT THE SAME ANGLE AND RELEASE THE SKIN
AFTERWARDS

• PLACE GAUZE PAD OVER AREA FOR POSSIBLE BLEEDING THEN PLACE BAND AID
 SIGHT OF
IM IN THE THIGH
 THE HIP
• GATHER SUPPLIES- ( ALCOHOL SWAB, 2X2 SWAB, BAND AID,
GLOVES, SYRINGE WITH CORRECT NEEDLE)
• WASH YOUR HANDS THEN PUT ON YOUR GLOVES
• HAVE THE PERSON LIE ON THEIR SIDE
• FIND YOUR PLACEMENT SPOT-PLACE YOUR HAND ON THE UPPER
OUTER PART OF THE THIGH WHERE IT MEETS THE BUTTOCKS.
POINT YOUR THUMB AT THE GROIN AND YOUR FINGERS
TOWARDS THE PERSONS HEAD. FORM A V WITH YOUR FINGERS
AND YOU WILL FEEL THE EDGE OF A BONE ALONG THE TIPS OF
YOUR FINGERS. GIVE THE INJECTION IN THE MIDDLE OF THE V.
• CLEAN OFF THE AREA WITH AN ALCOHOL SWAB
• PULL THE SKIN TAUNT
• INJECT THE NEEDLE IN A 90 DEGREE ANGLE AND USE THE
DARTING MOTION
• INJECT THE MEDICATION AND KEEP THE NEEDLE IN FOR 10
SECONDS
• PULL THE NEEDLE OUT AND THEN RELAEASE THE SKIN
• PLACE A GAUZE PAD TO STOP ANY POSSIBLE BLEEDING THEN PUT
ON A BAND AID.
SIGHT OF THE IM
IN THE HIP
 THE DELTOID

• GATHER SUPPLIES-( ALCOHOL SWAB, 2X2 SWAB, BAND AID, GLOVES,

SYRINGE WITH CORRECT NEEDLE)
• WASH YOUR HANDS THEN PUT ON YOUR GLOVES
• FIND YOUR LANDMARK- MAKE A TRIANGLE UPSIDE DOWN AND THE
CENTER OF THAT TRIANGLE IS YOUR SPOT!
• CLEAN THE AREA WITH ALCOHOL
• INJECT THE NEEDLE A 90 DEGREE ANGLE WITH A DARTING MOTION
• INJECT THE MEDICINE AND WAIT 10 SECONDS BEFORE REMOVING
• WHEN REMOVED PLACE A GAUZE PAD TO STOP POSSIBLE BLEEDING
THEN PLACE A BAND AID ON THE SPOT.
SIGHT OF THE IM IN THE
DELTOID
 SUBCUTANEOUS INJECTION
SITES

• ABDOMEN
• THIGH
• UPPER ARM
 THE ABDOMEN

• GATHER SUPPLIES-( ALCOHOL SWAB, 2X2 SWAB, BAND AID, GLOVES,

SYRINGE WITH CORRECT NEEDLE)
• WASH HANDS AND PUT ON GLOVES
• FIND LANDMARK ( ABOVE THE WAIST, ABOVE THE HIP BONE, 2
INCHES AWAY FROM THE BELLY BUTTON)
• CLEAN THE AREA WITH ALCOHOL
• PINCH THE SKIN UPWARD AND INSERT THE NEEDLE
• INJECT THE MEDICATION AND PULL THE NEEDLE OUT
• RELEASE THE SKIN
• DAB AREA WITH GAUZE IF BLEEDING OCCURS
SIGHT OF THE SUB Q IN THE
ABDOMEN
 THE THIGH

• GATHER SUPPLIES-( ALCOHOL SWAB, 2X2 SWAB, BAND AID,

GLOVES, SYRINGE WITH CORRECT NEEDLE)
• WASH HANDS AND PUT ON GLOVES
• FIND LANDMARK( DIVIDE THE THIGH INTO TIC TAC TOE BOARD
THE MIDDLE OUTER SQUARE IS YOUR SPOT!)
• WASH THE AREA WITH ALCOHOL
• PINCH THE SKIN UPWARD AND INSERT THE NEEDLE
• INJECT THE MEDICATION AND PULL THE NEEDLE OUT
• RELEASE THE SKIN AND DAB THE AREA IF BLEEDING OCCURS
SIGHT OF THE SUB Q IN THE
THIGH
 THE UPPER ARM

• GATHER SUPPLIES-( ALCOHOL SWAB, 2X2 SWAB, BAND AID, GLOVES,

SYRINGE WITH CORRECT NEEDLE)
• WASH HANDS AND PUT ON GLOVES
• FIND LANDMARK (FIND THE AREA HALF WAY BETWEEN THE ELBOW
AND THE SHOULDER)
• CLEAN AREA WITH ALCOHOL
• PINCH THE SKIN UPWARD AND INSERT THE NEEDLE
• INJECT THE MEDICATION AND PULL THE NEEDLE OUT
• RELEASE THE SKIN AND DAB THE AREA WITH GAUZE IF THERE IS
ANY BLEEDING PRESENT
SIGHT OF THE SUB Q IN THE
UPPER ARM