Today is our topic of discussion General Instruction of Injection.

General Instruction of Injection

General Instructions

Give injections only on the doctors written orders.
Follow strict aseptic techniques.
Syringes and needles used for injections should be kept
separate from those used for other purpose.
Always have the syringe and needles in good order.
Change the needle after withdrawing the drug from a rubber stopped container before giving injection to the patient.
Observe the five rights of the administration of medicines.
Never use a drug whose expiry date is over .
Always have a patient relaxed and placed in a comfortable position.
Never allow the patient to walk soon after the injection.
Always give a test dose in case of penicillin and all types of sera.
Expel the air from the syringe before the injection .

Select the appropriate site for giving injections

Rotate the site for patients getting insulin to prevent lip dystrophy.
Use correct technique of injection-The needle inserted gently and quickly, and the drug injected slowly.
After inserting the needle, always withdraw the piston to make sure that it is not in a blood vessel in case of intramuscular and subcutaneous injections.
Solution for injection should be clear, sterile, nearly neutral in reaction.
Massage the area at the site of injection except in case of intradermal injections Injection should be charted immediately.

Site of Intramuscular Injections (Fig. 22.14)

Dorsal gluteal site: Find out the greater trochanter of the femur and the posterior superior iliac spine drawn an imaginary line between these two bony prominences. Site will be upper and outer quadrant.
Vastus lateralis site: The site is at the outer aspect of the thigh. It is the area between mid-anterior thigh and mid lateral thigh one hands span from elbow and great trochanter to one hands span above knee.

Ventrogluteal site: Place the tip of the index finger on the anterior superior iliac spine of the patient the middle finger just below the iliac crest
Mid deltoid site: Locate the lower edge of the acromion process and form a rectangle. The deltoid area is used to inject very small quantities of non-irritating drugs.

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