Administering an intradermal injection.pptx

intradermal

1. Administering an Intradermal Injection Presented By Mrs.Usha Rani Kandula , MSc(N), Assistant professor in Adult health nursing, Department of Clinical nursing, Arsi University, College of health sciences, Asella , Ethiopia, Institutional email: [email protected].

2. Intradermal Injection -Intradermal (ID) or intra cutaneous injections are typically used to diagnose tuberculosis, identify allergens, and administer local anesthetics . -The site below the epidermis is the location for administering ID injections; drugs are absorbed slowly from this site . -The sites commonly used for ID injection are the inner aspect of the forearm (if it is not highly pigmented or covered with hair ), upper chest, and upper back beneath the scapula .

3. -Only small amounts of water-soluble medication should be used for subcutaneous injections. -The drug’s dosage for an ID injection is usually contained in a small quantity of solution (0.01 to 0.1 ml). - A 1-ml tuberculin syringe with a short bevel, 25 to 27 gauge , 3/8- to 1/2-inch needle is used to provide accurate measurement. -If repeated doses are ordered, the site should be rotated. - ID injections are administered into the epidermis layer by angling the needle 10° to 15° to the skin.

4. Equipment Medication administration record (MAR) Sterile tuberculin syringe and short bevel, 25 to 27 gauge, 3/8- to 1/2-inch needle or insulin syringe. Medication to be administered. Alcohol swab and sterile 2 × 2 gauze pad Disposable gloves

5. Sl.No Action Rationale 1 Check with the client and the chart for any known allergies. Prevents the occurrence of hypersensitivity reactions such as hives, urticaria , or anaphylactic shock. 2 Wash hands. Reduces transmission of microorganisms. 3 Follow the rights of drug administration. Promotes client safety. 4 -Prepare the medication from an ampoule or vial; -refer to Procedure 29-2 or 29-3 as appropriate. -Take the medication to the client’s room and place on a clean surface.

6. Sl.No Action Rationale 5 Check the client’s identification arm band . Accurately identifies the client. 6 Explain the procedure to the client. Reduces the client’s anxiety and enhances cooperation. 7 Place the client in a comfortable position; provide for privacy. Promotes comfort. Promotes absorption of the medication. Decreases anxiety. 8 Wash hands and don non sterile gloves. Decreases contact with blood and body fluids. 9 Select and clean the site. Promotes absorption of the drug; reduces trauma to the body’s tissue.

7. Sl.No Action Rationale Assess the client’s skin for bruises, redness, or broken tissue. Select an appropriate site using appropriate anatomic landmarks. Cleanse the site with an alcohol wipe using a firm circular motion; -cleanse from inside to outside; allow alcohol to dry. Aids in the removal of microorganisms on the skin. 10 Prepare the syringe for injection. Ensures correct dosage of medication in the syringe. Remove the needle guard. • Express any air bubbles from the syringe. • Check the amount of solution in the syringe .

8. Sl.No Action Rationale 11 Inject the medication. Hold the syringe in dominant hand. With non dominant hand, grasp the client’s dorsal forearm and gently pull the skin taut on ventral forearm(Figure 29-20). Taut skin facilitates needle insertion. -Place the needle close to the skin, bevel side up. -Insert the needle at a 10° to 15° angle until resistance is felt, and advance the needle approximately 3 mm below the skin surface; the needle’s tip should be visible under the skin. Ensures that medication is injected into the intradermal tissue; initial resistance indicates the needle’s tip is in the subcutaneous region.

9. Sl.No Action Rationale -Administer the medication slowly; observe the development of a bleb (large flaccid vesicle that resembles a mosquito bite). -If none appears, withdraw the needle slightly. Indicates that the medication was injected into the dermis. Withdraw the needle. Pat area gently with a dry 2 × 2 sterile gauze pad. Prevents spreading the medication beyond the point of injection. Do not massage the area after removing the needle. 12 Discard the needle and syringe in a sharps container. Prevents needle sticks .

10. Sl.No Action Rationale 13 Remove gloves, dispose of in appropriate receptacle, and wash hands. Reduces the spread of microorganisms. 14 Observe for signs of an allergic reaction. Ensures client safety. 15 Draw a circle around the peri meter of the bleb with a ball point pen. Allows for easy recognition and observation of the injection site. 16 Document medication and site of injection on the MAR. Provides a written description of the injection site and states the time the medication was administered. Thanking you