The LSUHSC New Orleans
Emergency Medicine Interest Group
The Student Procedure Manual
by Greg Jeansonne
- Patient requires medication (i.e. insulin or heparin)
- Check patient allergy/contra-indications to medication
- Equipment Reguired
- Syringe (smallest possible)
- 2 needles (18ga for loading syringe 25ga - 27ga for injection, 3/8" - 5/8")
- Antiseptic wipes
- Draw-up medication into syringe (max. volume = 1ml).
- Eject air & excess medication.
- Change to sharp injection needle.
- Select site:
- Common sites: lateral arm, abdomen, flank, & thigh. Avoid: bony prominences,
large vessels/nerves, & inflamed/defon-ned skin areas.
- Clean injection site with antiseptic wipe.
- Pinch skin around injection site between 1st & 2nd digits.
- Insert needle @ 45-90' (450 is typical).
- Release skin pinch.
- Inject medication slowly.
- Withdraw needle quickly.
- Massage area with antiseptic wipe.
- Possible tissue breakdown with repetitive injections (rotate sites)
- Local infection/irritation, soreness, bruising.
- Check for signs of tissue breakdown with chronic injection pts.
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