It helps you for support, maybe the site ...
beautifully illustrated explanation
http://www.hepatitis-c-online.de/spritzen_technik_hepatitis-c.php
From
: Www.medizinfo.de / ... / anatomy / injektion.htm
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of DGKP Gerhard Lesch
out the administration of a sc injection is still controversy over some steps to discussions about the proper execution are often canceled by the remark. "We have discussed it a thousand times" or "We do that here always like that." The authority to examine key aspects to admit nurses to not, and many doctors do not care about injection techniques.
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skin fold.
So safe in the subcutaneous adipose tissue (subcutaneous tissue) can be injected, a fold of skin formed. In patients with a very pronounced subcutis can be injected without wrinkles, if it is certain that the needle comes to rest in the subcutaneous tissue.
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What is this angle depends on the length of needles and the expression of adipose tissue. In normal weight patients, with up to 15 mm long needle at right angle to the skin surface is to be pierced. For longer needles or very thin patients, the angle is to reduce to 45 degrees.
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aspirate (suck or something)
about whether to be aspirated after insertion, is arguing for a long time.
... The argument that, with the aspiration of tissue aspirated and thus the injection site being damaged in a particular way can not be accepted.
... It may be objected here that in properly conducted aspiration large movements are not necessary.
... A blood vessel into which one can penetrate with the needle tip in whole or in part, is large enough that can arise from improper handling a faulty injection. The patient, it "caught", it will not be comforted that it only occurs very rarely.
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inject slowly. If the needle is placed
sure that the medicine is injected slowly. By the same long-Injection - Depending on the amount of about 10 to 20 seconds - can spread the good medicinal products between the adipose tissue.
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remove needle quickly.
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only when running after the puncture fluid or blood, should be nachgetupft gently with a swab. Do not rub or massage
!
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drugs are injected subcutaneously, if the agent is to be slowly absorbed and metabolized. The massage and thus be-necessarily improve circulation, however, the drug received and processed quickly.
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From http://www.krankenschwester.de/forum/pflegebereich-innere-medizin/3701-frage-subkutanen-injektionen.html
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so we have time so learned that at the sc injection, not aspiration! Why should they?
syringes ... I do not ... aspirated
you have to be always clear that you are subcutaneous and not intrvenös! So I'm sure I aspire, nor is any dead tuned!
... I have learned (5 years ago) and pass on this, that I must not aspire Feritgspritzen (also so described by the manufacturer) Other sc injections are made with skin fold and aspirated ... Greetings from Switzerland ...
Source: Care Today, 2nd edition 2001 page 378-379
The question whether to be aspirated prior to sc injection, can be not always answer. While distance from the injection of heparin due to the possible formation of hematoma aspiration is to be taken must be observed during the injection of other drugs such as analgesics, information from the manufacturers.
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injection sites:
all body regions with distinct subcutaneous (fat) tissue are suitable for subcutaneous injection.
are preferred:
- The abdominal wall left and right, and below and above the belly button
- The lateral and anterior surfaces of both thighs
- The lateral surfaces of both upper arms
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should always inject half-moon shape under the navel.
In the area there is a blood-vessel-poor area of the skin, especially low in larger vessels, which you might otherwise infringe upon insertion. In addition, the subcutaneous tissue including quite thick, about 1.5 cm and more ...
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meantime, however, say the textbooks needed something else ...... NO more aspiration.
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Be ye always sure that your injected subcutaneously and not "accidentally" have taken a small venous capillaries and thus injected iv?
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SURE I'm not, that's probably true ...
When insulin is not so aspirated .....
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I know it so that one aspiration, especially for insulin. It is, after all, not a premature onset be achieved by accidental venous application. No aspiration only with heparin, because people tend to causes damage by aspiration.
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nochwas And, I have the nursing degree before me today are (page 316, about sc-Inj.) And the plot line for the implementation is explicitly 'non-aspirate' ...
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I have just looked in our Pflegstandarts thick and there is written, "not aspirate!
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After it actually happened to me 3 times that I've accidentally set a bolus into the vein and then had serious side effects, I now aspirate very carefully. Bottom Line: I would recommend, very easy to aspirate before injecting. But I think everyone should stick to the specifications will convince him.
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So I took exams in October 2005 and we have learned to aspirate more!
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For sc injections, it is quite impossible to take a vein, as is injected into the subcutaneous fat tissue, ie. here must not be aspirated.
... Since
must disagree, I am afraid. It may well be a vein to take the drug and therefore not just be injected into the subcutaneous fatty tissue.
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http://images.google.com/ ..
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Normally, only small amount is injected subcutaneously. Frequently, the area of the thigh or abdomen is chosen because given that the "skin is especially thick.
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