Shot Administration Questions and Answers
1.Is shot admin a sterile or clean procedure?: clean and use std
precautions
2.3 approaches to shot admin: intradermal, SubQ, intramuscular
3. and required for absorption of injected agent are important
when considering injection approach: location and tissue
4.the higher the penetration depth of needle = systemic absorption of
agent: higher
-IM>SQ>intradermal
5.Indications for shot admin?: 1. dx (TB or allergen response)
2.dz prevention (vaccine/immunizations)
3.therapeutic tx/intervention
6.CI's for shot admin: allergy, coagulopathy (high risk w/ IM), active
infection at injection site, pregnancy; live virus vaccines (MMR,
varicella, live attenuated influenza)
7.complications of shot admin: -pain, burning, erythema around injection
site
-infection or abscess formation
-nerve, artery injuries
-allergic rxn
-subQ fat atrophy - lipoatrophy (common w/ repeated injections and
potential for absorption issue of injected substance)
-lipodystrophy - abnormal fat distribution in body
8.How can you decrease the risk of pain, burning, and erythema
around injection site?: have pt relaxed
-muscle cx = increase pain
9.What should be reviewed prior to shot admin?: -review indication, risk
and benefits, obtain consent
-chart for allergies, verify w/ pt
-what pt should expect (pinch, sting)
-warning S/S to watch for and what to do if they occur
10.General approach/overview of shot admin: 1. spread skin taut w/ non-
domi- nant hand (except for SQ - pinch skin b/n thumb and index
finger)
2.aspirate before injection (intradermal only)
3.inject quick and firmly
11.Materials needed for shot admin?: -syringe (2-3 mL)
-needle
-injection agent (medicine, vaccine)
-alcohol pad
1/
7
, Shot Administration Questions and Answers
-gloves
-sharps container
2/
7
1.Is shot admin a sterile or clean procedure?: clean and use std
precautions
2.3 approaches to shot admin: intradermal, SubQ, intramuscular
3. and required for absorption of injected agent are important
when considering injection approach: location and tissue
4.the higher the penetration depth of needle = systemic absorption of
agent: higher
-IM>SQ>intradermal
5.Indications for shot admin?: 1. dx (TB or allergen response)
2.dz prevention (vaccine/immunizations)
3.therapeutic tx/intervention
6.CI's for shot admin: allergy, coagulopathy (high risk w/ IM), active
infection at injection site, pregnancy; live virus vaccines (MMR,
varicella, live attenuated influenza)
7.complications of shot admin: -pain, burning, erythema around injection
site
-infection or abscess formation
-nerve, artery injuries
-allergic rxn
-subQ fat atrophy - lipoatrophy (common w/ repeated injections and
potential for absorption issue of injected substance)
-lipodystrophy - abnormal fat distribution in body
8.How can you decrease the risk of pain, burning, and erythema
around injection site?: have pt relaxed
-muscle cx = increase pain
9.What should be reviewed prior to shot admin?: -review indication, risk
and benefits, obtain consent
-chart for allergies, verify w/ pt
-what pt should expect (pinch, sting)
-warning S/S to watch for and what to do if they occur
10.General approach/overview of shot admin: 1. spread skin taut w/ non-
domi- nant hand (except for SQ - pinch skin b/n thumb and index
finger)
2.aspirate before injection (intradermal only)
3.inject quick and firmly
11.Materials needed for shot admin?: -syringe (2-3 mL)
-needle
-injection agent (medicine, vaccine)
-alcohol pad
1/
7
, Shot Administration Questions and Answers
-gloves
-sharps container
2/
7
