三、常用注射法.ppt

皮内注射法
(intradermal injection,ID)
intradermal injection,ID
【 objective 】
1、说出皮内注射法(ID)的定义、部位、目的
2、学会皮内注射法的操作方法
3、操作中严格执行查对制度和无菌原则,体现爱伤观念
intradermal injection,ID
【 Definition 】
将小量药液或生物制品注射于表皮和真皮之间的方法。
An intradermal injection is inject minute amounts of drug into the outer layers of the skin (between epidermis and dermis).
intradermal injection,ID
【purpose】
1、To use for diagnostic skin tests and medication allergy tests
进行药物过敏试验,以观察有无过敏反应。
2、 To inject ines
预防接种。
3、 A prior step to local anesthesia
局部麻醉的起始步骤。
Procedure
【evaluation】
1、评估患者用餐情况,询问三史(用药史、过敏史、家族史)。
2、评估患者注射部位皮肤有无红肿、硬结、瘢痕等情况。
3、评估环境是否清洁、光线是否充足。
Procedure
【planning】
1、 Medication tray:
70% alcohol Sterile swab
1ml syringe 41/2needle
MAR(medication administration record)
Medication Kidney basin
2、如为药物过敏试验,%盐酸肾上腺素。
Procedure
洗手、戴口罩
查对
抽吸药液
查对、解释
选择注射部位
70%乙醇消毒皮肤
排尽空气
左手绷紧皮肤
右手进针(针尖斜面向上、50角)
固定

拔针
再次查对
清理用物
15~20min观察局部反应
记录
wash hands ,wear mask
check
withdraw medication
Identify the client. Explain the procedure
Select appropriate site
Sterilize the skin with an alcohol swab
Check again, eject air in syringe thoroughly
Use the left hand to spread the skin taut
Insert the needle into the skin until the bevel inserts into the pletely(at 5-degree angle )
Firm the hub with thumb
Slowly inject the medication about for a small wheal to appear
Withdraw the needle quickly
Check again.
Wash hands
Observe response of the client.(15~20min)
Make judgment and record the es
【procedure】