Vein injection procedure

Definition: It is the introduction of a drug in solution form into a vein. Often the amount is not more than 10.ml. at a time.

Sites for IV injection
1. Dorsal Venous network
2. Dorsal metacarpal Veins
3. Cephalic Veins
4. Radial vein
5. Ulnar vein
6. Baslic vein
7. Median cubital vein
8. Greater saphenous vein

Purpose
• When the given drug is irritating to the body tissue if given through other routes.
• When quick action is desired.
• When it is particularly desirable to eliminate the variability of absorption.
• When blood drawing is needed (exsanguinations)

Equipment
• Tray
• Towel and rubber sheet
• Sterile needle and syringes in a sterile container
• Sterile forceps in a sterile container
• Alcohol swabs
• File
• Medication
• Tourniquet
• Receivers (2)
• Treatment Chart
• Glove

Procedure
• Prepare your tray & the medication
• Explain the procedure to the patient
• Position the patient properly
• Place rubber and towel under his arm(to protect the bed linen)
• Expose the arm and apply tourniquet
• Ask pt. To open and close his fist.
• Palpate the vein and clean with alcohol swab the site of the injection (Which is mainly the mid cubital vein of the arm)
• Clean with a circular motion; proceed from center of the site outward.
• Hold the needle at about 450 angles in line with the veins.
• Puncture the vein and draw back to check whether you are in the vein or not. (Blood return should be seen if you are in the vein)
• Once you know that you are in the vein, release the tourniquet and gently lower the angle of the needle
• When it is nearly paralleled to the vein and instills the medications. Give very slowly unless there is an order to give it fast (Normally 40-60 drops is given in 1 minute).
• Check the pt's pulse in between. Any complaint from the patient should not be ignored.
• Apply pressure over the site after removing the needle to prevent bleeding. Tell patient to flex his elbow.
• Watch the patient for few minutes before leaving him.
• Remove your equipment
• Put the pt. In a comfortable position
• Wash, sterilize and place the equipment in order.
• Chart the medication given the amount, time & the reaction of the pt.

Note:
1. Have a bowl of water to rinse the needle used immediate
2. Make yourself as well as the pt. Comfortable before giving injection.
3. It is the fastest way of drug administration
4. Never recup a used needle