Do you aspirate before giving an IM deltoid injection? - Page 5Register Today!
- Mar 19 by AyvahQuote from RN_BSN09I've never heard of aspirating for anything other than IM. When you administer SubQ you are admin into the fatty tissue... no veins or arteries are in subcutaneous tissue like they are in the muscular tissue, so if there is bleeding it's from damaging capillaries...
Here's an example of a sub-q injection that you must aspirate on, per manufacturer's protocol (step 10)
CIMZIAÂ® (certolizumab pegol) Injections at Home | Instructions on Self-administration
Release the skin pinch, keeping the syringe in position. Pull back slowly on the plunger. If blood enters the syringe, this means you have entered a blood vessel. Do not inject CIMZIA. Pull the needle out and throw away the prefilled syringe and needle in a puncture-proof container. Repeat the steps to prepare for an injection using a new prefilled syringe. Do not use the same prefilled syringe. "
Everyone's anatomy is different, don't assume you won't enter a blood vessel simply because its sub-q - or please show evidence to the contrary.
- Mar 19 by AyvahQuote from chrisrn24As I mentioned earlier, general recommendation now is that you don't need to aspirate for insulin and heparin, but I've not seen any evidence that all other subcutaneous injections shouldn't be aspirated.When I was orienting to my job, I was giving insulin and my preceptor said "you don't aspirate for SubQ?" I said "we only learned to aspirate for IM." She just said "ok." So yeah, she might aspirate for SubQ but I don't.
edit: Here's evidence per Lippincott that other subcutaneous injections should be aspirated (pg 306):
http://books.google.com/books?id=fhY...page&q&f=falseLast edit by Ayvah on Mar 19
- Mar 20 by SleeepyRNShaking my head. I am so confused now lol. I guess I'll just go by P&P. However, I'll make sure when going by policy for anything, that the P&Ps are kept up to date by EBP.
- Mar 20 by Steve123I don't think your preceptor aspirates for SQ injections. I think she just wanted to give you a hard time.
- Oct 15 by whattodo4watching IM shots in the hospital whilst in clinical- I have never seen aspiration, yet when we do labs at school we have to aspirate. Thus for the school I will aspirate but in practice I wont, espically since people have linked that it is no longer legally required. I assume the schools are still doing it the old way and will eventually move to no aspiration