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Anyone have trouble with intradermal injections?
Mantoux. I did one today and wasn't too successful:o My first one ever.
I've had to do three ID injections for PPD tests to rule out TB on our Med/Surg floor in the past year. I've found that good lighting and sitting in a chair next to the bed with the bed raised slightly so I can get close to the same level as my patient's forearm helps me with my technique, as well as holding the skin taut, keeping the bevel of the needle up, and I've been able to get a good wheal (or bleb) each time, thankfully.
We used a hotdog in our clinical setting too.
I did fine with that, but when it came time to give one to my partner, I couldn't get it, so I ended up having to gove one to my instructor, who said I was doing fine, had everything right, but it just wouldn't bleb! I was soooooo scared! But she was a very kind and wonderful lady.......(Thank You God!)
Originally posted by JulielpnWe used a hotdog in our clinical setting too.
I did fine with that, but when it came time to give one to my partner, I couldn't get it, so I ended up having to gove one to my instructor, who said I was doing fine, had everything right, but it just wouldn't bleb! I was soooooo scared! But she was a very kind and wonderful lady.......(Thank You God!)
Thanks Julie !
The dreaded "bleb"..lol.. My instructor offered herself too, she is so nice:)
kimmicoobug
586 Posts
My only experience with ID injections is using lidocaine to start IV's. On my last patient, I injected her twice and missed twice. It seemed like I found a nice perfect vein and after using the lidocaine, the vein disappeared. I have only missed one other time and that was with a woman who had darker skin and I just couldn't see the veins. I could only feel them.