cardiacattack
nurse-with-a-smile:

Intradermal:
This route is usually used for tuberculin testing or checking for medication/allergy sensitivities
It may be used for some cancer immunotherapy
Use small amounts of solution [0.01-0.1 mL] in a tuberculin syringe with a fine-gauge needle [26 to 27] in lightly pigmented, thin skinned, hairless sites [inner surface of mid-forearm or scapular area of back] at a 10-15 degree angle.
Subcutaneous:
This route is appropriate for small doses of nonirritating, water-soluble medications and is commonly used for insulin and heparin.
Use a 3/8- to 5/8-inch, 25- to 27-gauge needle, or an insulin syringe of 28- to 31- gauge. 
Inject no more than 1.5 mL solution. 
For an average size client, pinch up skin and inject at 45-90 degree angle. For an obese client, use a 90 degree angle.
Sites are selected for adequate fat-pad size [abdomen, upper hips, lateral upper arms, thighs]
Intramuscular:
This route is appropriate for irritating medications, solutions in oils, and aqueous suspensions.
Most common sites include ventrogluteal, dorsogluteal, deltoid, and vast us lateralis [pediatric]
Use needle size 18 to 27 [usually 22- to 25-gauge], 1 to 1.5 inches long, and inject at a 90 degree angle.
Volume injected is usually 1-3 mL.
If > 3 mL is required, divide into two syringes and use two sites.

nurse-with-a-smile:

Intradermal:

  • This route is usually used for tuberculin testing or checking for medication/allergy sensitivities
  • It may be used for some cancer immunotherapy
  • Use small amounts of solution [0.01-0.1 mL] in a tuberculin syringe with a fine-gauge needle [26 to 27] in lightly pigmented, thin skinned, hairless sites [inner surface of mid-forearm or scapular area of back] at a 10-15 degree angle.

Subcutaneous:

  • This route is appropriate for small doses of nonirritating, water-soluble medications and is commonly used for insulin and heparin.
  • Use a 3/8- to 5/8-inch, 25- to 27-gauge needle, or an insulin syringe of 28- to 31- gauge. 
  • Inject no more than 1.5 mL solution. 
  • For an average size client, pinch up skin and inject at 45-90 degree angle. For an obese client, use a 90 degree angle.
  • Sites are selected for adequate fat-pad size [abdomen, upper hips, lateral upper arms, thighs]

Intramuscular:

  • This route is appropriate for irritating medications, solutions in oils, and aqueous suspensions.
  • Most common sites include ventrogluteal, dorsogluteal, deltoid, and vast us lateralis [pediatric]
  • Use needle size 18 to 27 [usually 22- to 25-gauge], 1 to 1.5 inches long, and inject at a 90 degree angle.
  • Volume injected is usually 1-3 mL.
  • If > 3 mL is required, divide into two syringes and use two sites.
instapray
instapray:

Looking for a praying community? Download the Instapray app and join thousands of people in prayer, love and support! Give and receive encouragement instantly - whenever you need it, wherever you are! It’s free on iOS and Android! —-> www.instapray.com


#verseoftheday #christ #psalm #psalms #christianity #church #instapray #god #jesus #bible #biblescripture #biblequote #scripture #pray #prayer #prayerrequest #faith #lord #church #gospel #cross #worship #hope #churchtech #encouraging #prayforpeace

instapray:

Looking for a praying community? Download the Instapray app and join thousands of people in prayer, love and support! Give and receive encouragement instantly - whenever you need it, wherever you are! It’s free on iOS and Android! —-> www.instapray.com


#verseoftheday #christ #psalm #psalms #christianity #church #instapray #god #jesus #bible #biblescripture #biblequote #scripture #pray #prayer #prayerrequest #faith #lord #church #gospel #cross #worship #hope #churchtech #encouraging #prayforpeace

walkthesame
walkthesame:

How did you Begin to Bear Fruit
 “Abide in me, and I in you. As the branch cannot bear fruit by itself, unless it abides in the vine, neither can you, unless you abide in me.” + John 15:4
How did you begin to bear fruit? It was when you came to Jesus and cast yourselves on his great atonement, and rested on his finished righteousness. Ah! What fruit you had then! Do you remember those early days? Then indeed the vine flourished, the tender grape appeared, the pomegranates budded forth, and the beds of spices gave forth their smell. Have you declined since then? If you have, we charge you to remember that time of love, and repent, and do your first works.
Be most in those engagements which you have experimentally proved to draw you nearest to Christ, because it is from him that all your fruits proceed. Any holy exercise which will bring you to him will help you to bear fruit. The sun is, no doubt, a great worker in fruit-creating among the trees of the orchard: and Jesus is still more so among the trees of his garden of grace. When have you been the most fruitless? Has not it been when you have lived farthest from the Lord Jesus Christ, when you have slackened in prayer, when you have departed from the simplicity of your faith, when your graces have engrossed your attention instead of your Lord, when you have said, “My mountain stands firm, I shall never be moved”; and have forgotten where your strength dwells—has not it been then that your fruit has ceased?
Some of us have been taught that we have nothing out of Christ, by terrible abasements of heart before the Lord; and when we have seen the utter barrenness and death of all creature power, we have cried in anguish, “From him all my fruit must be found, for no fruit can ever come from me.” We are taught, by past experience, that the more simply we depend upon the grace of God in Christ, and wait upon the Holy Spirit, the more we shall bring forth fruit unto God. Oh! To trust Jesus for fruit as well as for life.
____________________________________________
Devotional Series Adpatation: Morning & Evening
Posted by: Anna \ Walk the Same

walkthesame:

How did you Begin to Bear Fruit

 “Abide in me, and I in you. As the branch cannot bear fruit by itself, unless it abides in the vine, neither can you, unless you abide in me.” + John 15:4

How did you begin to bear fruit? It was when you came to Jesus and cast yourselves on his great atonement, and rested on his finished righteousness. Ah! What fruit you had then! Do you remember those early days? Then indeed the vine flourished, the tender grape appeared, the pomegranates budded forth, and the beds of spices gave forth their smell. Have you declined since then? If you have, we charge you to remember that time of love, and repent, and do your first works.

Be most in those engagements which you have experimentally proved to draw you nearest to Christ, because it is from him that all your fruits proceed. Any holy exercise which will bring you to him will help you to bear fruit. The sun is, no doubt, a great worker in fruit-creating among the trees of the orchard: and Jesus is still more so among the trees of his garden of grace. When have you been the most fruitless? Has not it been when you have lived farthest from the Lord Jesus Christ, when you have slackened in prayer, when you have departed from the simplicity of your faith, when your graces have engrossed your attention instead of your Lord, when you have said, “My mountain stands firm, I shall never be moved”; and have forgotten where your strength dwells—has not it been then that your fruit has ceased?

Some of us have been taught that we have nothing out of Christ, by terrible abasements of heart before the Lord; and when we have seen the utter barrenness and death of all creature power, we have cried in anguish, “From him all my fruit must be found, for no fruit can ever come from me.” We are taught, by past experience, that the more simply we depend upon the grace of God in Christ, and wait upon the Holy Spirit, the more we shall bring forth fruit unto God. Oh! To trust Jesus for fruit as well as for life.

____________________________________________

Devotional Series Adpatation: Morning & Evening

Posted by: Anna Walk the Same