Engl

i
shf
orNur
sing2
Topi
c11

GI
VINGANI
NJECTI
ON
I
nst
ruct
ionalobj
ect
ive
Thest
udent
sar
eexpect
ed:
1.t
obeabl
etopr
onouncewel
lvocabul
ari
esr
elat
ingt
othet
opi
c;
2.t
obeabl
etounder
standr
eadi
ngandl
i
steni
ngt
extr
elat
ingt
othet
opi
c;
3.t
obeabl
etoactoutaconv
ersat
ionoft
het
opi
c;and

Readi
ng
Di
rect
ion.Readt henursingnotebel
ow andgetsomeusef
uli
nfor
mat
ionsr
egar
ding
gi
vi
ngani nj
ect
ion.Then,answert
hefol
lowi
ngquest
ions.

NURSI
NGNOTE
Drugsadmini
steredbytheint
ramuscular(
IM)rout
ear edeposi
tedi
ntovascul
armuscl
e
ti
ssue,whi
challowsforrapi
dabsorpt
ionint
othecircul
ati
on(Dougher
tyandList
er,
2015;Ogst
on-Tuck,2014).

Compli
cati
onsofpoor l
yperfor
medI Minject
ioninclude:
Pai
n,bl
eeding,
abscessformati
on,cel
lul
it
is,musclefibr
osis,i
njur
iest
oner
vesand
bl
oodvessels(Smal
l,2004)
,andinadver
tentint
ravenous(IV)access.

Howtoreducepai ncausedbyi njecti

ontechni que
1.Uset hecor recttechnique.
2.Rotateinjectionsitetopreventindurati
onsorabscesses.
3.Explainthebenef i
tsoftheinject
iontot hepat i
ent.
4.Positionthepat i
entsot hemuscl esarer elaxed.
5.Insertandr emov et heneedlesmoot hl
yandqui ckl
y.
6.Holdt hesyr i
ngest eadyduringtheprocedur e.
7.Inj
ectmedi cat i
onsl owlybutsmoot hly
.

Quest
ions:
1.WhatdoI
M andI
Vst
andf
or?
Answer:
I
M standsf
ori
ntr
amuscul
ar.Thi
sisi
nject
ionofasubst
ancei
ntoamuscl
e,
 usuall
ythedelt
oidint
hemuscleofthearm,orthegluteusmaxi
musmusclei
n
thebutt.
IVstandsfori
ntrav
ena.Athi
nplast
iccannul
aisinsert
edv i
aneedl
einav
ein,
usuall
yinthehandorfor
earm.

2.Whydonur
sesi
njectdr
ugsi
ntopat
ient
’sv
ascul
armuscl
eti
ssue?
Answer:
Drugsadmini
ster
edbythei
ntramuscul
ar(I
M)r out
earedeposi
tedi
ntov
ascul
ar
muscleti
ssue,whi
chal
lowsforrapi
dabsorpt
ionint
othecir
cul
ati
on.

3.Whatcompl
i
cat
ionsmayoccurduet
opoor
lyper
for
medI
Minj
ect
ion?
Compli
cati
onsofpoor l
yperf
ormedI Minj
ecti
onincl
ude:Pai
n,bl
eedi
ng,abscess
for
mati
on,cel
luli
ti
s,musclefi
brosi
s,i
njur
iestonerv
esandbloodvessel
sand
i
nadver
tenti
ntravenous(I
V)access
4.Howt
oreducepat
ient
’spai
ncausedbyi
nject
iont
echni
que?
Howt oreducepai ncausedbyi nj
ecti
ont echnique:
Uset hecor recttechnique.
Rotateinjectionsitetopr ev
entindurationsorabscesses.
Explainthebenef i
tsoftheinjecti
ontot hepat i
ent.
Positionthepat i
entsot hemuscl esar erelaxed.
I
nser tandr emov et heneedlesmoot hlyandqui ckl
y.
Holdt hesyr i
ngest eadyduringthepr ocedure.
I
njectmedi cat i
onsl owlybutsmoot hly.
Rel
atedVocabul
ari
es
Di
rect
ion.Thef ol
l
owi
ngsarethevocabul
ari
esr
elat
edtogi
vi
nginject
ion.Practi
cet
he
pr
onunciat
ion.Compl
etet
hebl
anksofsomewordswitht
hepr
operpronunci
ation.
A.Rel
atedEqui
pment

Syri
nge Ampoul
e Cott
on
/səˈ
r
inj
/ /
ˈamp(
y)o͞ol
/ /ˈ
kät
n/
 Jar BandAi
d Sci
ssor
/
jär
/ /
bandād/ /ˈ
si
zər/

B.Ver
bs
1.I
nject/
inˈ
j
ekt
/ :
meny
unt
ik
2.Lower/
ˈl
ō(ə)
r/ :
menur
unkan
3.Feel
/fēl
/ :
mer
asakan
4.Rol
l/r
ōl/ :
menggul
ung
5.Cl
ench/
klen(
t)SH/ :
mengepal
kan

C.Nouns
1.Couch/
kouCH/ :
tempatt
idur
2.Sl
eev
e/sl
ēv/ :
lenganbaj
u
3.But
tock/
ˈbədək/ :
bokong
4.Vei
n/v
ān/ :
pembul
uhdar
ah
5.Fi
st/
fist
/ :
kepal
ant
angan
6.Jab/
/:t
usukan

D.Adj
ect
ive
1.St
if
f/st
if
/ :
kaku

Usef
ulExpr
essi
ons
Di
rect
ion.St
udyt
hef
oll
owi
ngusef
ulexpr
essi
onswhengi
vi
ngani
nject
ionandpr
act
ice
t
hem.
 Doesit
hur
t? Youmayf eelabit
uncomfor
tabl
e,but
don’
twor
ry.I
’l
ldo
i
tqui
ckly
.

A.Gr
eet
ing
 Hi,Paul
.Howareyoudoi
ngt
oday
?
 Goodmor ni
ng,
Sir
.

B.Sel
f-
Int
roduct
ion
 Mynamei sNancy.Iam anursefr
om HarperCol
l
ege.
 Iam Shanti.Iwi
l
ltakecareofyoutoday
.

C.Expl
aini
ngwhatyouaregoi
ngt
odo
 Iam her
eto..
..  I am her e to give y ou an
 Iam goi
ngto..
.. i
njecti
on.
 Iam goi ngtogiv eani nject
ion
 I
tist
imef
ormet
o..
.. i
ntoy ourbutt
ock.
 Itist ime forme t o gi ve an
 Ineedt
o..
.. i
njecti
onintoyourupperarm.
 Ineed t o gi
vey ou a painki
ll
er
 Ij
ustwantt
o..
.. i
njecti
on.
 Ij ust want t o prepare t he
equipment.

D.Gi
vi
ngquest
ions
 Doyouhaveanyal
l
ergi
es?
 Haveyouhadanyr
eact
ionst
oinj
ect
ionsbef
orei
nthepast
?

E.Gi
vi
ngi
nst
ructi
ons  Si
tdown.
 (
V1)..
..
..
..
..
..  Li
efacedown,pl
ease.
 Gi
vemey ourr
ightar
m,pl
ease.

 Wouldyourol
lyoursl
eeveup?
 Would/Could/
Can y
ou  Coul
d y ou l
ower y our pant
s
..
..
..
..
..
..
..
.? down,pl
ease?
  Cany
ousi
tdown?

F.Gi
vi
ngcaut
ionary
 Thi
swi l
lgi
vey oualit
tl
epain.
 Youmayf eelabituncomfort
able.
 You’
llf
eelajab.
 Don’
tmov ewhi l
eIam doi
ngt heinj
ect
ion.

 Don’
tbest
if
f.

Exer
cise
Di
rect
ion.Rear
ranget
hej
umbl
edexpr
essi
onsbel
ow.Number1i
sfory
ourexampl
e.
1.goi
ng–gi
ve–I–t
o–i
nject
ion–am –an

Iam goi
ngt
ogi
vey
ouani
nject
ion.

2.st
if
f–Do–be–not

Donotbest
if
f

3.j
ust–y
ou–wi
l
l–t
his–l
i
ttl
e–gi
ve–pai
n–a

Thi
sjustwi
llgi
vey
oual
it
tl
epai
n

4.pl
ease–down–f
ace–Li
e

Pl
easel
ief
acedown

5.l
ower–pant
s–Coul
d–down–y
ou
 Coul
dyoudownl
owerpant
s

Li
steni
ngExer
cise
Di
recti
on.Cl
ickthel
inkhtt
ps:/
/rb.gy/
1ulbf
iandl ist
ent otheconver
sat
ion.Fi
ndt
he
mi
ssingexpr
essi
onsandf
il
ltheblanks.Then,actoutthedi
alogue.
Nur
se :
Doyoust i
llf
eelsoreinyourstomach?
Pat
ient :
Yes,
Nur se.I
t’
sstil
lpainf
ularoundher
e.
Nur
se :
Okay,Ineedtogiveyouani nj
ecti
on.
(
1)Wouldy ouli
efacedown.

Fine.
Loweryourpant
s,pl
ease.
(2)Iam goi
ngtogiveaninj
ect
ioni
ntoy
ourbut
tock.

You’l
lfeelabituncomf
ort
abl
e.
Okay,done.
Pat
ient :Thanky ou,Nurse.
Nur
se :You’
rewel come.

Communi
cat
ionExer
cise
Di
recti
on.Cli
ckthelinkhtt
ps:
//www.y
outube.
com/wat
ch?
v=YwOQinOq9pgandwat ch
t
her ol
eplaybyadoct or
.Tohelpyouunderst
andt
hecommunicat
ionpract
ice,answer
t
hefoll
owingquest
ions.
1.Di
dthedoct
orexpl
aint
hepr
ocedur
ebef
oregi
vi
ngt
hei
nject
ion?Yes
2.Doest
hepat
ienthav
eanyal
l
ergy
?No
3.Whatdidt
hedoct
orsayt
oaskaboutt
hepat
ient
’sal
l
ergy
?Soy
ouhav
eany
Al
legr
y

Direct
ion.Chooseapai
randwri
teacompleteconver
sat
ionongivi
nginj
ect
ion.Youcan
uset heusefulexpr
essi
onsabove.Then,pract
iceandpresentyourcommunicat
ion
practi
ce.
Nur
singDocument
ati
on
Dir
ect
ion.Writ
eanur si
ngdocumentat
ionaf
tergi
vi
ngani nj
ect
iontoapat
ient
.Youcan
ref
ert
ot hequest
ionsbelowf
orjot
ti
ngdownwhaty ouhav
et owri
te.

1.Ment
iont
hepat
ient
’si
dent
it
y.
2.Howt
ogi
vet
hei
nject
ion(
IM,
IV,
orSC)
?
3.Whati
sinj
ect
ed?
4.Howmanymi
l
igr
am (
mg)
?
5.Howmanyt
imes(
perday
/perweek)
?
6.Whatf
or?
7.Whatpar
tofbodyi
sinj
ect
ed?
8.Anyef
fect
soft
hemedi
cat
ion?
9.Ment
iont
henur
se’
sname.
10.
Ment
iont
heday
,dat
e,andt
imeoft
hei
nject
ion.
Pat
ientI
denti
ty
Name:Ny .S Age:19y
.o

Repor
taf
tergi
vi
ngani
nject
ion

Thepatienthasbeengivenmetf
ormin500mgv i
amuscl einject
ion(
IM)inthe
ri
ghtarm.Thedr ugisgiv
entwi
ceaday( 2x24hours)morningandeveningaft
er
meals.Thisdrugfunct
ionasananti
diabet
ic,
topreventbl
oodsugarlevelsi
nthe
body.

Ti
me:10.
00P.
M

Day
,dat
e:Wednesday
,22Mar
ch2023

Nur
se:A.