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Advance Nursing Practice 2018
J u n e 2 1 - 2 2 , 2 0 1 8
P a r i s , F r a n c e
Page 64
Journal of Nursing and Health Studies
ISSN 2574-2825
6 t h I n t e r n a t i o n a l C o n f e r e n c e o n
Advance Nursing Practice
Introduction: Subcutaneous injection is one of the most commonly used
methods of parenteral drug administration by nurses. For this reason, the
change in the manner of preparation of some medicines requires learning new
information about the application.
Materials & Methods: In this article, the literature and research findings related
to the application of subcutaneous injection and the significance of the subject
were discussed and offers for application were presented.
Findings: Insulin, heparin, some narcotics and allergy drugs are frequently
administered by subcutaneous injection. However, one of the common
problems in this method is that the given drug is leaking out of the skin.
Particularly in subcutaneous injections, the amount of drug, the rate of drug
delivery, the site to be administered, the inlet angle of the needle, and the
waiting time after administration are effective in preventing the drug from
leaking back. In the literature, it is seen that for insulin application, there is
less leakage in application to the abdominal region, the rate of drug delivery
does not affect the amount of leakage, and the amount of leakage increases
as the volume of drug given increases (over 0.8 cc). The thickness of the tip of
the needle which is used in the injection does not affect the leakage, but the
inlet angle of 450 causes more leakage than the inlet angle of 900. After the
subcutaneous injection, usually 10 seconds waiting period was suggested, but
the current information indicates that at least 3 seconds should be waited. One
of the common drugs is heparin which is applied as subcutaneous injection.
Heparin injections are now available for application. Studies in the literature of
heparin injections are made with low molecular weight heparins, and studies
show that the duration of the drug administration is related to prevention of
pain and ecchymosis after injection. Low molecular weight heparin is usually
applied to the abdominal region, and rotation is recommended between other
subcutaneous injection sites for long-term use. When the injection duration
is more than 10 seconds, it is seen that the pain is less and the hematoma
size is not changed after 48 hours and beyond. It is considered that ice
application is effective before injection application, but there is no advanced
evidence. Especially aspiration is not recommended during insulin and heparin
administration.
Conclusion and Discussion: As a result, scientific researches about
subcutaneous injection applications are increasing day by day. Updating
existing literature data in this context will contribute to increase the quality of
nursing care
Current approaches to subcutaneous injection
Nuray Turan, Gulsun Ozdemir Aydın and Nurten Kaya
Istanbul University, Turkey
Nuray Turan et al., J Nurs Health Stud 2018, Volume: 3
DOI: 10.21767/2574-2825-C3-009
Biography
Nuray Turan has completed her PhD from Istanbul University,
Institute of Health Sciences. She works at Istanbul University
Florence Nightingale Faculty of Nursing, Department of
Fundamentals of Nursing since 2005. She was appointed
as an Assistant Professor at the same institution in 2013
and is still working in the same position at the Department
of Fundamentals of Nursing. She graduated from Istanbul
University, Florence Nightingale School of Nursing, Turkey.
Her areas of interest are nursing care, wounds care, nursing
process, simulation, intramuscular injection, complementary
therapy, nursing informatics. She worked as a Researcher in
the Scientific and Technological Research Council of Turkey on
The Reliability of Site Determination Methods in Ventrogluteal
Area Injection and The Depth of Needle Penetration in the
Ventrogluteal Intramuscular Injection Site of Adults According
to the Gender and Body Mass Index. She took part as an
Executive and Researcher in the Scientific Research Project
Unit at Istanbul University. She has many parts in various books
as an Author. She has been as a Speaker and Participant in
many national and international scientific activities (congress,
symposium, courses etc.) related to fundamentals of nursing.
She also has various congress awards. She is a Member of
Turkish Nurses Society, and Nursing Education Society.