Overall, 5 mL has been cited for adults as the maximum volume for a single IM injection, with lower maximums proposed for adult patients with less-developed or small muscle mass. Once administered exclusively by physicians, IM injections became a primary-nurse responsibility during the s.
The dorsogluteal site for IM injections is the one nurses have the most experience using, as this is what is traditionally taught in nursing schools and covered in nursing textbooks.
However, nurses who were older than 30 years, were diploma prepared, and had more than 4 years of nursing experience were more likely to choose the dorsogluteal site; whereas nurses who were age 20 to 24 years, were degree prepared, and had 1 to 4 years of nursing experience were more like to choose the ventrogluteal site. Show More. Login Register. See the general instruction sheet on giving yourself an IM injection. If you did not receive this sheet, ask for one.
Give no more than 3 ml or cc of medication in this site. If the prescribed dose is more than 3 ml, you will need to give the injection in two parts. Medicine that comes in a container for a single dose should be used only 1 time. If you use the container a second time, it may have germs in it that can cause illness. These illnesses include hepatitis B and C. They also include infections of the brain or spinal cord meningitis and epidural abscess. Was this helpful? Yes No Tell us more. Check all that apply.
Your child should feel safe and confident with any of them. Single-parent families should get the help of a friend or relative. Some families work out a schedule. One parent might take care of the morning injections and the other parent looks after evening injections. Sharing the burden is also important to cope with the daily demands of your child's condition and to prevent parent burnout.
The injection site depends on your child's age. The size of the needle also influences the location of the injection site. The size of the needle depends on the weight of your child and the type of drug they are taking. The diameter of the needles also varies depending on your child's age. This size is described in units called "gauge numbers".
Needles with larger diameters have smaller gauge numbers. If the injection you are giving is more than 1 mL in volume, check with your health-care provider about which location is appropriate for your child. For newborns, the IM injection site is the front outer side of the thigh. To inject into the thigh, the needle length must be 16 mm. Use a to gauge needle. For infants, the IM injection site is the front outer side of the thigh. Do not use the inner thigh or back of the thigh. Divide the thigh into thirds; the injection site is in the middle third section.
To inject into the site, the needles must be 16mm to 22 mm long. Your baby's doctor may give you a longer needle depending on the size of your child.
The needle must be long enough so that it will reach deep into the muscle. It should reach past the tissue just above the muscle, which is the subcutaneous SC tissue.
This helps to reduce irritation to the subcutaneous tissue which can cause pain associated with IM injections. You may be given a longer needle depending on the size of your child. This helps to reduce irritation to the SC tissue which can cause pain associated with IM injections. For older children, the size of the needle depends on the sex and weight of your child.
To locate the landmark for the deltoid muscle, expose the upper arm and find the acromion process by palpating the bony prominence. The injection site is in the middle of the deltoid muscle, about 2. To locate this area, lay three fingers across the deltoid muscle and below the acromion process. The injection site is generally three finger widths below, in the middle of the muscle.
Deltoid intramuscular injection site Deltoid IM injection site. Disclaimer: Always review and follow your hospital policy regarding this specific skill. Always wear gloves to administer injections. Although policy may vary from place to place, the CDC recommends wearing gloves if there is potential for contact with blood and body fluid. If required by agency policy, aspirate for blood prior to administering an IM medication. Upon injection, if a patient complains of radiating pain or a burning or a tingling sensation, remove the needle and discard.
Take all necessary steps to avoid interruptions and distractions when preparing and administering medications. NEVER recap needles after giving an injection. Apply the safety shield and dispose in the closest sharps container. Perform hand hygiene. Hand hygiene prevents the spread of microorganisms. Hand hygiene with ABHR. Compare MAR to patient wristband and use two patient identifiers to confirm patient. Using two identifiers improves medication safety by ensuring you have selected the correct patient.
Compare MAR to patient wristband. Assess patient data such as vital signs, laboratory values, and allergies before preparing and administering medications by injection. Assess for any factors that may contraindicate an IM injection. Factors to look for include circulatory shock, surgery, or muscle atrophy. Compare physician orders and MAR. Review medication information, such as purpose, action, side effects, normal dose, rate of administration, time of onset, peak and duration, and nursing implications.
Knowledge of the medication ensures the correct patient receives the correct dose of the correct medication at the correct time via the correct route for the correct reason using the correct documentation. Assemble medication, non-sterile gloves, alcohol swabs, syringes, needles, and sharps container. Prepare medication from an ampule or a vial as per hospital policy.
This prevents medication errors by providing an additional check. Prepare medication from a vial. NEVER leave the medication unsupervised once prepared. Medications left unattended may lead to medication errors. Hand hygiene prevents the transmission of microorganisms. This creates privacy for the patient. Verify patient using two unique identifiers and compare to MAR.
This step confirms the correct identity of the patient. Explain the procedure and the medication, and give the patient time to ask questions. Knowing what is happening helps minimize patient anxiety. Let the patient know there may be mild burning at the injection site. Don non-sterile gloves and prepare the patient in the correct position. Ensure a sharps disposal container is close by for disposal of needle after administration. This prepares the patient for injection. Deltoid IM injection site Ensuring the sharps container is close by allows for safe disposal of the needle.
Clean injection site. This allows for easy access to dry gauze after injection. Gauze between fingers 3 and 4. Pull cap off needle.
With non-dominant hand, hold the skin around the injection site.
0コメント