An intramuscular injection, as illustrated in the figure below, delivers medication deep into the muscle tissue. Pull the 18 g needle cover straight off the syringe. Look at the thigh, and imagine it in 3 equal parts. Standard for the administration of immunizations alberta health. This will help to determine the size of needle needed for the injection.
Im injection administration narrated powerpoint karen cote. Define the 6 rights of medication administration state the most effective strategy to prevent transmission of infection state the 3 recommended injection sites and the most common site be able to state the proper gauge and needle length based on patient weight and selected site state the recommended volume for each site and rate. In the event you withdraw the needle and experience excessive bleeding from the injection site, do not panic. The use of a squeeze cage makes this technique the method of choice for delivering drugs that are available in intramuscular injection form. Conclusion with this basic introduction to intramuscular injections, you now have the necessary knowledge so safely administer your injection. This guide discusses how to perform an im injection in an artificial osce setting and should not be used as a guide to administering injections to actual patients without first consulting your local medical school or hospital. Preparing and administering intramuscular injections. An educational class was developed and implemented to include appropriate needle sizelength, proper placement of an im injection in the deltoid, proper positioning of the.
The skin is laterally displaced prior to injection. Intramuscular injections require a thorough and meticulous approach to patient assessment and injection technique. Some of the most common techniques include the traditional dart technique and the z track, bunching, air bubble. Routes of medication administrationparenteral medication. The needle is inserted perpendicular to the skin and into the center of the muscle mass approximately 34 inch to 1 inch 1. The process for giving an injection includes some basic steps. It is also a good spot for children younger than 3 years old. An intramuscular, or im, injection is a procedure used to insert medications into the muscle tissue. Intramuscular university of north carolina at chapel hill.
In the cervical region, the operator should palpate the region to locate the site of greatest muscle mass. This allows the medication to be absorbed into the bloodstream quickly. Nurses and other medical professionals all have personal preferences in terms of giving injections, including intramuscular injections. An evidencebased approach to intramuscular injection. Question lacks the critical detail of injection site since there are four major sites of im injection see below from 1, and each has specific. The importance of good injection technique cannot be. Intramuscular injection sites properly administered, imis deposit medication under the muscle fascia below the fatty subcutaneous layer of the skin boyd et al. Pdf to consider to what extent intramuscular injection technique can be described to remain entrenched in ritualistic practice and how. How to give a testosterone intramuscular im injection. Who best practices for injections and related procedures toolkit. Using the correct injection technique and selecting the correct site will minimise the risk of complications. Who best practices for injections and related procedures.
This is part 1 of a twopart series on injection techniques. The skin should be cleaned thoroughly prior to placing a needle b. Intramuscular im selfinjection michigan medicine university of. The intramuscular route allows the rapid absorption of drugs into the circulation. How to administer an intramuscular injection youtube. Click export csv or ris to download the entire page or use the checkboxes to select a subset of records to download. The operation that you have selected will move away. Guidelines on the administration of intramuscular and subcutaneous injections reference number. The administration of intramuscular injections is a common nursing intervention in clinical practice.
Intramuscular injection, often abbreviated im, is the injection of a substance directly into muscle. The aim of this descriptive, correlational study was to determine intramuscular injection sites presently being used by acute care nurses in one canadian province and factors that contribute to. Using the correct injection technique and selecting the. Insert the needle into the middle third of the muscle parallel to the surface on which the patient is lying. Syringe used is 1ml tuberculin syringe because of a very small amount of drug. Potential adverse effects, mitigation, or treatment a.
An intramuscular im injection is a shot of medicine given into a muscle. The hip is a good place to give an injection to adults and children older than 7 months. Muscles have larger and more numerous blood vessels than subcutaneous tissue. Good injection technique can mean the difference between less pain and injury. She received her nursing license from the florida board of nursing in 1989. Some medication cannot be taken by mouth because digestive juices can alter their effects. Your medical officer requires a patient to receive medication intramuscularly. Results for guidelines intramuscular injection 1 10 of 630 sorted by relevance date. At the end of this lesson students should be able to. Additionally, we will provide recommendations for evidencebased im injection practices. Note the viscosity of the liquid while withdrawing the medication from the vial. Pdf using the ventrogluteal site for intramuscular. Abstract the intramuscular route allows the rapid absorption of drugs into the circulation. Older adults and thin patients may only tolerate up to 2 ml in a single injection.
Parenteral techniques possess an advantage over enteral techniques oral, rectal in that the drug does not first have to pass through the enterohepatic. Intramuscular injection guidelines with images nursing. Evidence calls for practice change in intramuscular. Intramuscular injection techniques request pdf researchgate. The ztract injection technique is useful for medications that stain upper tissue such as iron dextran or drugs that irritate tissues such as diazepam. Physical interventions and injection techniques for reducing. An intramuscular injection is a technique used to deliver a medication deep into the muscles. How to give an intramuscular injection im injection. Intramuscular injection an overview sciencedirect topics. This article aims to help nurses to administer intramuscular injections in a safe, effective and patientcentred manner. February 2017 page 7 of 21 department of nursing 7. Intramuscular injection injection of a biological product into muscular tissue.
Look at your thigh and divide it into 3 equal parts. How to give yourself a testosterone im injection 3 step 3. Preventing needle stick injury anticipate abrupt movement of the patient and take care more the used needle is handled or carried, the greater is the risk of sharp injury never try to recap, bend or manually remove needle from syringe do not move around with used equipment in hand keep needle destroyer near by only properly dispose it 33. Learning to give an intramuscular im injection may become a necessity if you. How to minimise pain after an intramuscular injection quora. Variations alternative procedure for injections is to have the drugfilled syringe already attached to the needle when the needle is inserted. The dorsogluteal site should be avoided for intramuscular injections. Assessment of pain before the procedure of im injection penidura 12 lacs iu. Intramuscular risk at insulin injection sitesmeasurement of the. Best practice guidelines for the administration of. Intramuscular im injections may be made into the caudal cervical epaxial muscles or into the semimembranosus, semitendinosus, or triceps muscles. Certain medicines need to be given into the muscle for them to work correctly. Intradermal injection it is the introduction via needle of tiny amounts of fluid into layers of skin.
Proper technique when administering intramuscular injections. Immediately apply a sterile alcohol swab or cotton pad, and apply pressure to the site. Following administration of an intramuscular injection, the patient should be observed for a period of time to reduce any risk of harm. Short answer pain a few days after an intramuscular im injection could mean it wasnt done properly. Injection site vastus lateralis muscle in the thigh. Intramuscular injection im osce guide geeky medics. The thigh is a good place to give yourself an injection because it.
Check the package containing the syringe, if the package has been opened or damaged, do not use that syringe. Small nonhuman primates may be restrained by physical means. The thigh is a good place to give an injection to yourself or a child less than 3 years old. Using aseptic technique, attach a blunttipped needle to a syringe, remove the cap, and withdraw the appropriate amount of medication for injection. The findings add significantly to the knowledge base on administering intramuscular injections in the mental health setting. Other injuries that can occur following intramuscular injection are abscesses, cysts, embolism, hematoma, skin sloughing, and scar formation.
Intramuscular im injections administer medication deep into the muscle tissue, enabling faster absorption and larger systemic doses than subcutaneous injections. Im injection sites should be rotated to decrease the risk of hypertrophy. Started in 1995, this collection now contains 6769 interlinked topic pages divided into a tree of 31 specialty books and 732 chapters. Intramuscular injections are one of the most common routes of administering drugs to nonhuman primates.
Look at your thigh and divide it horizontally into 3 equal parts. Administration of biological products yukon health and social. Choose this site if are injecting to yourself, or if a caregiver gives you the injection. How to administer intramuscular and subcutaneous vaccine. This manual divides the injection process into four categories. It may recommend the size of needle, the injection site i. This injection technique guideline for diabetes educators and healthcare professionals is aimed at standardizing. The identified best practice technique provides mental health nurses with evidencebased guidelines, thus ensuring that the medication administered by intramuscular injection provides the best possible outcomes for consumers.
There are 23 references cited in this article, which can be found at the bottom of the page. Combining paired st and sct measurements n 1,208 for. When administering an intramuscular injection into the dorsal gluteal site, while maintaining skin traction the plunger. Thus, proper injection techniques and procedures contribute to the safety of both patients and health workers 1. The rate of absorption with intramuscular injections is quicker than with intravenous injection. Each takes a slightly different approach, often combining several intramuscular injection techniques based on training and professional experience. Choose a site that is free from pain, infection, abrasions, or necrosis. Giving an injection stock photography by hofmeester 1,983 closeup shot of pediatrician giving baby intramuscular injection in arm stock photos by oksun70 3 4 cowboy gives an intramuscular injection stock images by verbaska 1 14 explanation intramuscular injection technique stock photo by verbaska 1 17 intramuscular injection stock photo by fenriswolf 0 17 little baby get an. Intramuscular injections the accidental smallholder. Use a needle long enough to reach deep into the muscle. Request pdf intramuscular injection techniques the administration of intramuscular im injections is an important part of medication management and a. Site selection should be based on the manufacturers recommendations, medication to be administered, muscle density at selected site and ideally, consumer choice gray et al. Before starting, read the data sheet for the medicine carefully.
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