Quick Answer: How Many Recommended Intramuscular Injection Sites Are There?

What are the most commonly used intramuscular injection sites?

The sites that are most commonly utilized for IM injections include the shoulder’s deltoid muscle; the thigh’s vastus lateralis; and the hip’s ventrogluteal, gluteus medius, or dorsogluteal muscles.

The deltoid site is most commonly used for immunizations..

How many intramuscular injection sites are there?

Where should an intramuscular (IM) injection be given? Nurses learn there are four possible sites: the arm (deltoid); thigh (vastus lateralis); upper outer posterior buttock (gluteus maximus), also referred to as the dorsogluteal site; and the lateral hip (gluteus medius), also called the ventrogluteal site.

How do you give an intramuscular injection?

Giving an IM injection into the Vastus lateralis siteTo find the thigh injection site, make an imaginary box on the upper leg. Find the groin. … Find the top of knee. … Stretch the skin to make it tight.Insert the needle at a right angle to the skin (90°) straight in.Up to 2ml of fluid may be given into this site.

What is the max volume for IM injection?

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 1960s.

What happens when you hit a nerve when giving an injection?

Other injection site events If a nerve is hit, the patient will feel an immediate burning pain, which can result in paralysis or neuropathy that does not always resolve.

What medications are given IM?

Drugs may be given intramuscularly both for prophylactic as well as curative purposes, and the most common medications include[2]:Antibiotics- penicillin G benzathine penicillin, streptomycin.Biologicals- immunoglobins, vaccines, and toxoids.Hormonal agents- testosterone, medroxyprogesterone.

Do you pinch skin for IM injection?

Insert needle at an 45o angle to the skin. Pinch up on SQ tissue to prevent injecting into muscle.

What are the 3 types of injections?

The three main routes are intradermal (ID) injection, subcutaneous (SC) injection and intramuscular (IM) injection. Each type targets a different skin layer: Subcutaneous injections are administered in the fat layer, underneath the skin. Intramuscular injections are delivered into the muscle.

What happens if im injection hit blood vessel?

If you hit a vessel, pull the needle out of the skin. Get rid of the needle and syringe, and prepare a new syringe with medicine. Insert the new needle in a different spot, and check again to see if there is blood. If there’s no blood in the syringe, slowly push the plunger all the way in.

What is the maximum volume for intramuscular injection deltoid?

The maximum amount of medication for a single injection is 3 ml. The deltoid muscle has a triangular shape and is easy to locate and access, but is commonly underdeveloped in adults. Begin by having the patient relax the arm.

Do I need to aspirate for an IM injection?

Aspiration before injection of vaccines or toxoids (i.e., pulling back on the syringe plunger after needle insertion but before injection) is not necessary because no large blood vessels are present at the recommended injection sites, and a process that includes aspiration might be more painful for infants (20).

Do you massage after intramuscular injection?

DON’T. Don’t massage the site after injection. Massaging can irritate the tissue and increase discomfort. Don’t administer subsequent injections into the same injection site.

What happens if you accidentally inject air into muscle?

Injecting a small air bubble into the skin or a muscle is usually harmless. But it might mean you aren’t getting the full dose of medicine, because the air takes up space in the syringe.

What happens if you give an IM injection wrong?

Erroneous injection location may cause severe damages Anabolic steroids and testosterone are usually injected in the buttock, thigh or upper arm muscles. If the muscle to be injected is small then so should the dose.

Which site is best for IM injection?

Intramuscular injection sitesDeltoid muscle of the arm. The deltoid muscle is the site most typically used for vaccines. … Vastus lateralis muscle of the thigh. … Ventrogluteal muscle of the hip. … Dorsogluteal muscles of the buttocks.