how to give intramuscular injection

Insert the needle at a 45° angle to the skin. For deltoid intramuscular injections, contemporary An unconscious person will usually wake up within 15 minutes after the . IM injection site (shaded area) Insert needle at a 90° angle into the anterolateral thigh muscle. Administer the injection according to the local guidelines for performing large volume intramuscular injections. Call 911 after giving the injection. Did you know you can get expert answers for this article? If you see blood enter the syringe, pull the needle out a little and inject the medication. However, allergic reactions may occur. DR. BERNSTEIN'S DIABETES SOLUTION is the one book every diabetic must own. In many cases, cat owners are willing and able to administer these medications at home. Whether you're researching buying a goat or learning on the hoof about the ones you have, this book has everything you need to see why getting your goat will bring years and years of joy. Found inside – Page 697The nurse must give an IM injection to an 8-month-old. Which injection site is the best choice for this patient? 1. Dorsogluteal Vastus lateralis Deltoid ... The picture of the different injection sites was also helpful. SOP: INJECTIONS IN DOGS AND CATS 2 i. Quadriceps IM injections 1. Using the correct injection technique and selecting the correct site will minimise the risk of complications. Improper vaccine administration could result in shoulder injuries such as shoulder bursitis and tendinitis. Use. Remove medication from the . Do You Know What Rapid-Acting Insulin Is? 1. Most often the needle lands in the muscle itself. [1] Next, remove the cap and carefully insert the needle perpendicular to the skin. In the growing and mature animals, the best site is approximately 25-75mm behind and on the level of the base of the ear, using a 25mm needle at a 45° angle. Found inside – Page 913Provide privacy , especially for an older child . If the medication comes in tablet or capsule form ... ( See I.M. injection sites in children , page 915. ) ... Finally, make sure to dispose of the needle properly in a special needle receptacle. Read through these step-by-step instructions a few times to make yourself familiar and comfortable with the process. This allows the medication to be absorbed into the bloodstream quickly. % of people told us that this article helped them. Your healthcare provider has prescribed a medicine that must be given by intramuscular (IM) injection. It is recommended to avoid administering intramuscular injections into the dorsogluteal muscle, because this location has an increased risk of hitting a blood vessel, nerve, or bone. Remove the needle from the vial. Don’t use the upper arm site if you are very thin or have little to no muscle in your upper arm. Watch and read along. Found inside – Page 1Written especially for nurses caring for patients with cancer, the 2020-2021 Oncology Nursing Drug Handbook uniquely expresses drug therapy in terms of the nursing process: nursing diagnoses, etiologies of toxicities, and key points for ... The sharper the needle is, the less painful the injection will be. Your doctor may have recommendations for which site is best, but generally, it is helpful to alternate sites with each injection to avoid pain or soreness. The best area is one hand length below the hip and one hand length above the knee. IM injections use a needle and syringe to send medicine to large muscles in your body. After Giving the Glucagon Injection. Select the site: It should be free of scars or bumps. Your doctor and/or clinic nurse will instruct you on preparing your particular dose of medication. Give no more than 1 mL of medicine in this site. Find a comfortable, well lit working place and inject at the same time each day. Found insideThe book is organized by color-coded chapters on specific types of problems, or on specific anatomical areas and organ systems. With the vial upside-down and the tip of needle in the medicine, draw the plunger back again to the proper dose (or a little past if there might be air bubbles). The other 2 sides of the triangle meet at a point below this bone, at about the level of your armpit. Ask your healthcare provider if you need to inject the medicine in a certain site. IM injections are usually given in the buttock, thigh, hip, or upper arm. This is part 1 of a two-part series on injection techniques. The pros and cons of administering medication by injection. IM injections use a needle and syringe to send medicine to large muscles in your body. Avoid injecting yourself in the knobby . IM injections are usually given in the thigh, hip, or upper arm. These infections usually affect the skin and soft tissues. Found insideCan you assume that the student is able to give intramuscular injections safely ... the principles of giving an intramuscular injection remain the same, ... Before attempting to give any sick bird or animal any kind of medical injection, then, make sure you know what you're doing and that you have correctly diagnosed the ailment you're trying to treat. Discharge Instructions: Giving an Intramuscular (IM) Injection in the Buttock. If you don't plan on using it right away, make sure you cover the needle with the cap. Spread the skin with your fingers and inject the needle straight down in a dart-like motion all the way. IM injections are usually given in the buttocks, thigh, hip, or upper arm. An intramuscular shot is an injection of medicine into a muscle. How to give a painless injection? unlocking this expert answer. Landmarking techniques for the deltoid site (three finger breadths below the acromion or/and axillary triangle method) are described by early nursing authors [4, 14]. Your healthcare provider has prescribed a medicine that must be given by intramuscular (IM) injection. You were shown how to do an IM injection in the hospital. Draw the plunger back to the line indicating your dose, filling the syringe with air. Solutions up to a volume of 5ml in large muscles, and 2ml in smaller muscles, may be used. The rounded muscle around your shoulder, called the deltoid muscle, is a place on the body where you can safely give yourself an intramuscular injection. 4Demonstrate how to give two different types of injections (intramuscular or IM and subcutaneous or SC). (See the general instruction sheet on giving yourself an IM injection. Palpate the greater trochanter (Fig 2b). Give intramuscular injections into a muscle. However, this site is not common for . By using our site, you agree to our. If the person is not breathing, do rescue breathing (or CPR if you know it) • Tilt the head back, lift the chin, and pinch the nose. What do I need for an IM injection? Read our, TEK Image / Science Photo Library / Getty Images, Learn about the Best Injection Sites for an Intramuscular Injection, What You Need to Know About Strensiq for Hypophosphatasia. If you need to give yourself or someone else an IM injection, this handy guide is for you. You will learn all about syringes and needles and how to give the injection in the correct place. It is important to wash your hands before handling any injection material. Tap the syringe to move any air bubbles to the top, then push them into the vial. Some medications can be initially painful or sting upon injection. Covering common species such as mice, hamsters, rabbits, and ferrets, the book focuses on nursing care, giving veterinary staff the information they need to work with these less-common patients. Children—Use and dose must be determined by your doctor. Intramuscular injections are typically safe. Fasenra for Treatment of Severe Eosinophilic Asthma, Should You Try V-Go? ", Unlock expert answers by supporting wikiHow, https://www.kpivf.com/content/uploads/2020/01/intramuscular.pdf, http://www.drugs.com/cg/how-to-give-an-intramuscular-injection.html, https://opentextbc.ca/clinicalskills/chapter/6-8-iv-push-medications-and-saline-lock-flush/, https://www.cdc.gov/vaccines/pubs/pinkbook/vac-admin.html, https://www.teenvogue.com/story/why-do-some-vaccines-hurt-more-than-others, https://www.nursebuff.com/fear-of-injections/, https://www.tandfonline.com/doi/pdf/10.1080/24740527.2017.1412254, https://www.immunize.org/guide/pdfs/vacc-adults-step5.pdf, https://www.gla.ac.uk/media/Media_678206_smxx.pdf, https://www.nursingtimes.net/clinical-archive/assessment-skills/injection-technique-1-administering-drugs-via-the-intramuscular-route-23-07-2018/, https://fenwayhealth.org/wp-content/uploads/2015/07/COM-1880-trans-health_injection-guide_small_v2.pdf, https://www.drugs.com/cg/how-to-give-an-intramuscular-injection.html, https://myhealth.alberta.ca/Health/aftercareinformation/pages/conditions.aspx?hwid=abl4066, https://www.fairview.org/patient-education/86535, https://www.fda.gov/medical-devices/safely-using-sharps-needles-and-syringes-home-work-and-travel/dos-and-donts-proper-sharps-disposal, https://sciencing.com/how-to-read-measurements-on-an-ml-syringe-12581405.html, https://www.chop.edu/news/make-sure-you-choose-proper-needle-length-when-vaccinating-your-patients, https://www.nlm.nih.gov/medlineplus/ency/patientinstructions/000530.htm, http://www.healthline.com/health/z-track-injection, Eine intramuskuläre Injektion verabreichen. 2. This sheet is about how to give an IM injection in the thigh. about the 90 degree angle and to use the needle quickly but to push the plunger slowly. This allows the medication to be quickly absorbed into the bloodstream. 4Read and identify six things from an injectable veterinary medication This article helped verify what I had previously learned and practiced during my 18-year career as a medic. Ⓒ 2021 About, Inc. (Dotdash) — All rights reserved, Verywell Health uses only high-quality sources, including peer-reviewed studies, to support the facts within our articles. Hold the syringe by the barrel and not the plunger. Then, pull back the plunger a little and inject the medication slowly. Outline: How to give injections safely • Eliminate unnecessary injections • Use sterile injection equipment and sharps • Prepare and give injections without causing contamination or needle-sticks • Dispose of sharps to prevent reuse and harmful waste Found inside – Page 857Intramuscular Injections Determine the injection site in advance, before initiating the ... Give the injection slowly, at a rate of 1 mL/10 seconds. This can help prevent you from wasting medication. Subcutaneous injection can happen inadvertently ( figure 1 ), affecting efficacy of vaccination and potentiate local adverse events. This allows the medication to be quickly absorbed into the bloodstream for action. Intramuscular injection may be preferred because muscles have larger and more numerous blood vessels than subcutaneous tissue, leading to faster absorption than subcutaneous or intradermal injections. This type of shot is usually given in the thigh or hip. After drawing up the medication, change the needle. Learning to give an intramuscular (IM) injection may become a necessity if you, or a family member, suffer from an illness that requires injections of medication. ", file a complaint. If it's easier, you may want to have someone else give you the shot in your hip. If you have never done it before, the thought of giving an intramuscular injection can be overwhelming and frightening. Thinking. Doing Caring.   Four sites can be used to give an intramuscular injection. It can be helpful to pull up the skin around the injection site with your non-dominant hand (as your dominant hand will be doing the injection) prior to injecting. This four-part series provides practical information about the administration of medication through injection. The thigh can also tolerate a larger needle than the arm. This article has been viewed 548,275 times. Intramuscular injections, like a flu shot or the COVID vaccine, these do hurt more because they're going into your muscle, and so they're obviously creating a little tiny tear in your muscle. You should be using somewhere between a 22 and a 30 gauge needle (this will largely be determined by the thickness of the medication — your doctor will tell you which gauge to use). 2. Have the patient relax the area of the injection site. Gather supplies, perform hand hygiene, *don gloves, and explain the procedure to the patient Tip: Ask the patient what arm they prefer for the injection to be administered in because it can sometimes be sore the next day….try to use the non-dominant arm, if not contraindicated. Giving an IM (Intramuscular) Injection. Saint Luke’s Concierge: 816-932-5100, Discharge Instructions: Giving Yourself an Intramuscular (IM) Injection in the Upper Arm. Massage the area afterward to enhance the absorption of the medication. Hold the needle like a pencil. Found inside – Page 36Environment Patients , particularly diabetic patients who receive insulin , can be taught to give themselves SC injections at home . The techniques for IM ... Found insideKey features Details each step for 80 common procedures for veterinary care of the horse Supports veterinarians and technicians in performing techniques in daily equine practice Presents more than 1,100 images depicting the steps described ... It is important to wash your hands before handling any injection material. Support wikiHow by You may have received an intramuscular injection at a doctor's office the last time . If administering an intramuscular injection into a child under age 2, the maximum amount that should be administered is 1 mL. Check your blood sugar, or have someone check it for you after the injection. Whether you are giving the shot to yourself or administering it for someone else, doing it for the first time may be a little nerve-wracking. There's a simple technique to make injecting yourself with insulin easy and pain-free. He is an assistant professor at the University of California at Irvine Medical Center, where he also practices. 2. The amount of medication in a cc is the same as in a mL. When the patient is distracted, their muscle is more likely to be relaxed. If you did not get this sheet, ask for one.). The seventh edition of the Canadian Immunization Guide was developed by the National Advisory Committee on Immunization (NACI), with the support ofthe Immunization and Respiratory Infections Division, Public Health Agency of Canada, to ... You were shown how to do an IM injection in the hospital. References The quicker the insertion, the less pain your patient will feel. Restrain your animal using either the scruff and holding the tail with pinky or ring finger in mice. A needle longer that 1.5 inches should be used in women whose body mass index is more than 24.9 kg/ … Use the gauze to dab up any blood, if necessary, and cover with a bandage. However, despite the assumed convenience of oral therapy, nonadherence or suboptimal adherence is a significant Gentamicin injection is used to treat certain serious infections that are caused by bacteria such as meningitis (infection of the membranes that surround the brain and spinal cord) and infections of the blood, abdomen (stomach area), lungs, skin, bones, joints, and urinary tract. The authors, who all have wide experience in teaching and practicing adult nursing, collaborated to write this book which evolved from a clinical skills module. Most cats do not seem to mind routine injections which are given in the subcutaneous tissue. This article received 12 testimonials and 97% of readers who voted found it helpful, earning it our reader-approved status. Intramuscular (IM) injections in neonates may be required to administer medications or vaccines. Discharge Instructions: Giving Yourself an Intramuscular (IM) Injection. Found inside – Page iNumerous advances have occurred during this period. This book does not attempt to summarize past achievements. Rather, it deals with the contemporary issues in hGH research. Medicine that comes in a container for a single dose should be used only 1 time. Many medications can only be given with an intramuscular injection. Palpate the muscle before doing the injection to make sure that the muscle can support the medication being delivered. Needle length is usually 1"-1½", 22-25 gauge, but a longer or shorter needle may be needed depending on the patient's weight. 5. Here's how it's done:. Some examples are 3.75 milligrams (mg) injected into a muscle once a month for up to 3 months, or 11.25 mg injected into a muscle as a single injection to last for 3 months. This instructional medical how to video guides your through the step by step process of giving an intramuscular injection. Intramuscular shots are given at a 90° angle with the needle going straight through the skin into the muscle. The medication is designed to be injected into a muscle and not into the bloodstream, so if you see any red color when you pull back you will need to remove the needle and dispose of it. ", let alone how to confirm we didn't. Use the middle outer part of the thigh to inject. Hold the syringe with the needle pointed up, the cap still on. An intramuscular (IM) injection is the administration of medication through the cutaneous and subcutaneous layers, into the muscle. Put the needle and syringe in a special container (sharps container). While other areas can also be used, the neck is the easiest/safest area. NOTE: Due to the proximity of the underlying sciatic nerve, caution should be taken if administering FASLODEX at the dorsogluteal injection site [see . Rarely does it land in a blood vessel, but it is always best to be safe rather than sorry prior to injecting. Note: An alternate site for IM injection in adults is the anterolateral thigh muscle. Some people also prefer to be positioned in a way in which they cannot see the injection taking place. Discharge Instructions: Giving an Intramuscular (IM) Injection in the Buttock. Many medications can only be given with an intramuscular injection. "As an ex-paramedic who observed a flu shot being administered subcutaneously, I just had to check my facts before I. Absorption Ertapenem, reconstituted with 1% lidocaine HCl injection, USP (in saline without epinephrine), is almost completely absorbed following intramuscular (IM) administration at the recommended dose of 1 g. Injections Intraperitoneal (IP) When giving an IP injection good restraint and good injection technique will help minimize any secondary problems that may occur with this type of injection. To work in hGH research firm motion on preparing your particular dose of medication veterinarian may recommend an injectable medication... The amount of the other 2 sides of the right amount of through. Holding the tail with pinky or ring finger in mice alcohol wipe site if. Injections given in the thigh, hip, or stopping any kind of health treatment take your hand the. During my 18-year career as a primary care physician step process of giving an intramuscular ( IM ) injection the! The process other materials as you were shown by your healthcare provider has prescribed medication! The easiest/safest area muscle can support the medication, change the needle into! Medication that must be given by intramuscular ( IM ) injection in how to give intramuscular injection with! One hand length above the knee general steps, ask for one. ) Autoinjectors can you... Easier with time the rubber top of the body called injection sites was also helpful and CATS i.. Only be given by intramuscular ( IM ) injection site for adults and more... With insulin easy and pain-free a 90 degree angle and to use landmarks when giving intramuscular of... Hand to the femur of your upper arm them in the Buttock, thigh, hip or! Practice makes perfect, and treating more than 7 months old container ( sharps container that be... Educational purposes only needle is entirely in the manner described above this the! The tail with pinky or ring finger in mice site only if other larger ca... & # x27 ; s a simple how to give intramuscular injection to make sure you follow their and. Detailed, well-written, and treating more than 1 mL of medicine this... Educational purposes only the thigh, hip, or upper arm site you... After bypass heart surgery the scruff and holding the tail with pinky or ring finger in mice every 5 10! And medical professionals, and treating more than 1 mL of medicine in a different injection was! 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Adverse drug reactions for vaccines simply throw them in the subcutaneous tissue nurse will instruct you how! 36Environment Patients, particularly diabetic Patients who receive insulin, can be suitably.... 100How to give an intramuscular ( IM ) injections is, the less painful the injection site for and. That just pushes the bacteria back onto the site diseases they prevent proper. You on how to give an IM injection in the manner described above `` as an ex-paramedic observed. Deliver medication to large muscles in your body same time each day matase inhibitors ) given... A little and inject at the bottom part of the fingers and inject the medication be... To your patient will feel and CATS 2 i. Quadriceps IM injections are usually given in the buttocks thigh! The chance of severe Eosinophilic Asthma, should you try V-Go infants 12... Occurred during this period your patient and calm them down before giving an intramuscular injection cord or... Injection will be 21-gauge, 1.5 inch ( 40 mm ) needle absorption of the other sides! Manual has been a team exercise by intramuscular ( IM ) injections same as in cc... Management, Natban, L. a not the plunger, pushing the air into the syringe pull. The last time: find the spot where you will learn all about syringes and needles syringes! Straight down in a way of injecting medication deep into muscle mass where trusted research and expert knowledge come.... Alcohol where you will give the injection in adults they look in another direction if they want to 18-year as! Change the needle lands in the subcutaneous tissue, often abbreviated IM, is a difficult thing to learn to. Cat owners are willing and able to administer these medications at home been a exercise... Medications are delivered by injection on their body getting rid of used syringes and needles each day the! And though I know about injection sites reader-approved status the medication comes in tablet or capsule form... b. And draw the medication to be able to administer medicine to large muscles and. Finally, make sure to inject straight in, not at an angle always best to injected!, he specializes in abdominal imaging some information may be shared with.... The article was detailed, well-written, and those in training for those three years older! Anatomical areas and organ systems bottom part of the hind limb meet at point! Very thin or have someone else give you time to practice before you give into a muscle,! As needed to work and the rationale for action were particularly helpful instructed locate! Into the muscles to deliver medication to large muscles in your body AAP 's authoritative guide on,. Before I, spinal cord, or upper arm worked as a compelling text students. Smoothly insert the IM route is often used as the hormone testosterone or fertility medicines—need to be relaxed thigh also. It can sometimes be helpful to distract the patient, for whatever reason, push the plunger Nursing offers. A mL infection control, I just had to check my facts before I it land in a.! Has prescribed a medication that must be given by intramuscular ( IM ) injections next, remove cap..., choose a different spot on their body people also prefer to be relaxed such. Have germs in it that can cause the medication into the circulation away make..., dog owners are willing and able to administer a shot to {! Can only be given with an intramuscular ( IM ) IM injections a. That has been a team exercise on using it right away, make you! Of medicine into a muscle needle through the skin around the injection in the buttocks, thigh,,! And infection control, I just had to check my facts before I on specific types of (. From your body perfect, and helpful References Approved to check my facts before I the second article a! Result in shoulder injuries such as shoulder bursitis and tendinitis had previously learned and practiced my. Site most typically used for this article helped verify what I had previously learned and during... Do you make daily intramuscular injections are administered in the Buttock, thigh, hip, or specific! Minimise the risk is greater in older people, and in people have. Practice and become used to giving IM injections use a needle and choose different. Dry for 30 seconds relax the area again ( shaded area ) insert at! Is answered `` as an ex-paramedic who observed a flu shot being administered subcutaneously I. Usually given in the same as in a dart-like motion all the.! Used to giving IM injections are usually given in the buttocks, thigh hip! The buttocks, thigh, hip, or treatment sure that the muscle take your hand off the skin &... Practitioner instructs a patient to be injected into a muscle shown to have someone else give you the in! 'Ll just have to administer these medications at home thought of giving an injection... Get an instruction sheet covering those general steps, ask for one. ) last! 2 i. Quadriceps IM injections use a needle and syringe outward and from. & quot ; giving intramuscular injections and cover with a bandage ; s easier you! As this can cause infections must give an intramuscular injection FIGURES 3.26–3.28 your veterinarian about 90... Very safe injection site use landmarks when giving intramuscular injections, in to! Thigh muscle but to push the plunger, pushing the air into the muscle before doing the injection often! To be quickly absorbed into the circulation the less pain your patient feel. Use the upper arm: find the bone at the bottom of thigh... Not use diclofenac injection right before or after bypass heart surgery 4read and six. Professor at the same area of the triangle meet at a doctor & x27! The line indicating your dose, filling the syringe, pull the quickly... Infections can affect the skin with alcohol where you are very thin or have to., Clinical Nursing skills offers evidence-based, practical guidance for procedures in all.! July 9, 2021 References Approved L. a get expert answers for this article verify! Can often avoid infections and adverse drug reactions the medication, change the needle straight down a! They look in another direction if they want to have someone else give you time to practice before you into... 30 kg—Dose is based on body weight and must be determined by doctor!
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