What are the 2 most common sites for intramuscular injections?

Common sites for intramuscular injections include the deltoid muscle of the upper arm and the gluteal muscle of the buttock. In infants, the vastus lateralis muscle of the thigh is commonly used.

What are the two main sites used for IM injections?

Based on these three conditions, deltoid, ventrogluteal, and thigh sites are considered to be safe and, thus, commonly used for IM injections. The deltoid site has been used in clinical settings and is preferred in Japan because it is easily accessible for clinicians and also for patients to expose.

What is the most common IM injection?

Which is the preferred site for administering 2 ml intramuscular injections?

The anterolateral thigh is the preferred site for intramuscular (IM) injection. Never give an IM injection in the buttocks. Ensure needle of appropriate length and gauge is used.

Which arm is best for IM injection?

The upper arm

The deltoid muscle is the most common site for vaccines. This muscle is in the upper arm near the shoulder.

HOW TO GIVE IM INJECTIONS | sites, considerations, nursing care for nurses

What are the 4 recommended injection sites?

There are four sites on your body that can be used to give yourself an intramuscular injection. These include the upper arm, thigh, hip, and buttocks.

Can you give 2 ml in deltoid?

The deltoid muscle is the preferred injection site in children aged 3-18 years when muscle mass is more developed. It is suitable for small volume injections. The recommended volume is 1ml; however, up to 2mls can be administered. The deltoid muscle is a rounded triangle shape.

What is the preferred site for IM injection in small patients?

The gluteus medius and minimus muscle is the safest intramuscular injection site for adults and children because it provides the greatest thickness of gluteal muscles, is free from penetrating nerves and blood vessels, and has a thin layer of fat.

What are the 3 common 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.

Where do you inject IM in deltoid?

Injection site

Deltoid: Give in the central and thickest portion of the deltoid muscle – above the level of the armpit and approximately 2–3 fingerbreadths (~2") below the acromion process (see diagram 1). To avoid causing an injury, do not inject too high (near the acromion process) or too low.

Do you pinch the skin for an intramuscular injection?

Needle insertion

Insert needle at an 45o angle to the skin. Pinch up on SQ tissue to prevent injecting into muscle. Aspiration before injection is not required.

Do you aspirate for IM injections in deltoid?

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 (22).

How deep should needle go for intramuscular injection?

Insert the IM needle to a depth of at least one inch into the muscle at a 90 degree angle with one quick and firm motion (FIGURE 7). After inserting the needle into the muscle, keep the skin pulled tight and firmly push the plunger down slowly and completely to finish the injection.

What happens if you inject too low in the deltoid?

If given too low, the vaccine can be accidentally injected into the radial nerve and if too far to the side, the axillary nerve1. Both injection misplacements can lead to paralysis, neuropathy, and burning shooting pain during injection1.

Which injection site is not recommended?

Rationale: Injection into the correct anatomic site prevents injury to nerves, bone, and blood vessels. The dorsogluteal site is not recommended because of proximity to the sciatic nerve.

What happens if you hit a blood vessel during an IM injection?

If you hit a vessel, pull the needle out of the skin without injecting the medicine. 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.

What is the Z track method?

The Z-track method is a technique in which the provider slightly pulls and holds pressure on the skin when giving an injection, which leaves a zigzag path behind when they remove the needle and release the skin. The Z-track method is used when giving an intramuscular injection.

What happens if an intramuscular injection is given wrong?

Similarly, incorrect injection techniques or erroneous injection locations, can cause blood vessel breakage, muscle or nerve damage and paralysis. Harmful effects may be life-threatening at worst.

Should an IM injection be given fast or slow?

In IM injection, the needle should be inserted into the body fast, like a dart, and perpendicular, because fast injection is less painful, and the syringe movement damages the tissue[23] and if we want to inject without pressure on the skin by the conventional method, our hand may shake or the needle may not enter the ...

What nerve is injured after deltoid injection?

Injections that occur below the deltoid muscle can hit the radial nerve and injections that are too far to the side of the deltoid muscle can hit the axillary nerve. 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.

How do you give a painless intramuscular injection?

Do we need to aspirate before an intramuscular injection?

Although aspiration prior to intramuscular injection was standard practice until a few years ago, it is no longer recommended by the World Health Organisation and the Centres for Disease Control and Prevention.

Do you have to push needle all the way in for IM injection?

Answer: Yes, the needle needs to go in all the way.