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    Intramuscular Injection Guidelines

    Uploaded by

    Mehabooba Mehataf

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as PDF, TXT or read online from Scribd

    Intramuscular Injection Guidelines

    Uploaded by

    Mehabooba Mehataf
    2K views2 pages

    Copyright

    © Attribution Non-Commercial (BY-NC)

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    Copyright:

    Attribution Non-Commercial (BY-NC)
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    Download as pdf or txt
    2K views2 pages

    Intramuscular Injection Guidelines

    Uploaded by

    Mehabooba Mehataf

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
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    Intramuscular Injection Guidelines

    for Needle Length and Gauge Selection*


    INTRAMUSCULAR (IM)**
    Infants < 18 months Location of Injection < mL vol.) Vastus lateralis muscle (_ 0.5 Deltoid muscle Ventrogluteal site Dorsogluteal sitenot recommended for <3 years Vastus lateralis muscle Deltoid muscle, Ventrogluteal site may be best site for cachectic adults Dorsogluteal site avoid in obese adults Vastus lateralis muscle Needle Length 7/8" - 1" Needle Gauge 25 - 27 G Needle Angle 90

    Pediatric

    Children (>18 months and walking to 18 years)

    7/8" - 1 1/4"

    22 - 25 G

    90

    Adult

    > 18 years

    1" - 1 1/2" (up to 3" for large adults)

    19 - 25 G

    90

    * Adapted from Fundamentals of Nursing: Human Health and Function, R. Craven, C. Hirnle, 4th ed. Lippincott Williams & Wilkins 2003 ** Prior to administering an IM injection, refer to your procedure manual to determine the injection site utilizing body landmarks.

    30 G 29 G 28 G 27 G 26 G 25 G 24 G 23 G 22 G 21 G 20 G 19 G 18 G
    ISO Hub Color Standards for safety-engineered needles

    Intramuscular (IM) Injection Guidelines:


    Injection Route: Injection Sites:
    Greater trochanter of femur Iliac crest

    90 90

    Injection Site

    Anterior superior iliac spine

    dermis subcutaneous tissue

    middle third Injection of vastus Site lateralis muscle

    muscle
    Lateral femoral condyle

    The vastus lateralis site is in the lateral middle third of the thigh between the greater trochanter and the knee. When injecting, lift the vastus lateralis muscle away from the bone.

    Greater trochanter

    The ventrogluteal site: place the palm over the greater trochanter, form a V, with the middle finger toward the iliac crest and the index finger toward the anterior superior iliac spine. Inject within the center of the V, below the anterior superior iliac crest.

    Injection Procedure:

    Spread the skin taut, (except in vastus lateralis which requires lifting the muscle) and insert the needle at a 90 angle. Pull back plunger slightly. If blood appears, remove needle, dispose properly and prepare a new injection. If no blood is present inject medication slowly.

    Clavicle

    Acromion process

    Injection Site Imaginary line

    Injection Site

    Posterior superior iliac spine

    Scapula Axilla

    Greater trochanter Humerus

    The thickest part of the deltoid muscle is 2.5-5cm (1-3 finger breadths) below the lower edge of acromion process of the scapula over the midaxillary line.

    The dorsogluteal site is above an imaginary line between the greater trochanter and the posterior superior iliac crest. The injection is administered laterally and superior to this imaginary line.

    BD, BD Logo and all other trademarks are property of Becton, Dickinson and Company. 2012 BD 1 Becton Drive, Franklin Lakes, NJ 07417 www.bd.com MSS0015 03/12

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