0% found this document useful (0 votes)
19 views24 pagesIntramuscular Injection Techniques Guide
This document describes different techniques for administering intramuscular injections, including the intramuscular route, dorsogluteal injection, ventrogluteal injection, deltoid muscle injection, and the Z-track technique. It explains the procedures, necessary materials, and considerations for each technique.
Translated by
ScribdTranslationsCopyright
© All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
0% found this document useful (0 votes)
19 views24 pagesIntramuscular Injection Techniques Guide
This document describes different techniques for administering intramuscular injections, including the intramuscular route, dorsogluteal injection, ventrogluteal injection, deltoid muscle injection, and the Z-track technique. It explains the procedures, necessary materials, and considerations for each technique.
Translated by
ScribdTranslationsCopyright
© All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
WAY
INTRAMUSCULAR
AR
It is a technique used to administer medication deeply into the
inside the muscles. This allows the medication to be absorbed
quickly through the bloodstream due to the vascularity of that tissue.
Generalities of the intramuscular route
There is sufficient evidence that it is
It corresponds to the application of the
an area of great acceptance for the
intramuscular injection in the
oily and irritating medications
gluteus maximus muscle (dorsal area)
since it is free from
gluteal) defining the area in a
blood vessels and nerves, and has
imaginary cross that divides the buttock
greater thickness of the muscle in
in quadrants. It takes into account the
comparison with other sites
upper right quadrant as
designated site for the puncture.
The individual must be valued in terms of the
thinness of muscle and subcutaneous tissue for the
selection of the correct site for the application of the
intramuscular injection.
One should also choose the needle gauge more
convenient, perhaps in an obese patient with great
amount of subcutaneous tissue, a 3-5 syringe
CC may not be the most recommended option, and if it is one.
10cc syringe. Just like a patient
extremely thin in which to use a
10 cc syringe may be counterproductive.
PROCEDURE
INJECTION
INTRAMUSCULAR
As in any management process
medications to be reviewed:
• The medical prescription
• Availability of the medication
• Organize all the materials
• Perform clinical handwashing
• Use of gloves
• 5cc or 10cc syringes if applicable.
• Dry cotton swabs.
• Alcohol in a spray bottle.
• Paper basket.
• Prescribed medication
• Once the prescribed medication is prepared
evaluate the puncture site and choose it.
Greet the patient and introduce yourself.
2. Explain the procedure to the patient.
3. Request the patient to assume a prone position.
4. Discover the glute.
5. Divide the gluteus into four quadrants using the
traced with wet cotton, taking in
count the intergluteal fold as a point of
the horizontal line is cut, and this line is to be cut at the
half.
6. Identify the upper external quadrant.
7. Perform asepsis with another damp swab.
from the inside out and spiral shape.
8. Take the syringe with your dominant hand with the
thumb and index finger (like when one holds a
pencil) and with the non-dominant hand take the area
of puncture.
9. Ask the patient to breathe deeply and
insert the needle with the bevel facing up and in
90 degrees.
10. Pull the plunger to ensure that
no blood vessel was encountered.
11. Gently inject the medication.
12. Place the cotton swab at the site of
puncture and remove the needle.
13. No massage.
14. Make the patient comfortable and safe.
1. Greet the patient and introduce yourself
2. Explain the procedure to the patient.
3. Ask the patient to assume the position
lateral
4. Position oneself face to face with the patient
Place the non-dominant hand on the hip of
patient taking into account that the tip of
the nurse's fingers should be placed on the
iliac crest of the hip bone, spreading the fingers
index and thumb to create the space where
it will be the puncture.
6. Perform the asepsis with a damp swab of
inside out and spiral shape.
7. Take the syringe with the dominant hand with
the thumb and the index finger (like when one holds
a pencil) and with the non-dominant hand take the
puncture area.
8. Ask the patient to breathe deeply and
insert the needle with the bevel facing up and in
90 degrees.
9. Pull the plunger to ensure that
no blood vessel was encountered
10. Inject the medication gently
11. Place the cotton swab in the site
of puncture and remove the needle.
12. Do not massage.
Make the patient comfortable and secure.
TECHNIQUE OF
APPLICATION OF
INJECTION
INTRAMUSCULAR
DELTOID MUSCLE
• 1cc or 3cc syringes.
• Dry cotton swabs.
• Alcohol in a spray bottle.
• Paper basket.
• Prescribed medication.
1. Ask the patient to stand or sit, with the arm positioned
at the waist to better visualize the muscle and provide stability to the patient and
Do not move the arm during the puncture.
2. Identify the acromial process.
3. Place two fingers measuring 2.5 cm from this location along the face
lateral of the humerus. Alternatively, draw an imaginary line from the
axilla to the humerus.
4. Take the muscle with the non-dominant hand, grasping it from above.
5. Perform asepsis with the cotton swab moistened with alcohol.
6. Hold the swab in the non-dominant hand and at the same time hold the
area to be punctured.
Punch at a 90-degree angle
holding the syringe as if
out a dart.
8. Pull the plunger to check the
presence of blood.
9. If there is no evidence of it, inject
the medication slowly.
10. Place the cotton in the spot
punctured and remove the needle.
11. Do not massage.
12. Keep the patient safe and discard
the waste.
In the case of children under one year old, the vastus muscle is usually used.
external for placing the injection.
The maximum amount of medication for a single injection is 3 ml.
In the event of wanting to use the
deltoid muscle, this one
recommend for volumes
small ones up to 1 ml,
although it can be managed a
maximum volume of 2 ml in
this.
The reason for being of volumes
small is physiological because
the middle site of the deltoid has
a small muscle mass.
deltoid site is recommended
for immunizations and for
older children.
TECHNICIAN IN Z
The Z method prevents leakage of
irritating medications injected into the muscle
towards the tissues that are found around
this.
Technique Z uses displacement.
lateral of the layers of the skin (placing the
fingertips pressing the skin of the
glute pushing back and in that area
puncture) to effectively seal the drug
in the muscle and prevent it from reaching the
surface layers of the skin.
Is it necessary to continue aspirating when we inject into the
muscle?
Aspiration is defined as the extraction of
syringe plunger (for 5-10 seconds)
before injecting the medicine.
The aspiration is performed more frequently
during an intramuscular (IM) injection or
subcutaneous (SC), and is intended to ensure that
the tip of the needle is located at the site
desired and not accidentally pierced
a blood vessel.
LIQUID RECEPTION CAPACITY IN MUSCLE
• Sciatic nerve injury in the case of the
gluteal injection
• Injury to the anterior branch of the radial nerve
in the case of the injection in the deltoid
• Local induration, erythema
• Hematomas from vessel puncture
blood-related.
• Fibrosis of the surrounding tissue due to
medication applications in
repeated occasions and in the same place.
• Appearance of infectious inflammation in the
puncture zone: Sometimes due to the
lack of asepsis or hygienic handling
from the syringe during administration:
Abscesses.
MEDICATIONS
IN PEDIATRICS
PRESENTATION:
0.5 ml bottle, slightly liquid suspension opalescent.
Disposable syringe and self-retracting needle of 1cc and 25G x 5/8" needle
VACCINATION SCHEDULE:
Newborns (in the first 12 hours after birth), with a weight equal to or greater than 2,000g.
From 5 to 15 years, 11 months and 29 days (who have not received vaccination).
DOSAGE:
Newborns: 0.5ml
- From 5 to 15 years 11 months and 29 days: 0.5ml
VIA AND ADMINISTRATION SITE:
Intramuscular route
Under 1 year: vastus lateralis muscle, on the anterolateral external side of the thigh, middle third.
For those over 18 months and depending on muscle mass, apply to the deltoid region of the arm.
law.
PRESENTATION:
Single dose vial, whitish liquid, slightly opaque.
-Disposable syringe of 1 cc with 25 G x 1" needle. Auto-retractable
VACCINATION SCHEDULE:
Under 1 year: 3 doses (2, 4, and 6 months of age)
From 1 to 4 years 11 months 29 days, without previous vaccination: the schedule is applied (3 doses in
minimum interval of 2 months between doses
DOSIS:0.5 ml
VIA AND ADMINISTRATION SITE:
Intramuscular route:
Under 1 year: vastus lateralis muscle, on the anterolateral external side of the thigh, middle third.
From 1 year to 4 years 11 months 29 days, deltoid muscle, external lateral face, upper third of the arm.
PRESENTATION:
Bottle of 10 doses, of 5 ml soft gray suspension.
-1 cc disposable syringe with 25 G x 1" auto-retractable needle.
Multidose vaccine
VACCINATION SCHEDULE:
Under 1 year: 2 doses (4 and 6 months), with an interval of 2 months between doses.
From 2 to 4 years 11 months 29 days: 2 doses (at 18 months and 4 years 11 months and 29 days) as a booster, with
a 6-month interval between doses.
DOSE: 0.5 ml
VIA AND ADMINISTRATION SITE:
Intramuscular route:
Under 1 year: Vastus lateralis muscle, on the anterolateral external side of the thigh.
From 1 year to 4 years, 11 months, and 29 days: deltoid muscle, external lateral side, upper third of the arm.