What are the recommended sites for giving an intramuscular injection?
Intramuscular injections are often given in the following areas:
- Deltoid 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.
What is Z technique IM injection?
The Z-track method is a type of IM injection technique used to prevent tracking (leakage) of the medication into the subcutaneous tissue (underneath the skin). During the procedure, skin and tissue are pulled and held firmly while a long needle is inserted into the muscle.
Why Dorsogluteal is not recommended?
Disadvantages of the Dorsogluteal Site It has a lot of veins and is close to the important sciatic nerve that runs from your lower back down your legs. In some cases, dorsogluteal injections can cause sciatic nerve damage, leading to temporary or permanent paralysis in one of the legs or feet.
How quickly would the nurse inject solution into an intramuscular site?
Intramuscular injections are administered at a 90-degree angle. Research has found administering medications at 10 seconds per mL is an effective rate for IM injections, but always review the drug administration rate per pharmacy or manufacturer’s recommendations.
How many mL Can you give IM in deltoid?
Deltoid Muscle This site is used for small medication volumes (2 ml or less)8 and for administration of routine immunizations in children older than 3 years with acceptable muscle mass and development and when other sites are inaccessible because of dressings or casts.
How many ml can be given IM?
For a well-developed adult, no more than 5 ml of medication should be administered in a single IM injection because the muscle tissue does not absorb it well. For “deep” IM injections, the recommended volume ranges from 2 to 5 ml.
What is the Z track method?
THE Z-TRACK METHOD of I.M. injection prevents leakage of irritating and discoloring medications (such as iron dextran) into the subcutaneous tissue. It also may be used in elderly patients who have decreased muscle mass. Lateral displacement of the skin during the injection helps seal the drug in the muscle.
What is zig zag injection?
injections in adults. By leaving a zigzag path that seals the needle track, this technique prevents drug leakage into the subcutaneous tissue, helps seal the drug in the muscle, and minimizes skin irritation.
Is Z-track method still used?
YOU SHOULD USE the Z-track method for all I.M. injections in adults. By leaving a zigzag path that seals the needle track, this technique prevents drug leakage into the subcutaneous tissue, helps seal the drug in the muscle, and minimizes skin irritation.
How fast do you push IM injection?
Inject medication at 10 seconds/ml. Because the injection sites recommended for immunizations do not contain large blood vessels, aspiration is not necessary when immunizing. 21. Once medication is given, leave the needle in place for 10 seconds.
How many ml Can you give IM gluteal?
If the patient’s available muscle tissue is limited and the dorsogluteal muscle must be used, volumes of up to 4 ml can be administered into this site. The ventrogluteal muscle can accommodate up to 2.5 ml, with a maximum volume of 3 ml.
Do you use Z track for IM?