PHE suggests that, if a patient is physically clean and generally in good health, swabbing the skin is not required. Follow local policy. It is common practice to draw back on a syringe after the needle is inserted to check whether it is in a blood vessel. While it is important to aspirate if the DG muscle site is used — because of proximity to the gluteal artery — it is not required for other IM injection sites PHE, ; Malkin, It also notes that gloves do not protect against needle-stick injury.
Nurses need to risk assess individual patients Royal College of Nursing, and be aware of local policies for glove use. Tagged with: Coronavirus zone: medicines management Newly qualified nurses: practical procedures. Sign in or Register a new account to join the discussion. You are here: Assessment skills. Injection technique 1: administering drugs via the intramuscular route. Abstract The intramuscular route allows the rapid absorption of drugs into the circulation.
Author: Eileen Shepherd is clinical editor at Nursing Times. This article has been double-blind peer reviewed Scroll down to read the article or download a print-friendly PDF here if the PDF fails to fully download please try again using a different browser Read part 2 of this series here. Box 1. Your healthcare provider will tell you what dose is best for you and show you how to measure your dose if you need to give the injection yourself at home.
Always wash your hands with soap and water and dry them before giving an IM injection. After most injections, it is recommended that you relax and limit your activity for the remainder of the day unless you have been told otherwise by your doctor or nurse. It is normal to get some pain and discomfort after an IM injection, but here are a few do's and don't to reduce the pain and discomfort. Call your doctor if you get fever or chills or a lump, swelling, redness or bruising at an injection site that does not go away.
This could be signs of an infection. Check for blood. Use your dominant hand — the one that did the injection — to pull back on the plunger slightly, looking for blood in the syringe. Withdraw the needle quickly and discard it into a puncture-resistant sharps container. A sharps container is a red container that you can purchase at any pharmacy. Use a piece of gauze to apply light pressure to the injection site. You can even massage the area to help the medicine be absorbed into the muscle.
Use a bandage if necessary. But certain symptoms may be a sign of a more serious complication. Call your doctor or healthcare provider right away if you experience:. Read through the steps several times until you feel comfortable with the procedure, and take your time.
When a medication is injected directly into muscle, it is called an intramuscular injection IM. The Z-track method of IM is used to prevent tracking…. For small amounts of delicate drugs, a subcutaneous injection can be a convenient way of getting a medication into your body. Low levels of the male hormone testosterone affect muscle mass, bone density, and more. Learn if testosterone injections work and if they're right for…. Make sure you're taking your insulin the best way possible.
A new class of self-injectable medications are showing promise in treating high cholesterol. Read more about these alternatives to traditional statin…. Learn the ins and outs of MRI vs. X-ray imaging tests, including the pros and cons of each test, how they compare to CT scans, how much they cost, and…. Health Conditions Discover Plan Connect. What Are Intramuscular Injections? Medically reviewed by Deborah Weatherspoon, Ph.
Purpose Injection sites How-to Helpful tips Complications We include products we think are useful for our readers. Using a smooth motion prevents any unnecessary pain to the patient. Do not massage site. Skip to content Chapter 7.
Parenteral Medication Administration. How can you make an injection less painful for a patient? Name four techniques. When giving an IM injection, how can you avoid injury to a patient who is very thin? Previous: 7. Next: 7. Share This Book Share on Twitter.
Additional Information. The site involves the gluteus medius and minimus muscle and is the safest injection site for adults and children. The site provides the greatest thickness of gluteal muscles, is free from penetrating nerves and blood vessels, and has a thin layer of fat. For the ventrogluteal muscle of an average adult, give up to 3 ml of medication. Ventrogluteal intramuscular injection site.
The maximum amount of medication for a single injection is 3 ml. Vastus lateralis intramuscular injection site. The deltoid muscle has a triangular shape and is easy to locate and access, but is commonly underdeveloped in adults.
Begin by having the patient relax the arm. The patient can be standing, sitting, or lying down. To locate the landmark for the deltoid muscle, expose the upper arm and find the acromion process by palpating the bony prominence. The injection site is in the middle of the deltoid muscle, about 2. To locate this area, lay three fingers across the deltoid muscle and below the acromion process.
The injection site is generally three finger widths below, in the middle of the muscle. Deltoid intramuscular injection site Deltoid IM injection site. Disclaimer: Always review and follow your hospital policy regarding this specific skill. Always wear gloves to administer injections. Although policy may vary from place to place, the CDC recommends wearing gloves if there is potential for contact with blood and body fluid. If required by agency policy, aspirate for blood prior to administering an IM medication.
Upon injection, if a patient complains of radiating pain or a burning or a tingling sensation, remove the needle and discard. Take all necessary steps to avoid interruptions and distractions when preparing and administering medications. NEVER recap needles after giving an injection. Apply the safety shield and dispose in the closest sharps container.
Perform hand hygiene. Hand hygiene prevents the spread of microorganisms. Hand hygiene with ABHR. Compare MAR to patient wristband and use two patient identifiers to confirm patient. Using two identifiers improves medication safety by ensuring you have selected the correct patient.
Compare MAR to patient wristband. Assess patient data such as vital signs, laboratory values, and allergies before preparing and administering medications by injection. Assess for any factors that may contraindicate an IM injection. Factors to look for include circulatory shock, surgery, or muscle atrophy. Compare physician orders and MAR. Review medication information, such as purpose, action, side effects, normal dose, rate of administration, time of onset, peak and duration, and nursing implications.
Knowledge of the medication ensures the correct patient receives the correct dose of the correct medication at the correct time via the correct route for the correct reason using the correct documentation.
Assemble medication, non-sterile gloves, alcohol swabs, syringes, needles, and sharps container. Prepare medication from an ampule or a vial as per hospital policy.
0コメント