Table of Contents
What is the proper technique for intramuscular injection?
Hold the skin around where you will give the injection: With your free hand, gently press on and pull the skin so that it is slightly tight. Insert the needle into the muscle: Hold the syringe barrel tightly and use your wrist to inject the needle through the skin and into the muscle at a 90 degree angle.
What angle is best for intramuscular injection?
Insert needle at a 90o angle to the skin with a quick thrust. Retain pressure on skin around injection site with thumb and index finger while needle is inserted. Aspiration is not necessary. Multiple injections given in the same extremity should be separated as far as possible (preferably at least 1” apart).
Do you pinch for deltoid injection?
Do you pinch the skin when giving a deltoid IM injection? No, you should not pinch the skin if you are giving a deltoid IM injection because this may mean you inject the syringe contents into the subcutaneous tissue rather than the muscle.
Where is the deltoid injection site?
Draw an imaginary inverted triangle between the acromion and the deltoid tuberosity. The correct injection site is in the middle one-third of this triangle (ie, in the center of the deltoid muscle, midway between the acromion and the deltoid tuberosity).
How many mL is a 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.
Is the Z-track method recommended?
The Z-track method is not often recommended, but can be particularly useful with medication that must be absorbed by muscle to work. It also helps to prevent medication from seeping into the subcutaneous tissue and ensures a full dosage.
Why is Z track method preferred?
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.
Can you put 2ml in deltoid?
The deltoid site is mostly commonly used for immunizations. However, up to 1 mL of any medication may be administrated to this muscle (the maximum volume should never exceed 2 mL).
How do you find the deltoid muscle?
The deltoid is a large rounded triangular shape on the outside of the upper arm, on top of the humerus, the clavicle and the scapula. The brachial artery and the radial nerve sit behind the deltoid and come down from the muscle.
How many ml inject deltoid?
If injecting medication into the deltoid muscle of an adult, the volume of solution should not exceed 1 mL. If injecting into the vastus lateralis, ventrogluteal, gluteus medius, or dorsogluteal muscles of an adult, the volume should not exceed 3 mL.
When do you use Z track injection?
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.