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    Intramuscular Injection

    Uploaded by

    Gheorghe Hotaran

    Copyright:

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

    Intramuscular Injection

    Uploaded by

    Gheorghe Hotaran
    149 views10 pages

    Copyright

    © Attribution Non-Commercial (BY-NC)

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    PDF, TXT or read online from Scribd

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    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    149 views10 pages

    Intramuscular Injection

    Uploaded by

    Gheorghe Hotaran

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    of 10

    Giving Medicine By

    Intramuscular Injection

    Name of medicine: __________________________________________________


    Dose of medicine: __________________________________
    ______________________
    Time of medicine: __________________________________
    ____________________
    Special instructions: ________________________________________________
    __________________________________________________
    ______________________
    ___________________________________________________
    _________________

    Supplies:
    C Medicine
    C Syringe and needle
    C Alcohol pad
    C Heavy plastic empty container with a wide mouth and secure cap. Used to put
    syringe and needle into after the injection is given.
    Getting Ready:
    1. Wash your hands with soap and water. Clean thoroughly between
    your fingers and under your nails. Dry your hands.
    2. Gather the needed supplies.
    Drawing Up The Medicine Into The Syringe:
    1. Check the label on the medicine bottle to make sure the right
    medicine is used. Check the expiration date on the bottle. Do not
    use expired medicine. Inspect medication for any
    discoloration. Do not use if discolored.

    2. Remove the cap from the medicine bottle, if it is a new


    bottle. Clean the top of the bottle each time with an
    alcohol pad. Do not touch the top of the bottle after it is
    cleaned with the alcohol.

    (over)
    Page 2

    3. Attach and / or tighten the needle onto the


    syringe.

    4. Take the needle cap off the needle and place


    the cap on the table.

    5. Pull back on the end of the


    plunger. Draw air into the
    syringe equal to the amount of
    medicine ( _____ cc / ml) to be
    drawn up. Do not touch the
    plunger or the needle.

    6. Insert the needle into the rubber stopper on top of


    the bottle.

    7. Push down on the plunger to push the air into the


    bottle. Leave the syringe in the bottle.

    8. Invert the bottle and syringe so the bottle is on top


    and the syringe below. Be sure to support the
    syringe and the bottle so the needle is not bent.

    9. Pull down on the plunger allowing the medicine to


    fill the syringe. Stop at the amount ordered.
    Page 3

    10. Check for bubbles in the syringe. If air bubbles are present:
    C Tap the barrel of the syringe with your finger to move any
    bubbles to the top of the syringe.

    C Push the plunger slightly up to move any air bubbles out of


    the syringe

    C Pull down on the plunger again and fill the syringe with the
    correct amount of medicine.
    C Check again for air bubbles and if present, repeat the steps
    above.
    11. Remove the needle from the bottle.
    12. Carefully replace the needle cap.

    Selecting The Site For Injection:


    C Carefully select the site for injection so major blood vessels and nerves are
    avoided.
    C Use different sites to prevent repeated injections in the same area. Change sites
    with each injection.
    C Do not use areas that are bruised, tender, scarred from surgeries or injury, or
    swollen.
    C Your nurse can help you choose the site that is best for you. (See site p.)

    (over)
    Page 4

    9 Buttock (Gluteus Medius) Site For IM Injection

    1. Find the trochanter. It


    is the knobby top portion
    of the long bone in your
    upper leg (femur). It is
    the size of a golf ball.

    2. Find the posterior iliac


    crest. Many people
    have "dimples "over this
    bone. The nurse will
    help you find the bone
    landmarks.

    3. Draw an imaginary line


    between the two bones.

    4. After locating the center


    of the imaginary line,
    find a point one inch
    toward your head. This
    is where (X) you will put
    the needle in.

    5. Stretch the skin tight.

    6. Hold the syringe like a pencil or dart. Insert the needle at a right angle to your
    skin (90 degrees).

    7. You may give up to 3 ml. (cc) of fluid in this site.


    Page 5

    9 Hip (Ventrogluteal) Site For IM Injection

    1. Find the trochanter. It is the knobby top


    portion of the long bone in your upper
    leg (femur). It is about the size of a golf
    ball.

    2. Find the anterior iliac crest. The nurse


    will help you find the bone landmarks.

    3. Place the palm of your hand over the


    trochanter. Point the first or index finger
    toward the anterior iliac crest.
    Spread the second or middle
    finger toward the back, making a
    'V'. The thumb should always be pointed
    toward the front of the leg. Always use the
    index finger and middle finger to make the 'V'.

    4. Give the injection between the knuckles on your index and middle fingers.

    5. Stretch the skin tight.

    6. Hold the syringe like a pencil or dart. Insert the needle at a right angle to the skin (90
    degrees).

    7. You may give up to 3 ml. (cc) of fluid in this site.

    (over)
    Page 6

    9 Leg (Vastus Lateralis) Site For IM Injection

    1. To find the thigh injection site, you will be


    making an imaginary box on your upper leg.
    Find the groin. One hand's width below the
    groin becomes the upper border of the box.

    2. Find the top of knee. One hand's width above


    the top of the knee becomes the lower border
    of the box.

    3. The center of the top to your leg becomes the


    left border of the box.

    4. The center of the side of your leg becomes the


    right border of the box. The nurse will help
    you find the landmarks.

    5. The best areas to use for injection is in the


    middle of this imaginary box. The sites are
    marked with X's.

    6. Stretch the skin to make it tight.

    7. Insert the needle at a right angle to the skin (90 degrees) straight in.

    8. You may give up to 2 ml. (cc) of fluid into the site.


    Page 7

    9 Arm (Deltoid) Site For IM Injection

    1. To find this site you will form an


    imaginary box on the upper arm.

    2. Find the knobby top of the arm


    (acromion process).

    3. The top border of the box is two finger


    widths down from the acromion process.

    4. The bottom border is an imaginary line


    running from the crease of the armpit,
    from front to back.

    5. To make the two side borders, divide


    the arm into three equal sections, from
    front to back. The site is in the center
    of the middle third.

    6. Stretch the skin and then bunch up the muscle.

    7. Insert the needle at a right angle to your skin (90 degrees). The nurse will show you
    how.

    8. Caution: This is a small site. Give only 1 ml. (cc) or less of fluid in this site. Use
    only if other sites are not available.

    (over)
    Page 8

    Giving The IM Injection

    1. Choose the site you will use for the injection.

    2. Clean your skin with an alcohol pad in a circular motion. Let the
    alcohol dry.

    3. Pull the needle cap straight off the needle (do not twist). Set the
    cap aside.

    4. Hold the syringe like a dart or pencil. Stretch the skin at the
    injection site. If you are thin, you may need to pinch the tissue
    using your thumb and index finger. Be careful not to touch the
    injection site itself.

    5. Insert the needle at a 90 degree angle into the


    prepared injection site. Use a quick dart-like
    motion. The quicker you insert the needle, the
    less discomfort.

    6. Release the skin. Hold onto the syringe


    so that it will not move. Pull back on the
    plunger to check for blood in the syringe.
    Remove the needle if you see blood in the
    syringe. You will need to discard this
    syringe and start over again if blood is in
    the syringe.
    Page 9

    7. Inject the medicine by pushing down on the plunger at


    a moderate rate. Be sure to inject all the medicine in
    the syringe.

    8. Hold the alcohol wipe near the injection site. Remove the
    needle and quickly press the alcohol pad onto the site.
    Hold the pad tightly for a minute or rub the skin in a gentle
    circular motion. Check the area for any redness, bleeding
    or bruising. If bleeding occurs, wipe it off. It may be
    necessary to apply a bandage to the site.

    Clean Up The Supplies:

    1. Put the used syringe and needle into a heavy puncture-resistant plastic container
    and secure the cap. Do not recap the needle. Dispose of all other supplies in the
    trash.

    2. Wash your hands again after disposing of all materials.

    3. Record the date, time and site of injection on the attached record sheet.
    Page 10

    IM Injection Medication Record Sheet


    Patient's Name ____________________________ Phone Number_____________

    Doctor _________________________ Name of Medicine ____________________

    Sites: H = Hip B = Buttocks T = Thigh A = Arm

    Date Dose Site Comments

    © Copyright, (99) N
    General Clinical Research Center
    The Ohio State University Medical Center

    < Upon request all patient education handouts are available in other formats for people with hearing, vision
    and language problems, call (614) 293-3191. For more information, please call (614) 293-3707.

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