Intra-Muscular Route of Drug Administration

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Intra-muscular Route

of Drug
Administration
(IM Route)
"Intramuscular injections are a common yet
complex Technique used to deliver medication
deep into the large Muscles of the body."
Definition
 It may be for curative, diagnostic or
recreational purpose
The physical Characteristics of a drug
The speed which the drug is absorbed and
/ or released
The need to bypass hepatic metabolism
Selection Of
To achieve high concentration at a
a Route particular site
Accuracy of the dose
Condition of the patient
ADVANTAGES DIS-ADVANTAGES
 Absorption reasonably
uniform  Only upto 10 ml drug
 Rapid onset of action can be given
(time untill effect 10-  Local pain and abcess
Why to Use? 20 minutes)
 Expensive
 Mild irritants can
be given  Infection

 First pass Avoided  Nerve damage

 Gastric factors can be


avoided
It can be studied under following heads:

Giving an IM Site selection


injection
Preparation of injection
Procedure
Post injection care
Deltoid muscles of the Arm
For adults and older children
Anterolateral thigh
The most common injection site is anterolateral
Intramuscular thigh into vastus lateralis muscles
injection sites Gluteal muscles
 Dorsogluteal
 Ventrogluteal
Never to be used in children
 Use only new disposable syringe and needle
every time
 Changing only the needle on the same
syringe is also not safe
 Use wide bore needle rather than a narrow
Equipment one
Selection  For oily or viscous injection use 20 or 21 no.
needle
 Use longer possible needle
 For gluteus injections always use 1½ ”
needle
Skin preparation Preparing Syringe
 Avoid site with oozing  Clean your hands with
dermatitis or infection alcohol based hand wash
 Clean the site with  No need to use gloves
single use spirit or routinely
alcohol swab in a
circular motion in an  Remember to use new
area 5-8 cm equipment
Preparation of  Pre wetted cotton  Observe aseptic
swabs are better to be precautions
injection avoided
 No need to change the
 If spirit is not available needle after
normal saline can be withdrawing medication
used
 Do not ever wipe the
 Never use Savlon or needle with swab
Dettol
 Do not keep the air bubble
 Let the site be dry inside the syringe
before injection
Make the patient comfortable and give him a proper
position so as to identify the proper site for injection
Properly hold the child
Hold the syringe in your hand as if holding a pen
Remove needle cap immediately before giving
injection…not earlier
Procedure Ensure smooth and steady insertion of the needle at
90 degree with a dart technique
No need to aspirate
Slowly push the medication allowing muscle fiber to
stretch and accommodate the injected volume
 Wait for a while and remove the needle in the same
direction as it was pushed
Apply gentle pressure with a dry gauze
IM Injection
Illustration
Z-track
Technique
Lifted Skinfold
Technique
It’s normal to experience some discomfort after
an intramuscular injection. But certain
symptoms may be a sign of a more serious
complication.
 Severe pain at the injection site
 Tingling or numbness
Complications Redness, swelling, or warmth at the injection
site
 Drainage at the injection site
 Prolonged bleeding
 Signs of allergic reaction, such as difficulty
breathing or facial swelling
 Haloperidol (Haldol)
 Aripiprazole (Abilify)
Medicines  Paliperidone (Invega)
Available for  Chlorpromazine (Thorazine)
IM route  Lorazepam (Ativan)
 Fulvestrant (Faslodex)
Thanks For
Attention!

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