Question: What Are The Four IM Injection Sites?

How many type of injection do we have?

The three main routes are intradermal (ID) injection, subcutaneous (SC) injection and intramuscular (IM) injection.

Each type targets a different skin layer: Subcutaneous injections are administered in the fat layer, underneath the skin.

Intramuscular injections are delivered into the muscle..

How do you know if you hit a nerve when injecting?

Unlike some veins, nerves are not visible from outside the body, although you will definitely know if you’ve hit one while injecting because you’ll experience extreme pain and no blood will enter the syringe when you pull back to register. You may feel an electric “burn” along your limb.

Do you pinch skin for IM injection?

Insert needle at an 45o angle to the skin. Pinch up on SQ tissue to prevent injecting into muscle. … Multiple injections given in the same extremity should be separated as far as possible (preferably at least 1” apart).

What is the most common injection?

intramuscular injectionsMost people are familiar with injections delivered into the muscle, intramuscular injections, but there are actually 3 other places that a needle be inserted to deliver medication. The most common site of intradermal injection is in the back or forearm. Vaccines are usually delivered via this route.

Where are intramuscular injections given in the thigh and why?

Typically, people who need to self-administer injections use the vastus lateralis muscle in the thigh. To locate the correct spot, imagine dividing the thigh vertically into three equal parts. Give the injection into the outer top part of the middle section.

How long should needle be for IM injection?

This allows the medication to be quickly absorbed into the bloodstream. Intramuscular shots are given at 90 degree angle. Needle for IM injections can be 22-23 Gauge, 1-1.5 inches in length, adjusted for thickness of site.

What are the 4 types of injections?

Needle insertion angles for 4 types of injection: intramuscular, subcutaneous, intravenous, and intradermal.

five potential sitesIM injections are administered in five potential sites: deltoid (commonly used for adult vaccinations), dorsogluteal, ventrogluteal, rectus femoris, and vastus lateralis3,10,11 (Figure 1).

What is Z track technique?

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.

Can you hit a nerve when giving an IM injection?

Where you give the injection is very important. The medicine needs to go into muscle. You do not want to hit a nerve or a blood vessel. So show your health care provider how you will choose where you will put the needle, to make sure you can find a safe spot.

How do I give myself an injection in the thigh?

Giving an IM injection into the Vastus lateralis siteTo find the thigh injection site, make an imaginary box on the upper leg. Find the groin. … Find the top of knee. … Stretch the skin to make it tight.Insert the needle at a right angle to the skin (90°) straight in.Up to 2ml of fluid may be given into this site.

What happens if you accidentally inject air into muscle?

Injecting a small air bubble into the skin or a muscle is usually harmless. But it might mean you aren’t getting the full dose of medicine, because the air takes up space in the syringe.

What happens if you give an IM injection wrong?

The microbes in injection substances, injection equipment or already-existing on the skin, can enter the body causing very serious infections. Similarly, incorrect injection techniques or erroneous injection locations, can cause blood vessel breakage, muscle or nerve damage and paralysis.

How do you give a painless im injection?

A subcutaneous (SC) or intramuscular (IM) injection is almost always painless if the skin is stretched firmly before inserting the needle. If injecting the arm, for example, the third, fourth and fifth fingers should go medial to the arm while the thumb and index finger stretch the skin on the lateral surface (Fig.

What is another common intramuscular injection site for 2 mL or less of a drug?

The deltoid muscle in the outer portion of the upper arm is used for injections of small volume, usually equal or less than 2 ml.

What is the difference between iv and im injection?

IV drug administration achieves high plasma concentrations rapidly in plasma and tissues. Muscles are very vascular structures, and IM absorption occurs by drug diffusion from interstitial fluid and capillary membranes into plasma, and so onset of action is longer than IV injection.

What happens if you give an IM injection too high?

The most-common forms of SIRVA linked to improper flu shot administration are: Adhesive capsulitis. Rotator cuff injuries. Shoulder bursitis.

What happens if you hit bone while giving an injection?

A needle that is too long can penetrate the deltoid muscle, hitting the bone. Although patients will not feel their bones being hit, the vaccine might not fully absorb into the muscle, leading to a reduced immune response.

What are the sites for IM injection?

Intramuscular injection sitesDeltoid 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 happens if you give an IM injection in the wrong place?

“A vaccine is an immunologically sensitive substance, and if you were to receive an injection too high – in the wrong place – you could get pain, swelling and reduced range of motion in that area,” says Tom Shimabukuro, deputy director of the Centers for Disease Control and Prevention’s immunization safety office.

How do you give an intramuscular b12 injection?

Pull on the plunger to withdraw the correct dosage of vitamin B12 into the syringe chamber. Use the thumb and forefinger of the non-injection hand to hold skin of injection site tight. Insert needle at a 90-degree right angle. *Pull back on the plunger a little to make sure you did not hit a blood vessel.