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container a second time, it may have germs in it that can cause infections. It is essential to ask a doctor or pharmacist which size needle to use before giving an injection. Where Are the Four Intramuscular Injection Sites? Put the injection in the upper outer part of the buttocks, below the curved bone. If you see blood enter the syringe, pull the needle out a little and inject the medication. This medicine is available only with your doctor's prescription. 1 cc is equal to 1 mL If you are injecting your medication at home, you need to choose a syringe that will hold the dose you've been prescribed. Approved. To inject into the rectus femoris muscle, the needle should go in the middle third at the front of your thigh. Do not touch the area until you give the injection; if you do, you'll just have to clean the area again. Cover the site with a bandage or gauze. There are 3 parts to a syringe: the needle, the barrel, and the plunger. Use the other side of the body or another site. Injections. If you are concerned about pain, you can numb the injection site for five to 10 minutes with ice. When the patient is distracted, their muscle is more likely to be relaxed. Imagine the shape of an upside-down triangle here. A nurse or other healthcare provider can show you how to do it. It is essential to seek medical assistance if a person experiences prolonged or severe side effects after their injection. You will receive your Prolia injection from your healthcare provider at their office or clinic. It needs to be long enough to reach deep into the muscle tissue. The ventrogluteal muscle is the most common site for IM injections in adults and children of walking age. Philadelphia, PA: Elsevier; 2021:chap 13. Thanks to all authors for creating a page that has been read 585,790 times. Aspiration is not necessary or recommended. Using gauze, apply light pressure to the injection site. Effects of thickness of muscle and subcutaneous fat on efficacy of glutealintramuscular injectionsites. This means you use a needle and syringe to send medicine into large muscles in your body. Yourhealthcare providerhas prescribed a medicine that must be given by intramuscular (IM) injection. If you're taking blood thinners or have a bleeding disorder or low platelet count, your doctor may avoid intramuscular injections due to the risk of bleeding. How to Give an Intramuscular Injection (with Pictures) - wikiHow Your partner's thumb should be pointed toward your groin and their fingers should be pointed toward your head. inch from each other. After drawing up the medication, change the needle. into your skin and into the muscle at a 90-degree angle. You can learn more about how we ensure our content is accurate and current by reading our. To locate the correct spot, imagine dividing the thigh vertically into three equal parts. Leuprolide (Intradermal Route, Intramuscular Route - Mayo Clinic "The article was detailed, well-written, and helpful. Assemble all the supplies you'll need: the medication to be given, syringe and. Uncover the upper arm. Include your email address to get a message when this question is answered. Copyright 1997-2023, A.D.A.M., Inc. Any duplication or distribution of the information contained herein is strictly prohibited without authorization. Massaging the injection site may force the medication from the muscle into the skin layers, reducing the absorption of the drug. The needle goes into the muscle; the barrel has markings, either in cc (cubic centimeters) or mL (milliliters), with numbers next to the markings, and it contains the medicine; the plunger is used to get medicine into and out of the syringe. Avoid the belly button. U.S. Food and Drug Administration. prescribed a medicine that must be given by intramuscular (IM) injection. The article lists the four sites commonly used for intramuscular injections and provides instructions on how to give the shots safely. Prepare your medicine as you were shown by your healthcare provider. Do not simply throw them in the garbage after use as this is dangerous. 2023 Dotdash Media, Inc. All rights reserved, Verywell Health uses only high-quality sources, including peer-reviewed studies, to support the facts within our articles. This can lead to a painful condition called sciatica that tends to resolve on its own but can make you uncomfortable for several days or weeks. Name ofyour medicine: Insert the needle into the muscle at a 90-degree angle. Br J Nurs. muscle fibrosis, or scarring of muscle tissue, hematoma, where blood seeps out of blood vessels into the surrounding tissue, redness, swelling, or warmth at the injection site, signs of an allergic reaction, such as swelling or breathing problems. PDF How to Administer Intramuscular and Subcutaneous Vaccine Injections to Pea Fernndez M, ed. We comply with the HONcode standard for trustworthy health information. Use the correct needle length and gauge based on the age, weight, and gender of the recipient. wikiHow is where trusted research and expert knowledge come together. If you don't, you'll have less control when administering the shot and may end up bouncing the needle off of the skin. body. Shortness of breath develops after the injection is given. Massage the area afterward to enhance the absorption of the medication. PDF How to administer intramuscular and subcutaneous vaccine injections Administration of vaccines | The Australian Immunisation Handbook Tension in the muscle makes the injection more. An IM injection is a shot of medicine given into a muscle (intramuscular). The medication is designed to be injected into a muscle and not into the bloodstream, so if you see any red color when you pull back you will need to remove the needle and dispose of it. This muscle is a very safe injection site for adults and infants more than 7 months old because it is thick and located away from major nerves and blood vessels. What Is an Insulin Pen and How Is It Used? People should avoid self-administering medications into the dorsogluteal muscles. Available for Android and iOS devices. The preferred injection site in infants and young children is the vastus lateralis muscle of the thigh. Do not remove dose-divider clip at the other end of the sprayer. Numb the injection site with ice or a numbing cream before cleaning the skin with the alcohol swab. provider. You can opt-out at any time. Nicole Galan, RN, is a registered nurse and the author of "The Everything Fertility Book.". Annals of Medicine and Surgery, Volume 68, August 2021, 102622 https://www.sciencedirect.com/science/article/pii/S2049080121005. Ankylosing Spondylitis Pain: Fact or Fiction, https://opentextbc.ca/clinicalskills/chapter/6-8-iv-push-medications-and-saline-lock-flush/, https://www.aap.org/en-us/advocacy-and-policy/aap-health-initiatives/immunizations/Practice-Management/Pages/Vaccine-Administration.aspx, https://www.cdc.gov/vaccines/pubs/pinkbook/vac-admin.html, Alzheimer's disease: Testing sense of smell may help identify those at greater risk. Accessed August 11, 2022. 2. This helps prevent scars and skin problems. Use the index finger and thumb to stabilize the syringe while using the other hand to pull back on the plunger slightly to look for blood. If you give yourself an injection in the dorsogluteal site, there is a risk of sciatic nerve injury. Prepare your medicine as you were shown by your healthcare provider. Choosing the right site is important as it helps reduce the risk of injury and ensures that the medicine is properly absorbed. For adults, use a 1- to 1.5-inch needle. Your deltoid muscle is the large muscle in yourupper arm, just below your shoulder. The injection sites should be at least 1 inch from each other. For additional information visit Linking to and Using Content from MedlinePlus. This material is provided for educational purposes only and is not intended for medical advice, diagnosis or treatment. It takes time to get used to giving IM injections. Giving an IM (intramuscular) injection - MedlinePlus Some IM injection sites may be preferred over others, depending on the age of the recipient, the type of medication used, the dose, the intramuscular needle size, and whether the shot is being given to yourself or by someone else. Best Way to Get Rid of Used Needles and Other Sharps. Some people also prefer to be positioned in a way in which they cannot see the injection taking place. This is the part of the buttocks with the least fatty tissue. The Z-track method is an intramuscular injection (IM) technique used to ensure the medication stays in the muscle instead of leaking into the surrounding tissue. The warnings and precautions on norethindrone will also apply to Lupron Depot 11.25 mg. If the prescribed dose is more than 1 mL, choose a different site to inject more medicine. For example, if you're supposed to give yourself 3 ccs of a drug, you need a syringe that holds exactly 3 ccs or just a little more. You do not want to hit a nerve or a blood vessel. Most adults will require a 1-inch needle, but the exact size depends on the persons weight. Dispose of the other materials as you were shown by your How To Give A Subcutaneous Injection - Drugs.com The opening has to fit the syringe, and the container needs to be strong enough so a needle cannot break through. How to Give Intramuscular Injections - Together by St. Jude Typically performed in a healthcare setting, the Z-track method involves pulling the skin and subcutaneous tissue to the side of the injection site before inserting the needle. The hip is a good place to give an injection to adults and children older than 7 months. a certain site. When is an intramuscular injection avoided? Learning to give an intramuscular (IM) injection may become a necessity if you, or a family member, suffer from an illness that requires injections of medication. Ondansetron (Injection Route) - Mayo Clinic Your healthcare provider may have recommendations for which site is best, but generally, it is helpful to alternate sites with each injection to avoid pain or soreness. Next, your partner should spread their pointer finger and middle finger into a "V" and give the injection between those fingers. Uncover one buttock. Ask your healthcare provider if you should inject the medicine People can receive intramuscular injections in the following areas: The deltoid muscle is the most common site for vaccines. Screw a needle on the syringe hub unless your syringe comes with a needle already attached. Many vaccinations are given by this route. Put the injection in the middle of the thigh. Can diet help improve depression symptoms? There are also numbing creams, typically containing lidocaine, available at most drugstores. Step 1. Your first instinct may be to massage an intramuscular injection site to ease the pain or help "get the medicine in," but doing so is not recommended. Apply a plaster or wound pad to the area if there is any bleeding. An intramuscular injection delivers medication into a muscle. Effects of thickness of muscle and subcutaneous fat on efficacy of glutealintramuscular injectionsites. Do not massage the site as this can cause the medication to leak, as well as irritation. Apply ice onthe site to numb the area just prior to cleaning it. Available for Android and iOS devices. Your healthcare provider will give you a prescription for your IM medication as well as for the appropriately sized syringes and needles. Move your hand about 3 to 4 inches down the outer side of your upper arm. A fever, sneezing, or coughing develops after the injection. While you're getting the hang of it, you can practice by giving shots to an orange. Make sure you still have the correct dose in the syringe. The needle gauge for intramuscular injection is 22-25 gauge. An intramuscular injection is given into the muscle below the skin and underlying fatty layer. Yourhealthcare providerhas To find the deltoid muscle, a person feels for the bone at the top of the upper arm. Good hygiene is important to minimize the risk of infection. These include the upper arm, thigh, hip, and buttocks. Verywell Health's content is for informational and educational purposes only. As a small thank you, wed like to offer you a $30 gift card (valid at GoNift.com). If the skin is stretched flat, that only use a. Imagine the shape of an upside-down triangle here. Look out for side effects and report any concerns to your healthcare provider. The content of this article is not intended to be a substitute for professional medical advice, examination, diagnosis, or treatment. Avoid touching the needle to ensure it stays clean. If you did not Call your healthcare provider right away if any of the following about 1 to 2 inches below the bone at the top of your upper arm. An intramuscular injection is a technique used to deliver a medication deep into the muscles. 36. There is a lump, swelling, or bruising where the injection was given that does not go away. Intravenous (IV) injections are given directly into . prescribed dose is more than 2 mL, choose a different site to inject more Clean the site with an alcohol pad and allow it to dry. Dermatologic Therapy. Nonprofit organization focused on promoting the use of vaccines by distributing information about vaccines and the diseases they prevent. All rights reserved. To avoid stinging, ensure the alcohol dries completely. These sites have large, easy-to-locate muscles with little fatty tissue. Ask your healthcare provider or a pharmacist what your state or local requirements are for getting rid of used syringes and needles. Official answer by Drugs.com You do not give Prolia to yourself. 2023 Healthline Media UK Ltd, Brighton, UK. The information provided herein should not be used during any medical emergency or for the diagnosis or treatment of any medical condition. Injection sites include the upper arm, hip, thigh, and buttocks. Insert the needle with a deep thrust at a 90-degree angle to the skin (straight up and down). Intramuscular injections are given into a muscle. Why Parkinson's research is zooming in on the gut. Then, pull back the plunger a little and inject the medication slowly. This article was co-authored by Luba Lee, FNP-BC, MS. Luba Lee, FNP-BC is a Board-Certified Family Nurse Practitioner (FNP) and educator in Tennessee with over a decade of clinical experience. Relax the muscles, as much as possible, when receiving the injection. This is to make sure you did not hit a blood vessel Learn the four best places for an intramuscular injection. With that said, some muscles (like the deltoid muscle of the upper arm) are smaller in some people, and it is possible to hit bone if the shot is not given in the thickest part. Your doctor or pharmacy can direct you on how to get rid of used needles and syringes. Intramuscular (IM) injections are shots delivered to a large muscle. IM injections are usually given in the buttocks, thigh, hip,or upper arm. Remove the needle from the vial. Allow the alcohol to air dry for 30 seconds. Seeing the needle approaching can cause worry and distress in some, and will result not only in increased anxiety, but also in tensing of the muscle. 08/04/2020. The needle goes into your muscle. URAC's accreditation program is an independent audit to verify that A.D.A.M. According to clinical trial data provided in prescribing information. Last updated on Jul 3, 2023. Trigger point injections can help relieve chronic muscle pain. Before doctors began using the hip as an injection site, they used the dorsogluteal muscles in the buttocks. Drugs.com provides accurate and independent information on more than 24,000 prescription drugs, over-the-counter medicines and natural products. Insert the needle with a brisk, controlled motion. Put the injection in the middle of the V between your first and middle finger.