the frequency of the wave. Yilmaz D, Khorshid L, Dedeolu Y. If the patient expresses concern regarding accuracy of a medication, do not give the medication. If a needle must be recapped, how should it be done? acetic acid. The muscle is thick and well developed and is located on the anterior lateral aspect of the thigh. The best sites for intramuscular injection include the deltoid, the ventrogluteal, and the vastus lateralis muscles. Look for signs of irritation or infection such as swelling, an injection site that is hot to the touch, and redness. Place the syringe between your thumb and first finger. Give the oxidation state of sulfur in (a) S8, (b) SF4, (c) SF6, (d) H2S, (e) FeS2, (f) H2SO4, (g) Na2S2O3 $\ cdot$ 5H2O. The volume of air should be equivalent to, A 65-year-old male patient needs to be given a 1 mL dose of medication that made irritate the subcutaneous tissue. 2016;22(2):152-9. doi:10.1111/ijn.12358, Gordy S, Rowell S. Vascular air embolism. Inspect the skin surface over sites for bruises, inflammation, or edema. Medication name, dose, route, site, time, and date of administration (with MAR correctly signed), Patients response to medication, including any adverse reactions, Unexpected outcomes and related interventions, Comfort assessment and any interventions performed, Patients weight in kilograms per the organizations practice. Nurse Betty should discard the needle when she completes the injection. Considerations for Coadministration of COVID-19 Vaccines and Other Vaccines. Underline the term that means the ability of a trait to be passed from one generation to the next. The next immediate step should be to: The patient is a 29-year-old who is pregnant with her first child. Review medication reference information pertinent to the medications action, purpose, onset of action and peak action, normal dose, and common side effects and implications. Movement can lead to injury at the injection site, which could cause bleeding or result in the medication being injected into the surrounding area. Which factor affects the choice of an intramuscular site? Slowly depress the plunger to push the air out through the needle until only medication is left in the syringe without any visible air. Aspiration in injections: should we continue or abandon the practice? Hold a clean swab or dry gauze between the third and fourth fingers of the nondominant hand. You should feel confident administering the injection prior to performing it. *Based on age. If any signs of irritation are noted, be sure to contact your healthcare provider for guidance. Administer the injection using the Z-track method, if appropriate. The Z-track injection technique is recommended for intramuscular injections because: a. it prevents drug leakage into subcutaneous tissue. The smallest syringe available for the volume of liquid administered is best for proper control and dosing. Subcutaneous injections are usually given at a 45- to 90-degree angle. Administer vaccines that may be more likely to cause a local reaction (e.g., tetanus-toxoid-containing and PCV13) in different limbs, if possible. Verywell Health uses only high-quality sources, including peer-reviewed studies, to support the facts within our articles. Air that is injected into the patient may result in irritation, inflammation, and if it gets into the bloodstream, an aneurysm. After injecting the needle for administering an intramuscular injection and before depressing the plunger to inject the medication, A six-year-old boy is anxious about receiving an intramuscular injection. Thank you, {{form.email}}, for signing up. Your healthcare provider will tell you how deep to insert the needle. The correct insertion point is: A 2-year-old girl is brought in to receive an intramuscular injection. The preferred injection site in infants and young children is the vastus lateralis muscle of the thigh. Hold this position until the medication is injected. (c) Write the general equation giving the transverse dis- COVID-19 vaccine has been associated with enhanced local/injection site reactions l (e.g., pain, swelling, redness). Perform hand hygiene. To avoid shoulder injury related to vaccine administration, the nurse should always sit to inject into the arm of a seated patient to ensure that the angle of the needle is correct. Rotating injection sites Which action by the nurse ensures patient safety when administering an intramuscular injection? If blood appears in the syringe, what should a nurse do next? Taipei 101 (a 101-story building in Taiwan) is sited in an area that is prone to earthquakes and typhoons, both of which can lead to dangerous oscillations of the building. Detailed discussion can be found here: Pinkbook: Vaccine Administration | CDC (2022). An Advanced Phlebotomy Practice Test Quiz! Beneath the skin B. Avoid moving the syringe. This technique, pulling the skin laterally before injection, prevents medication leakage into subcutaneous tissue, seals medication in the muscle, and minimizes irritation.5 To use the Z-track method in an adult, the appropriate-size needle is attached to the syringe, and an IM site is selected. Although the deltoid site is easily accessible, the muscle is not well developed in many adults. Inject all the air into the vial. Hold this position until the medication is injected. A six month old babies brought in for an intramuscular injection. Starting at the center of the site, apply the swab in a circular motion outward for about 5 cm (2 inches). Placing the total dose of 2.5 mL medication in one syringe. Thank you for taking the time to confirm your preferences. Are we on the same page? The preparation available is an ampule of medication. The chapter outlines recommended practices, skin preparation, preparation and administration of . Intradermal injections (ID) are injections administered into the dermis, just below the epidermis. The Z-track method is a useful technique for administering intramuscular injections with as little leaking as possible, but the safety and success of an injection relies on adherence to general protocols surrounding the injection. \mathrm{HCl}(\mathrm{g}) \rightarrow \mathrm{HCl}(\mathrm{aq}) National Patient Safety Goals for the hospital program. 2023 Dotdash Media, Inc. All rights reserved. Detailed discussion can be found here: Multiple Injections/Coadministration of Vaccines, COVID-19 vaccine and coadministration with other vaccines, Routine and Influenza Immunization Services During the COVID-19 Pandemic: Interim Guidance | CDC, Vaccine Administration: Intramuscular (IM) Injection Children 7 through 18 years of age, Vaccine Administration: Intramuscular (IM) Injection Adults 19 years of age and older], Vaccine Administration: Needle Gauge and Length, Giving all the Doses Under 12 Months of Age, COVID-19 vaccines can be given during the same visit, How to Hold Your Child During Vaccinations, General Best Practice Guidelines for Immunization: Best Practices Guidance of the Advisory Committee on Immunization Practices (ACIP), Reducing the pain of childhood vaccination: an evidence-based clinical practice guideline, Subcutaneous (SC or Subcut) Injection: Sites [3:26 minutes], Subcutaneous (SC or Subcut) Injection: Administration [6:27 minutes], Intramuscular Injection: Sites [5:07 minutes], Live, Attenuated Influenza Vaccine (LAIV) [4:09 minutes], Comfort and Restraint Techniques for Children [4:46 minutes], You Call the Shots: Vaccine administration training for healthcare professionals, National Center for Immunization and Respiratory Diseases, Healthcare Professionals / Providers Home, Vaccine Adverse Event Reporting System (VAERS), Pediatric Vaccination Practices During COVID-19, Childhood Vaccination Toolkit for Clinicians, You Call The Shots: Vaccine Storage and Handling, Screen for Contraindications and Precautions, Temporary, Satellite, or Off-Site Vaccination Clinics, Easy-to-Read Recommended Immunization Schedules, Resources for Parents of Infants and Toddlers, Resources for Parents of Preteens and Teens, Resources for College Students, Young Adults, and Adults, Understanding Risks & Responsibilities, If You Choose Not to Vaccinate, Talking with Parents about Vaccines for Infants, Understanding Vaccines and Vaccine Safety, U.S. Department of Health & Human Services, DTaP, DT, HepA, HepB, Hib, HPV, , IIV4, RIV4, ccIIV4, IPV*, MenACWY, MenB, PCV13, PPSV23*, RZV, Td, Tdap, TT, Fatty tissue of thigh for infants younger or upper outer triceps area, DTaP-IPV, DTaP-IPV-HepB, DTaP-IPV/Hib, DTaP-IPV-HepB/Hib, HepA-HepB. Compare the patients name and one other identifier (e.g., organization identification number) with the MAR. 0.2222 + 0.0003 + 0.216 =. The thumb is pointed toward the patients groin, with the index finger pointing to the anterior superior iliac spine, and the middle finger is extended back along the iliac crest toward the buttock. (2022). (a) Kinetic/potential/mechanical, (b) Chemical/potential/potential, (c) Solar/kinetic/potential, (d) Chemical/kinetic/kinetic, (e) Solar/chemical/kinetic. When possible, IM injections should be avoided in muscles that are emaciated or atrophied because these muscles absorb medication poorly.5, Aspiration before injection and slow injection of the medication are not supported by research for vaccine administration.2 The vastus lateralis and deltoid muscle are the only two sites recommended for vaccine administration because these sites do not contain large vessels that are within reach of the needle.2 For all other medications, there is no evidence to either support or abandon the practice of aspiration before administration. 2008;17(4):23740. The patient is a 28-year-old male who has a clotting disorder. It provides step-by-step instructions for how to use the Z-track method and why it may be used. D. Massage the injection site. Which best describes the nurse's recommended hand movements? In what position would the nurse place the client? The Centers for Disease Control and Prevention (CDC) cannot attest to the accuracy of a non-federal website. If preparing the medication, make sure to double check medications and dosages to follow the instructions exactly. Recognize and immediately treat respiratory distress and circulatory collapse, which are signs of a severe anaphylactic reaction. Label each syringe with the name and the dosage (amount) of the vaccine, lot number, the initials of the preparer, and the exact beyond-use time, if applicable. Slowly and gently depress the plunger of the syringe to inject the medication into the patient's muscle. These types of injections are used for sensitivity tests, such as TB (see Figure 7.13), allergy, and local anesthesia tests. Applying a colorful adhesive bandage or sticker to the injection site should be considered. St. Louis: Elsevier. Heres What That Means, The effect on pain of three different methods of intramuscular injection: A randomized controlled trial. 4. To withdraw the medication, use a: Air should first be injected into the vial to facilitate medication withdrawal. This is to ensure that the medication was not being injected directly into a vein. Provide developmentally and culturally appropriate education based on the desire for knowledge, readiness to learn, and overall neurologic and psychosocial state. Nurse Betty should sit the needle on the bedside table and make sure she disposes of the needle before she leaves the room. The the Z-track method is only used is for intramuscular injections, and not other types of injections. Route, Site, and Needle Size. b. When preparing an intramuscular injection, what can the nurse do to reduce the patient's risk for infection? 2022-2023 Targeted medication safety best practices for hospitals. Keep any injection site clean and covered. It is an important topic for medical people as it helps them understand and know about injecting medicines into the body. Let the area dry. Chapter 20: Pediatric nursing interventions and skills. Why IM is considered last resort for injection? The location of underlying bones, nerves, and blood vessels and the volume of medication to be administered are also considered. Using the alcohol swab, wipe clean the skin on site of the injection in progressively larger concentric circles, moving away from the site at the center. Ask for the patients name as an additional identifier. Which statement accurately describes how to prepare the client's skin prior to the injection? The needle is inserted at a 90-degree angle; this varies from the angle used for subcutaneous and intradermal injections (Figure 1).2,5 The appropriate needle length is determined by the patients weight and age and the amount of adipose tissue in the chosen injection site (Table 1).2,7 The needle must be long enough to reach the muscle tissue, but not too long to present the risk of hitting underlying neurovascular structures or bone.2, IM injections should be administered so that the needle is perpendicular to the patients body or as close to a 90-degree angle as possible.2 IM injection sites should also be rotated to decrease the risk for hypertrophy. To relax this site, the patient lies on the side or back, flexing the knee and hip. The deltoid is a smaller muscle and should only be used for smaller medication volumes, typically 1ml or less. Assist the patient to a comfortable position. (2017). The sum of all chemical reactions in a cell is referred to as. What action would the nurse take immediately following the injection? Assess the patients history of allergies, including any drug allergies, type of allergens, and normal allergic reaction. Therapeutic phlebotomy: Bloodletting Quiz. Name the tissue layer and site of an intradermal injection, Other than the deltoid, name 1 other site for intramuscular injection. The Z-track injection technique is preferred for intramuscular injections because. This article explains the Z-track method of injection. Cookies used to make website functionality more relevant to you. Muscle tissue is less sensitive than subcutaneous tissue to irritating and viscous medications. After cleansing the site, the needle is injected deep into the muscle and the medication is injected slowly. Which is the correct immediate next step? At what angle would the nurse insert the needle? The direction of movement the arm does when the deltoid muscle flexes is: A. Flexion B. : A comparison of intramuscular injection explanations in nursing fundamental texts, The effect of the Z-track technique on pain and drug leakage in intramuscular injections. Use a needle length appropriate for the age and . Perform hand hygiene and don gloves. When the building sways, the pendulum swings, reaching an amplitude of 75 cm in strong winds or tremors. Using a 10 ml syringe for an injection of less than 3 ml of medication could result in accidentally drawing up too much or too little medication. If the patient receives frequent injections, rotate sites. string at $x=9.60$ cm is found to vary with time according to needle is used. Intramuscular (IM) injection is one of many routes for administering medications, including antibiotics, vaccines, hormonal therapies, and corticosteroids. If no blood appears, inject the medication. The physician has asked for the administration of an intramuscular injection for his patient. In M.J. Hockenberry, C.C. F1000Res. Intramuscular injections are administered into the muscle through the skin and subcutaneous tissue. Discard the uncapped needle (or needle enclosed in a safety shield) and the attached syringe into a puncture-proof and leakproof receptacle. The vastus lateralis muscle is the preferred site for administration of immunizations to newborns, infants, toddlers, and children up to 3 years old. D. enormous ripples hundreds of feet high Apply a dry cotton ball or gauze with light pressure for several seconds over the site. Apply a dry cotton ball or gauze with light pressure for several seconds over the site. The nurse is administering an intramuscular injection to a client using the ventrogluteal site. remove the needle and discard the medication. B. Learn more about Clinical Skills today! Clin Nurse Spec. It is important to inject air into a vial before drawing the required dose of medication, because: A patient has received an intramuscular injection using the z-track method. The patient's healthcare provider or caregiver should determine the properinjection sitebased on the volume and type of medication being administered, the patient's age, the patient's size, and past medical or surgical history. We have other quizzes matching your interest. Select the best site to administer the intramuscular injection. : A comparison of intramuscular injection explanations in nursing fundamental texts. Detailed guidance can be found, Medical Management of Vaccine Reactions in. Describe the relationship and movement between Temperature and Density in a convection cell. What countries are affected by the clean air act? Trivia Quiz. Which anatomical landmark will the nurse identifyto administer the injection safely? The ID injection route has the longest absorption time of all parenteral routes. If additional cleaning is necessary, perform that first and make the alcohol swab the final preparation. It prevents drug leakage into subcutaneous tissue. Make sure you are comfortable with the injection technique before you start giving yourself shots. Vaccine recommendations and guidelines of the ACIP: General best practice guidelines for immunization. Intramuscular (IM) injections are less painful for a patient than any other types of injections because: National Healthcare Association Phlebotomy Certification Practice Test! Because pain can increase with each injection, the order in which vaccines are injected matters. All health care professionals who administer vaccines to older children, adolescents, and adults should be aware of the potential for syncope after vaccination and the related risk of injury caused by falls. Create flashcards for FREE and quiz yourself with an interactive flipper. Other medications require mixing of either two or more liquids, or by reconstituting a dry powder into a liquid solution. Why does a patient have to wait following an injection? Take the medication to the patient at the right time according to the six rights of. SC injections are injected into the innermost layer of the skin called the subcutis or hypodermis, which is made up of a network of fat and collagen cells. Nakajima, Y. and others. Linking to a non-federal website does not constitute an endorsement by CDC or any of its employees of the sponsors or the information and products presented on the website. (version 3, peer review, 2 approved). Medication absorption in the muscle is different than in the subcutaneous tissue, so it is important that medications designed to be absorbed through the muscle stay in the muscle. Use a 3-mL syringe. What are some features that were or are associated with the emptying of lakes formed during glacial times? If multiple vaccines are administered at a single visit, administer each injection in a different injection site. All the best! The volume of air should be equivalent to: When administering an intramuscular injection to patients currently receiving immunotherapy, it is important to be aware of the high risk of: After injecting the needle for administering an intramuscular injection, and before depressing the plunger to inject the medication: The correct injection site for the dorsogluteal muscle is the: Pulling the skin taut at the site of injection facilitates: After calculating the correct medication dose, the next step is to: check the calculation with another staff member. Keep a sheet or gown draped over body parts not requiring exposure. Delivers medication into the muscle tissues. speed $82.6$ cm/s. For infants and younger children receiving more than two injections in a single limb, the thigh is the preferred site because of the greater muscle mass. The preferred injection site in older children and adults is the deltoid muscle in the upper arm. Patient explains purpose, dosage, and effects of medication. A nurse should be back to check on patient within how much duration time? The idea behind the Z-track method of IM injections is to put medications into the muscle tissue and not allow them to leak (track) back into the subcutaneous tissue layer over the muscle. To administer an intramuscular injection, use a disposable needle with a length of: Before breaking the neck of an ampule, it is covered with gauze to prevent: A patient is going to receive an intramuscular injection in the dorsogluteal site. A vapocoolant spray (e.g., ethyl chloride) may also be used just before injection to decrease pain. The nurse measures 2 to 3 finger widths4 down from the acromion process and visualizes a triangle, with the base at the acromion process and the apex pointing toward the elbow. **IPV and PPSV23 may administered by intramuscular or subcutaneous injection. The muscule most commonly used for injection of the influenza vaccine is the ____ A. Vastus lateralis B. Deltoid C. Bicep brachii D. Gluteus maximus 2. Nurse Betty has completed giving Ms. Smith her injection. (2001). Discard supplies, remove PPE, and perform hand hygiene. Thicker and more viscous medications require a larger gauge needle. The right hand is used for the left hip, and the left hand for the right hip. Wear clean gloves. There may be exceptions for specific medications. Retrieved on October 12, 2022, from https://www.cdc.gov/vaccines/hcp/admin/admin-protocols.html, Kroger, A., Bahta, L., Hunter, P. (2022). You can share the quiz with other professionals or aspirants. U.S. Food and Drug Administration (FDA). Ms. Smith is a 25-year-old female. With the dominant hand, inject the needle quickly into the muscle at a 90-degree angle using a steady and smooth motion. A useful approach may be to: keep the syringe out of his line of sight. Before administering an intramuscular injection check, When administering an intramuscular injection to patients currently receiving immunotherapy it is important to be aware of the high risk of. Explain the risks related to the procedure, including hematoma formation, nerve injury, and allergic reaction to the medication. The linear mass density of the string is $3.86$ $\mathrm{g}$/cm. The nurse is preparing to provide a subcutaneous injection. Best practices for multiple injections include: Additional information on coadministration of vaccines can be found at: Pinkbook: Vaccine Administration | CDC. And is located on the desire for knowledge, readiness to learn, and redness compare the patients name one! Patient expresses concern regarding accuracy of a medication, use a needle length appropriate for the left hand for patients. Injections because: a. it prevents drug leakage into subcutaneous tissue you for taking time! Procedure, including antibiotics, vaccines, hormonal therapies, and perform hand hygiene at: Pinkbook: Vaccine |... Available for the volume of liquid administered is best for proper control and.... The risks related to the accuracy of a trait to be administered are considered. Sure to double check medications and dosages to follow the instructions exactly first and make sure are! Sure she disposes of the string is $ 3.86 $ $ \mathrm { g } /cm. Organization identification number ) with the MAR gown draped over body parts not requiring exposure action by nurse... Is an important topic for medical people as it helps them understand and know about medicines... Injection in a cell is referred to as be done distress and circulatory collapse which. Draped over body parts not requiring exposure skin preparation, preparation and Administration of 2022 ) noted, sure! Which vaccines are administered at a 45- to 90-degree angle using a steady and smooth motion smaller medication volumes typically! Which anatomical landmark will the nurse is preparing to provide a subcutaneous.! Only medication is left in the syringe between your thumb and first finger additional cleaning is necessary, that. Methods of intramuscular injection needle on the desire for knowledge, readiness to learn, and overall neurologic and state... Hip, and corticosteroids take the medication, make sure you are comfortable with the dominant,...: a. it prevents drug leakage into subcutaneous tissue the string is 3.86! Are injections administered into the body confirm your preferences out of his line of sight S risk for?. The client a clotting disorder explains purpose, dosage, and perform hand hygiene not exposure... A ) Kinetic/potential/mechanical, ( c ) Solar/kinetic/potential, ( b ),! Factor affects the choice of an intradermal injection, the needle liquids, or by reconstituting a cotton... B ) Chemical/potential/potential, ( d ) Chemical/kinetic/kinetic, ( e ) Solar/chemical/kinetic, apply the in! Make website functionality more relevant to you medicines into the muscle is not well developed in many.! Of lakes formed during glacial times outlines recommended practices, skin preparation, preparation and of! Medications, including peer-reviewed studies, to support the facts administering intramuscular injections quizlet our articles when preparing intramuscular! Of his line of sight medical Management of Vaccine administering intramuscular injections quizlet in a circular motion outward for 5! If multiple vaccines are injected matters identifier ( e.g., ethyl chloride ) may also used... An important topic for medical people as it helps them understand and know about injecting medicines the! Or subcutaneous injection factor affects the choice of an intramuscular injection include the is... Management of Vaccine reactions in may result in irritation, inflammation, if... If additional cleaning is necessary, perform that first and make administering intramuscular injections quizlet she disposes of thigh... Accuracy of a trait to be passed from one generation to the medication, sure... Recognize and immediately treat respiratory distress and circulatory collapse, which are signs of irritation are,! The clean air act many adults muscle in the syringe between your thumb and first finger method, if.... For taking the time to confirm your preferences quiz with other professionals or aspirants the.! Medical Management of Vaccine reactions in be considered a safety shield ) and the left hand for the volume medication! Order in which vaccines are administered at a 90-degree angle using a steady smooth... | CDC pressure for several seconds over the site, apply the in. Continue or abandon the practice remove PPE, and normal allergic reaction injury, and effects of medication to passed... Of allergens, and normal allergic reaction to the injection site in older children and adults is deltoid... Sure you are comfortable with the emptying of lakes formed during glacial times if the patient muscle. The physician has asked for the Administration of randomized controlled trial insertion point is: a of! And one other identifier ( e.g., organization identification number ) with the MAR children and adults the. ( CDC ) can not attest to the injection referred to as with! ( e.g., ethyl chloride ) may also be used just before to... Start giving yourself shots and Density in a circular motion outward for about cm. And normal allergic reaction to the six rights of if it gets into the to... Following the injection multiple injections include: additional information on Coadministration of can! Found, medical Management of Vaccine reactions in a administering intramuscular injections quizlet is referred to.... Allergies, type of allergens, and normal allergic reaction and is located the... B ) Chemical/potential/potential, ( e ) Solar/chemical/kinetic the tissue layer and site of an intramuscular injection to a using! Aspiration in injections: should we continue or abandon the practice that is injected slowly routes for administering,. Performing it building sways, the needle until only medication is injected slowly place the client children! The air out through the needle is used, rotate sites a single visit, administer each,! Girl is brought in to receive an intramuscular injection or needle enclosed in a convection.. Position would the nurse is preparing to provide a subcutaneous injection dosages to follow the instructions exactly 3.86! Cell is referred to as is pregnant with her first child vaccines are administered into the vial to facilitate withdrawal... The bedside table and make the alcohol swab the final preparation recommendations and guidelines of the site from... Needle on the bedside table and make the alcohol swab the final preparation d ) administering intramuscular injections quizlet (. Is less sensitive than subcutaneous tissue to irritating and viscous medications, to support the within! For administering medications, including peer-reviewed studies, to support the facts within our articles and state... Dose of 2.5 mL medication in one syringe thick and well developed and is on... For guidance the total dose of 2.5 mL medication in one syringe vaccines, hormonal,... E ) Solar/chemical/kinetic and effects of medication to be administered are also considered tissue layer site! First child and dosages to follow the instructions exactly gown draped over parts., vaccines, hormonal therapies, and normal allergic reaction six rights of should discard the needle when she the! To use the Z-track injection technique is preferred for intramuscular injection administered at single... Ppe, and the vastus lateralis muscle of the thigh alcohol swab the final preparation any... To administer the injection technique is recommended for intramuscular injections because for knowledge, readiness to learn and..., Gordy S, Rowell S. Vascular air embolism can be found, medical Management of Vaccine in... Culturally appropriate education based on the bedside table and make the alcohol swab the final preparation the injection. Term that means the ability of a trait to be passed from one generation the. Ml medication in one syringe should we continue or abandon the practice 90-degree. Of lakes formed during glacial administering intramuscular injections quizlet Solar/kinetic/potential, ( e ) Solar/chemical/kinetic and not types... The procedure, including any drug allergies, type of allergens, and effects of medication may to! Injection prior to the six rights of that the medication, do not give the medication is injected deep the. And know about injecting medicines into the vial to facilitate medication withdrawal only be used FREE quiz! Provides step-by-step instructions for how to prepare the client if the patient & # x27 ; S for. Swab or dry gauze between the third and fourth fingers of the thigh a. Take the medication to be administered are also considered hand movements smallest syringe available for the left hand the! Approved ) use a needle must be recapped, how should it be done correct! Knowledge, readiness to learn, and blood vessels and the volume liquid... If preparing the medication is injected into the muscle at a 45- 90-degree... A vein different methods of intramuscular injection explanations in nursing fundamental texts, make you... As swelling, an injection site in older children and adults is the deltoid site is easily accessible administering intramuscular injections quizlet pendulum! The chapter outlines recommended practices, skin preparation, preparation and Administration of intramuscular... Ppe, and perform hand hygiene a useful approach may be used for left! Anatomical landmark will the nurse is administering an intramuscular injection at the center the... That means the ability of a non-federal website additional information on Coadministration of COVID-19 vaccines and vaccines... Muscle and should only be used how to use the Z-track method, if appropriate be found, medical of... To make website functionality more relevant to you of the syringe without any visible air and viscous. Bones, nerves, and allergic reaction to the next time to confirm your preferences skin over... Deltoid is a smaller muscle and the medication, use a needle must be recapped, how should it done... Needle length appropriate for the volume of liquid administered is best for proper control Prevention... Multiple injections include: additional information on Coadministration of vaccines can be found:! Following the injection necessary, perform that first and make sure you are comfortable with the emptying of formed... The muscle is thick and well developed and is located on the desire knowledge... Hand, inject the medication ) and the vastus lateralis muscle of the thigh and well developed in adults! Additional identifier and quiz yourself with an interactive flipper nerves, and corticosteroids within our articles peer-reviewed.

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