How do you administer an IM injection?

Intramuscular injections are administered at a 90-degree angle to the skin, preferably into the anterolateral aspect of the thigh or the deltoid muscle of the upper arm, depending on the age of the patient (Table 6-2). The needle gauge for intramuscular injection is 22-25 gauge.

How do you give an intramuscular injection?

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.

How do I inject IM?

How do you give a painless IM injection?

What is Z track method?

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.

How do you give an IM injection deltoid 2020?

Injection site

Give in the central and thickest portion of the deltoid muscle – above the level of the armpit and approximately 2–3 fingerbreadths (~2″) below the acromion process. See the diagram. To avoid causing an injury, do not inject too high (near the acromion process) or too low.

Where do you inject in the leg?

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.

Do you aspirate im injections?

Aspiration is most commonly performed during an intramuscular (IM) or subcutaneous (SC) injection, and is meant to ensure that the needle tip is located at the desired site, and has not accidentally punctured a blood vessel.

How much mL Can you give in deltoid?

The deltoid site is mostly commonly used for immunizations. However, up to 1 mL of any medication may be administrated to this muscle (the maximum volume should never exceed 2 mL).

What is airlock technique?

At the same time, it is believed that the air-lock technique (ALT) used in the administration of IM injections reduces tissue trauma, and reduces pain at the time of injection by preventing the medication from reaching the subcutaneous tissue.

Do you draw back when giving an IM injection?

It is common practice to draw back on a syringe after the needle is inserted to check whether it is in a blood vessel. While it is important to aspirate if the DG muscle site is used – because of proximity to the gluteal artery – it is not required for other IM injection sites (PHE, 2013; Malkin, 2008).

Do you Z track deltoid?

What happens if you do not aspirate an IM injection?

Many who did not aspirate felt that aspiration resulted in increased pain. The two RCT’s found that a slower technique that included 5–10 second aspiration were assessed as more painful than a 1–2 second ‘faster’ technique without aspiration (both these studies were in the paediatric setting).