What is the maximum volume for intramuscular injection deltoid?

Asked By: Marie Rilho | Last Updated: 29th May, 2020
Category: medical health vaccines
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The maximum amount of medication for a single injection is 3 ml. The deltoid muscle has a triangular shape and is easy to locate and access, but is commonly underdeveloped in adults. Begin by having the patient relax the arm.

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Correspondingly, what is the maximum volume for intramuscular injection?

Overall, 5 mL has been cited for adults as the maximum volume for a single IM injection, with lower maximums proposed for adult patients with less-developed or small muscle mass.

Secondly, which is the most dangerous site for intramuscular injection? For many years the dorsogluteal site has been the beloved intramuscular injection site of many nurses, but is it the safest site to use? Research suggests that even though the dorsogluteal site is used more frequently than the ventrogluteal site, it can be the most dangerous to use (Floyd, Meyer 2007).

Also to know, where do you give a 2ml shot?

Giving an IM injection into the Vastus lateralis site

  • To 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.

Can Zuclopenthixol be given in deltoid?

Aripiprazole long acting injection may be injected into either the gluteal or the deltoid muscle from where the active moiety is slowly released into the circulation. It should be administered once monthly as a single injection (no sooner than 26 days after the previous injection).

39 Related Question Answers Found

What happens if im injection hit blood vessel?

A broken blood vessel causes internal bleeding within the muscle. When a blood vessel breaks, scar tissue or blood clots can form and if a blood clot starts to wander and reaches the heart or lungs, the consequences can be life-threatening. Injections that hit an artery can be particularly dangerous.

Do you massage after intramuscular injection?

Doing a massage of the site after an injection can cause the drug to back up through the subcutaneous tissue, so any type of massage is to be avoided with intramuscular injections.

How far do you insert needle for intramuscular injection?

Needle insertion
Insert needle at an 45o angle to the skin. Pinch up on SQ tissue to prevent injecting into muscle. Aspiration before injection is not required. Multiple injections given in the same extremity should be separated as far as possible (preferably at least 1” apart).

Can you inject 2 mL 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).

Do I need to aspirate for an IM injection?

The CDC recommends against aspirating during IM injection of vaccines (2017). Recommended sites for intramuscular injection generally do not include blood vessels, which should eliminate the need for aspiration.

How many ml can you inject IM deltoid?

The maximum amount of medication for a single injection is 3 ml. The deltoid muscle has a triangular shape and is easy to locate and access, but is commonly underdeveloped in adults. Begin by having the patient relax the arm.

What happens if you 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.

Where is the Dorsogluteal injection site located?

The vastus lateralis site is in the lateral middle third of the thigh between the greater trochanter and the knee. When injecting, lift the vastus lateralis muscle away from the bone. The dorsogluteal site is above an imaginary line between the greater trochanter and the posterior superior iliac crest.

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 IM injection sites?

Injection sites. Possible sites for IM injection include: deltoid, dorsogluteal, rectus femoris, vastus lateralis and ventrogluteal muscles. Sites that are bruised, tender, red, swollen, inflamed or scarred are avoided.

Do you draw back when giving an IM injection?

Usual sites for delivering an IM injection include the deltoid, vastus lateralis, ventrogluteal and dorsogluteal muscles. The first 3 are recommended due to their avoidance of any proximity to major blood vessels and nerves. Aspiration is NOT required for these sites.

Why is the Dorsogluteal site not recommended?

Craven and Hirnle (2009) in their study, they stated that this site should not be used for the purpose of intramuscular injection because of the dorsogluteal site is close to sciatic nerve and superior gluteal artery, injection could be accidentally implemented to subcutaneous tissue.

What is Z track method?

Overview. When a medication is injected directly into muscle, it is called an intramuscular injection (IM). 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).

Where is an intramuscular injection given?

Where should an intramuscular (IM) injection be given? Nurses learn there are four possible sites: the arm (deltoid); thigh (vastus lateralis); upper outer posterior buttock (gluteus maximus), also referred to as the dorsogluteal site; and the lateral hip (gluteus medius), also called the ventrogluteal site.

Which site is best for IM injection?

Intramuscular injections are often given in the following areas:
  • Deltoid 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.

Can IM injections cause nerve damage?

Intramuscular injections are a frequently performed and often overlooked cause of iatrogenic nerve injury. Complications can often be obviated by understanding the anatomy underlying the injection site and knowing the proper technique for injection administration.