Where do you give an intramuscular deltoid injection?

Asked By: Diomar Luezas | Last Updated: 26th May, 2020
Category: medical health vaccines
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The injection site is in the middle of the deltoid muscle, about 2.5 to 5 cm (1 to 2 inches) below the acromion process. To locate this area, lay three fingers across the deltoid muscle and below the acromion process. The injection site is generally three finger widths below, in the middle of the muscle.

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Likewise, how do you give an IM injection in the deltoid?

Giving an IM injection into the deltoid site

  1. Find the knobbly top of the arm (acromion process)
  2. The top border of an inverted triangle is two finger widths down from the acromion process.
  3. Stretch the skin and then bunch up the muscle.
  4. Insert the needle at a right angle to the skin in the centre of the inverted triangle.

Secondly, how do you give an injection in the arm? Hold the skin around where you will give the injection: With your free hand, gently press on and pull the skin so that it is slightly tight. Insert the needle into the muscle: Hold the syringe barrel tightly and use your wrist to inject the needle through the skin and into the muscle at a 90 degree angle.

Similarly, where do you give an intramuscular 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.

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).

34 Related Question Answers Found

What size needle do you use for deltoid injection?

Intramuscular injections
The deltoid muscle is most often used as the site for IM injections in adults: Needle length is usually 1–1½", 22–25 gauge, but a longer or shorter needle may be needed depending on the patient's weight.

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.

Where is the deltoid injection site?

The injection site is in the middle of the deltoid muscle, about 2.5 to 5 cm (1 to 2 inches) below the acromion process. To locate this area, lay three fingers across the deltoid muscle and below the acromion process. The injection site is generally three finger widths below, in the middle of the muscle.

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 pinch skin for IM 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.

Can you give 2ml in deltoid?

If a series of injections are to be given, the injection site is usually varied or rotated. Generally only limited injection volumes can be given by intramuscular injection: 2 ml in the deltoid and thigh muscles, and up to 5 ml in the gluteus maximus. These injections are generally 2-3 inches deep.

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.

Do you need to aspirate when giving an IM injection?

Aspiration before injection of vaccines or toxoids (i.e., pulling back on the syringe plunger after needle insertion but before injection) is not necessary because no large blood vessels are present at the recommended injection sites, and a process that includes aspiration might be more painful for infants (20).

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.

Do you have to aspirate 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.

Can you hit a nerve when giving an IM injection?

Extreme Pain at the Injection Site
In some cases, the pain may be extreme but not particularly dangerous (such as when an intramuscular injection accidentally hits the sciatic nerve). 1? But, at other times, it may be due to an infection that might only get worse if left untreated.

What happens when you hit a nerve when giving an injection?

When a nerve injury is caused by a needle, most patients report immediate pain at the time of injection,11 as our patient did. Neurological sequelae can range from minor transient sensory disturbances to severe sensory disturbances and paralysis.

How do you find a vein injection?

Guidelines:
  1. Use veins on top of the hand, top of the forearm, or inside the elbow.
  2. Feel veins to see how big they are and in which direction they go.
  3. If necessary, use veins in your ankles or feet.
  4. Choose veins that are straight.
  5. Once you have chosen a vein, stick the vein at its spot that is farthest from the heart.

What are the 3 types of injections?

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.

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 a deltoid injection?

Giving an IM injection into the deltoid site
  1. Find the knobbly top of the arm (acromion process)
  2. The top border of an inverted triangle is two finger widths down from the acromion process.
  3. Stretch the skin and then bunch up the muscle.
  4. Insert the needle at a right angle to the skin in the centre of the inverted triangle.