Muscle tissue is less sensitive than subcutaneous tissue to irritating and viscous medications. Begin by having the patient relax the arm. 2. Patient experiences no pain or only mild burning at injection site. You will be subject to the destination website's privacy policy when you follow the link. Using larger-than-recommended dosages can be hazardous because of excessive local or systemic concentrations of antigens or other vaccine constituents. The ventrogluteal muscle is the preferred and safest site for all adults, children, and infants for medications with larger volumes that may be more viscous and irritating.5 The ventrogluteal site should be used with caution in infants.1 It is recommended that only an experienced pediatric health care team member use this site. (2001). Only give injections that are less than 0.5 mL into the deltoid. The width of the muscle used extends from the mid-line of the thigh to the mid-line of the outer thigh. Children weighing less than 30 kgDose is based on body weight and must be determined by your doctor. Lack of blood in the syringe confirms that the needle is in the muscle and not in a blood vessel. The vial must be accessed in the immediate patient area to reduce environmental contamination by vaccine virus. This step prevents the spread of microorganisms. If the patients shirt cannot be removed, the sleeve should be rolled up so that landmarks can be visualized and used appropriately.4. Providers are sometimes concerned when they have the same contraindications or precautions as their patients from whom they withhold or defer vaccine. Extend your index finger to the anterior superior iliac spine and spread your middle finger pointing towards the iliac crest. Ensure the patients position for injection is not contraindicated by a medical condition (e.g., circulatory shock, surgery). The recommended People self However, if 2 half-volume formulations of vaccine have already been administered on the same clinic day to a patient recommended for the full volume formulation, these 2 doses can count as one full dose. deltoid Used needles should never be recapped. The anterolateral thigh can also be used. In this case the needle length should be 1 inch to 1.25 inches. Provide developmentally and culturally appropriate education based on the desire for knowledge, readiness to learn, and overall neurologic and psychosocial state. To prevent contamination of the vial, make sure the patient area is clean and free of potentially contaminated equipment. Note the integrity and size of the muscle. Assess the site and apply a bandage if needed. This amount of medicine may be contained in 1 mL or in one-half (0.5) mL of the injection, depending on the strength. Medication is administered in subcutaneous tissue. They help us to know which pages are the most and least popular and see how visitors move around the site. The maximum amount of medication for a single injection is generally 1 ml. An IM injection may require a longer and larger-gauge needle to penetrate deep muscle tissue. Adults-ventrogluteal and deltoid[2] Technique Sequential Method of IM Injection Thoroughly clean the hands and wear gloves. Use a bar code system or compare the MAR to the patients identification band. up to 2 weeks after birth When do you give the 1st dose of Hep B 3 How many times do you check a medication before administering it Chapter 3. If a vaccine and an immune globulin preparation are administered simultaneously (e.g., Td/Tdap and tetanus immune globulin [TIG], hepatitis B and hepatitis B immunoglobulin [HBIG]), separate limbs should be used for each injection (29-30).
