![]() These include the lack of major nerves or blood vessels in the area, an ample and well-developed muscle mass, and the ease of identifying landmarks for the site. While that may be due at least in part to the fact that nurses seldom use the ventrogluteal site, the authors believe that some anatomical features may make it superior to others. Of the four possible sites for IM injection, the authors found only one-the ventrogluteal-that had not been associated with any adverse effects whatsoever. The authors identified some techniques nurses can use to reduce the risk of these reactions, one of which is choosing the best injection site.īoth surveys cited an impressive body of literature demonstrating that some complications of IM injection are linked specifically to the injection site. These comprehensive surveys of research reports and case study literature about IM injections revealed that administering medication intramuscularly can produce a variety of serious adverse effects, including skin and tissue trauma, muscle fibrosis and contracture, nerve palsies and paralysis, and infectious processes such as abscesses or gangrene. But two recent surveys, both authored by nurses, provide a more scientific rationale for IM site selection ( AACN 5: 207-214, May 1994 Applied Nurs.Res. Choosing which site to use has been, for the most part, a matter of personal preference (the nurse's or the patient's), tradition, or convenience. 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. Facing Ethical Challenges with Strength and Compassion.Establishing Yourself as a Professional and Developing Leadership Skills.Ensuring Patient & Family Centered Care.Developing Critical Thinking Skills and Fostering Clinical Judgement. ![]() Alteplase Injection for Acute Ischemic Events.Affirming Care for Patients who are LGBTQ+.Lippincott Clinical Conferences On Demand.Continuing Education Bundle for Nurse Educators.Lippincott NursingCenter’s Critical Care Insider.Lippincott NursingCenter’s Career Advisor.An Unforeseen Path from Critical Care Nurse to Editor-in-Chief of American Journal of Nursing.When Nurses Speak, People Listen: An Interview with Pat Patton.Academic/Practice Innovation: An Interview with Dr.Nurse Wellness Is Not Just About Resiliency.Creating Learning Environments to Advance Health Equity.Using Simulation to Develop Clinical Reasoning.The Nursing Shortage and Nurse/Patient Ratios.Avoid touching the needle to ensure it stays clean. Remove air bubbles by gently tapping the syringe and pressing the plunger. Draw back the plunger to fill the syringe with the correct amount of medication. ![]() Turn the vial and syringe upside down so that the needle points upward. Remove the cap from the needle and push it through the top of the vial. Fill the syringe with air up to the same level as the medication dose. Draw air into the syringe by pulling back the plunger. Clean the rubber stopper with an alcohol swab. If using a multidose vial, note the date you first opened it. Clean the skin with the alcohol swab and allow to air-dry. Gently spread the skin between two fingers and keep the muscles relaxed. Locate the injection site according to the instructions above. It is essential to ask a doctor or pharmacist which size needle to use before giving an injection. Most adults will require a 1-inch needle, but the exact size depends on the person’s weight. It needs to be long enough to reach deep into the muscle tissue.
0 Comments
Leave a Reply. |
AuthorWrite something about yourself. No need to be fancy, just an overview. ArchivesCategories |