Intramuscular Injections

Question 1

Advantages of IM

Answer 1

Larger quantity and quicker adsorption

Question 2

Disadvantage of a IM

Answer 2

Nerve and blood vessel damage is high

Question 3

Name IM sites

Answer 3

Dorsogluteal, Deltoid, Vastus lateralis and Ventrogluteal

Question 4

Define deltoid

Answer 4

Top of shoulder, thick of upper arm or 2-3 fingers from shoulder bone.

Question 5

Define dorsogluteal

Answer 5

Upper outer buttocks quadrant

Question 6

Define vastus lateralis

Answer 6

Middle, outer quadrant of the front of the thigh

Question 7

Define ventrogluteal

Answer 7

Side of the hip

Question 8

What injections can be used in an IM

Answer 8

Diazepam, morphine and penicillin

Question 9

Max amount of medicine that can be given?

Answer 9

NO MORE than 1mL in any site

NO MORE than 3mL in gluteal/ vastus lateralis

Question 10

Danger of dorsogluteal site

Answer 10

High possibility of injuring sciatic nerve

Question 11

What angle is used

Answer 11

90*

Question 12

Should you aspirate for an IM

Answer 12

Yes, pullback 1cc and count 5-10 seconds

No blood all good, if there’s blood withdraw and start over

Question 13

Max amount of medication given to elderly and thinner adults

Answer 13

2mL in gluteal or vastus lateralis

Question 14

Needle lengths

Answer 14

1-3 inches depending on patient and location

Question 15

Average length for an adult

Answer 15

1 1/2 inch

Question 16

When is a 1-inch needle used

Answer 16

For thin adults and children

Question 17

When is a 2 or 3- inch needle used?

Answer 17

With an obese patient

Question 18

Gauges for IMs

Answer 18

18-25G

Depending on location and consistency of medication

Question 19

What syringes can be used for IMs

Answer 19

2cc, 5cc or 10 cc

Question 20

How should you handle larger then 5cc of medication

Answer 20

Prepare 2 injections equaling to the order