T2-Paternal med techniques: INTRAMUSCULAR (based off document) Flashcards
What is an IM injection?
Administration of a drug into deep muscle tissue
Are IM injections absorbed more slowly or more quickly than SQ? Why?
More quickly; because greater blood supply to muscles than fatty tissue
The IM route is often used as an alternative route when medications are irritation to ___ tissues.
SC
What are examples of medications that can be given IM?
Antiemetics
Analgesics
Vaccinations
Iron
What is a major consideration in the administration of IM injections that a nurse must be mindful of?
Must select a safe site located away from large blood vessels, nerves, and bone
Nerve damage may occur if the nurse is not careful about choosing and properly identifying the correct site
What are the 3 sites for IM?
Deltoid
Ventrogluteal
Vastas Lateralis
Deltoid: True or False
The deltoid is an easily accessible site, but not well developed in many adults.
True
Deltoid: The deltoid is used for administration of ___ amounts of medication, for _____, and when other sites are _____.
Small amounts of meds
Immunizations
Other sites inaccessible
Deltoid: The deltoid muscle can be used when the patient is _____, _____, or _____ position.
Lying, sitting, or standing
Deltoid: How is it located?
- Patient relax the arm at the side
- Patient flexes the elbow by placing the hand on the hip or relaxing the lower arm across abdomen or lap
- Nurse palpates the lower edge of the ACROMION PROCESS
- The pinky finger of non-dominant hand is placed horizontally along the acromion process landmark
- Injection site is three finger widths below the acromian process
Ventrogluteal: Why is this the preferred site for IM injections?
It contains no large nerves or blood vessels
Provides greatest thickness of gluteal muscle
Sealed off by bone
Contains consistently less fat than the buttox area
Ventrogluteal: T/F
This is a safe site for all clients as research has shown that injuries such as nerve damage, abscess, tissue necrosis, gangrene and pain have been associated with all the common IM sites except the ventrogluetal site.
True
Ventrogluteal: This is a large muscle that is generally developed in most individuals. However, it is NOT used for ______.
Children under 7 months of age
Ventrogluteal: What positions can a patient be in to give this a med in tis site?
Prone
Supine
Side-lying
Ventrogluteal: Which of the 3 positions can a patient be in that is the easiest way to locate the site?
Side-lying
Ventrogluteal: What is your hand positioning for locating this site?
When the patient is on their side with their knee bent and slightly raised toward their chest, the greater trochanter will protrude.
- Place the heel of the hand on patient’s GREATER TROCHANTER with the wrist almost perpendicular to the femur
- Fingers should be pointed toward patients head (right hand for left hip; left hand for right hip)
- The thumb is pointed toward patient’s groin
- The nurses index finger is placed on or pointed toward the patients ANTERIOR SUPERIOR ILIAC SPINE
- The nurse stretches the middle finger back along the iliac crest toward the buttox
- Injection site is in the center of the triangle of index finger and middle finger
Vastus lateralis: T/F
The vastus laterals muscle is usually thick and well developed in BOTH children and adults.
True
