intramuscular injection , im. learning objectives ◊ to understand the definition of...
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Intramuscular Injection , IM
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Learning Objectives
◊ To understand the definition of intramuscular injection
◊ To master the sites of intramuscular injection
◊ To master the implementation of intramuscular injection
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Definition Intramuscular injection is the m
ethod to inject certain medication solutions into muscles.
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SitesGeneral principle :the sites should have well developed muscles, be away from large nerves, blood vessels and bones.
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SitesDorsogluteal Muscle (Gluteus Maximu
s)
Ventrogluteal Muscle (Gluteus Medius & Gluteus Minimus)
Deltoid Muscle
Vastus Lateralis Muscle
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Dorsogluteal Muscle
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Ventrogluteal Muscle
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Deltoid Muscle
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Vastus Lateralis Muscle
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How should we implementthe intramuscular injection?
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Assess the condition of the patient.
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Wash hands and wear mouth mask.
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Prepare equipments.Prepare equipments.
appropriate disposable syringe and needleappropriate disposable syringe and needle
sterile swabs sterile swabs
disinfectant (iodine tincture & alcohol) disinfectant (iodine tincture & alcohol)
medication (drug)medication (drug)
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Carry the equipments to the bedside.Explain the injection to the patient.
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Draw up the medication solution.
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Pull the curtain for privacy.Position the patient for access to the injection site.
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Select the appropriate injection site.
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Clean the site with iodine tincture & alcohol swabsusing a circular motion.
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Allow the skin to air-dry.Place the dry swab between the third and fourth finger
of your left hand.
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Remove the needle guard. Eject air in syringe thoroughly.
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Using your left hand, make the skin taut.
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Insert the needle through the skin with a quick dartlike thrust at 90 degrees angle.
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Put back gently on the plunger to be sure the needle is not in a blood vessel.
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If no blood appears in the syringe ,inject the medication slowly.
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Remove the needle quickly.Press the injection site with the dry swab.
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Wash hands and record.
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NoticesNotices1.Check principles
2.Sterile technique
3.Two quicks and one slow
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Check principles Check principles Three checks and seven rightsThree checks and seven rights
Three checks include:Three checks include: Check before interventionCheck before intervention Check during interventionCheck during intervention Check after intervention Check after intervention
Seven rights include:Seven rights include: ClientClient’’s name, bed number, medications name, bed number, medication’’s nas na
me, concentration, dose, route, time.me, concentration, dose, route, time.
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Buttocks abscess
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Two quicks and one slowTwo quicks and one slow
Quick insertion of needle
Slow injection of medication
Quick withdrawal of needle
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Summary
• Definition
• Sites
• Implementation
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References
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