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Explain why infant im injections are limited to the vastus lateralis site

How much can you inject into vastus lateralis?

Infants should receive all intramuscular medications in the vastus lateralis because it is the largest muscle at that developmental age. If administering an intramuscular injection into a child under age 2, the maximum amount that should be administered is 1 mL.

Which factors should be considered when selecting a site for an IM injection in a child?

Consider the type of medication and the volume to be injected , the client’s age, general health condition, and size when selecting an IM site . Rotate IM sites to avoid complications. Potential complications include lingering pain, tissue necrosis, abscesses, and injury to blood vessels, bones, or nerves.

How do you give an intramuscular injection to an infant?

Giving an IM injection Choose the injection spot. Hold the shaft of the syringe in a dart-like fashion. Move your hand into position to direct the plunger. Give the drug quickly to reduce pain, firmly pushing the plunger down as far as it will go. Pull the needle out gently at the same angle you put it in.

How do you give vastus lateralis injection?

Giving an IM injection into the Vastus lateralis site To find the thigh injection site, make an imaginary box on the upper leg. Find the groin. Find the top of knee. Stretch the skin to make it tight. Insert the needle at a right angle to the skin (90°) straight in. Up to 2ml of fluid may be given into this site.

Can a syringe full of air kill you?

So what’s the big deal with a syringe full of air ? Injecting someone with that could create an air embolism, or a potentially fatal blockage of blood vessels that’s caused by air bubbles entering the circulatory system.

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What happens if you give an IM injection wrong?

The microbes in injection substances, injection equipment or already-existing on the skin, can enter the body causing very serious infections. Similarly, incorrect injection techniques or erroneous injection locations, can cause blood vessel breakage, muscle or nerve damage and paralysis.

Which is the most dangerous site for intramuscular injection?

The dorsogluteal muscle of the buttocks was the site most commonly selected by healthcare providers for many years. However, due to the potential for injury to the sciatic nerve, the ventrogluteal is most often used now. This site is difficult to use this site for self-injection and not recommended.

What is the max mL you can give IM?

WHAT IS IT ? An intramuscular ( IM ) injection is the administration of medication through the cutaneous and subcutaneous layers, into the muscle. Solutions up to a volume of 5ml in large muscles, and 2ml in smaller muscles, may be used.

What is the needle length range for a pediatric im injection?

Age group Needle length Injection site
Children (birth-18 years)
Infants , 1-12 months 1 inch (25 mm) Anterolateral thigh
Toddlers, 1-2 years 1-1.25 inch (25-32 mm) Anterolateral thigh(c)
5/8(b)-1 inch (16-25 mm) Deltoid muscle of arm

What muscle is used for IM injections in infants?

The anterolateral thigh is the preferred site for IM injection in infants under 12 months of age. Medications are injected into the bulkiest part of the vastus lateralis thigh muscle, which is the junction of the upper and middle thirds of this muscle.

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What size needle is needed for intramuscular injection?

Intramuscular ( IM ) injections The deltoid muscle is most often used as the site for IM injections in adults. Needle length is usually 1″–1½”, 22–25 gauge , but a longer or shorter needle may be needed depending on the patient’s weight.

How do you give an IM injection to a child?

Hold the syringe like a dart or pencil. Stretch the skin at the injection site. If your child is thin you may need to pinch the tissue between your thumb and index finger. Release the skin. Gently push on the plunger until all the medicine is injected . Take the needle and syringe out. Gently massage the injection site.

How can I make im injections less painful?

Practice points Assess the patient to ensure a good injection technique and suitability for manual pressure. Use communication skills/distraction to reduce anxiety. Wear sterile gloves to administer manual pressure. 10 seconds of firm digital pressure is necessary.

Where is the vastus lateralis injection site?

The injection site is halfway down the vastus lateralis , which is the muscle on the outside of the thigh. Markers include the greater trochanter, and the lateral femoral condyle – the injections site is about halfway between these two levels.

Do you pinch skin giving intramuscular injection?

Insert needle at an 45o angle to the skin . Pinch up on SQ tissue to prevent injecting into muscle.

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