Quick Answer: What Drugs Can Be Given Intramuscular?

Can you hit a nerve when giving an IM injection?

Where you give the injection is very important.

The medicine needs to go into muscle.

You do not want to hit a nerve or a blood vessel.

So show your health care provider how you will choose where you will put the needle, to make sure you can find a safe spot..

Why are drugs given intramuscularly?

It may be used instead of oral delivery because some drugs are destroyed by the digestive system when a drug is swallowed. Intramuscular injections are absorbed faster than subcutaneous injections. This is because muscle tissue has a greater blood supply than the tissue just under the skin.

What are the most commonly used intramuscular injection sites?

The sites that are most commonly utilized for IM injections include the shoulder’s deltoid muscle; the thigh’s vastus lateralis; and the hip’s ventrogluteal, gluteus medius, or dorsogluteal muscles. The deltoid site is most commonly used for immunizations.

Is intramuscular injection faster than intravenous?

IV drug administration achieves high plasma concentrations rapidly in plasma and tissues. Muscles are very vascular structures, and IM absorption occurs by drug diffusion from interstitial fluid and capillary membranes into plasma, and so onset of action is longer than IV injection.

How do you give an intramuscular injection without pain?

A subcutaneous (SC) or intramuscular (IM) injection is almost always painless if the skin is stretched firmly before inserting the needle. If injecting the arm, for example, the third, fourth and fifth fingers should go medial to the arm while the thumb and index finger stretch the skin on the lateral surface (Fig.

Do you pinch skin for IM injection?

Insert needle at an 45o angle to the skin. Pinch up on SQ tissue to prevent injecting into muscle. … Multiple injections given in the same extremity should be separated as far as possible (preferably at least 1” apart).

How do you give an intramuscular b12 injection?

Pull on the plunger to withdraw the correct dosage of vitamin B12 into the syringe chamber. Use the thumb and forefinger of the non-injection hand to hold skin of injection site tight. Insert needle at a 90-degree right angle. *Pull back on the plunger a little to make sure you did not hit a blood vessel.

Do you draw back when giving an IM injection?

Aspiration. It is common practice to draw back on a syringe after the needle is inserted to check whether it is in a blood vessel. While it is important to aspirate if the DG muscle site is used – because of proximity to the gluteal artery – it is not required for other IM injection sites (PHE, 2013; Malkin, 2008).

What happens if you give an IM injection wrong?

Similarly, incorrect injection techniques or erroneous injection locations, can cause blood vessel breakage, muscle or nerve damage and paralysis. Harmful effects may be life-threatening at worst.

Why do intramuscular shots hurt?

If you have ever received a vaccination, you know your arm may feel a bit sore for a few days after the fact. The pain you are experiencing is usually soreness of the muscle where the injection was given. This pain is also a sign that your immune system is making antibodies in response to the viruses in the vaccine.

How far do you insert needle for intramuscular injection?

This allows the medication to be quickly absorbed into the bloodstream. Intramuscular shots are given at 90 degree angle. Needle for IM injections can be 22-23 Gauge, 1-1.5 inches in length, adjusted for thickness of site.

What happens if you give a subcutaneous shot intramuscular?

Serious reactions to intramuscular injections are rare; in one series of 26 294 adults, of whom 46% had received at least one intramuscular injection, only 48 (0.4%) had a local adverse effect. However, subcutaneous injections can cause abscesses and granulomas.

What are the advantages of intramuscular injection?

AdvantagesRapid and uniform absorption of the drug especially those of the aqueous solutions.Rapid onset of the action compared to that of the oral and the subcutaneous routes.IM injection bypasses the first-pass metabolism.It also avoids the gastric factors governing the drug absorption.More items…•

What happens if you accidentally inject air into muscle?

Injecting a small air bubble into the skin or a muscle is usually harmless. But it might mean you aren’t getting the full dose of medicine, because the air takes up space in the syringe.

What is the max amount of medication that can be given IM?

The maximum amount of medication for a single injection is 3 ml.

Can you give 2 ml in deltoid?

Generally only limited injection volumes can be given by intramuscular injection: 2 ml in the deltoid and thigh muscles, and up to 5 ml in the gluteus maximus. The point of injection should be as far as possible from major nerves and blood vessels to avoid neural damage and accidental intravenous administration.

Do you massage after intramuscular injection?

Deep, firm massage of muscle tissue following an intramuscular injection favors the spread of the depot over a wider tissue area so favoring the absorption rate.

How do you give an intramuscular injection in your butt?

IM injection into the Gluteus medius site (buttock)Find the trochanter. … Find the posterior iliac crest. … Draw an imaginary line between the two bones.After locating the centre of the imaginary line, find a point one inch toward the head. … Stretch the skin tight.Hold the syringe like a pencil or dart.More items…

What happens if you give an IM injection too high?

Shoulder injury related to vaccine administration (SIRVA) is a relatively rare adverse effect of an improperly administered vaccination. It occurs when an injection is administered too high in the arm and the vaccine is delivered to the shoulder capsule instead of the deltoid muscle, according to a new study.

When should I worry about injection site?

When to call your healthcare provider Severe pain at the injection site. Blistering at the injection site. Muscle aches. Skin rash, severe itching, or hives.