This document outlines the proper procedure for administering intramuscular injections. It defines intramuscular injections as injecting medication into deep muscle tissue. The key indications for IM injections are when rapid drug absorption is needed, large volumes of medication must be delivered, or other injection sites are not suitable. The recommended anatomical sites for IM injections are the ventrogluteal, dorsogluteal, and deltoid muscle regions. The document demonstrates the Z-track method for administering IM injections, which involves inserting the needle at a 90 degree angle, aspirating for blood, injecting the medication, withdrawing the needle, and covering the site.

1. ADMINISTERING INTERAMUSCULAR INJECTIONS
Desrene Denton-Saddler

2. Objectives
01
02
03
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Define intramuscular (IM) injections
State the indications for using intramuscular
injections
Identify anatomical landmarks suitable for
administration of intramuscular injections
Demonstrate competence in selecting the appropriate needle
and syringe required for an IM injection
Demonstrate competence in withdrawing medication accurately
and correctly from a vial
05
06
Administer IM injection using the following criteria:
- Check for the 6 rights of medication administration
- Complete the 3 medication administration checks
- Chart and document administered medication appropriately

3. Define IM Injections
A procedure used to input medications into
the deep muscle tissue

4. INDICATIONS FOR IM INJECTIONS
 Quick absorption rate and prolonged action
(Rodgers & King, 2000)
 Large volumes of medication (Hunter, 2008; Ogston-
Tuck, 2014a)
 Sensitivity of other injection sites (Greenway, 2014;
Perry et al., 2014; Rodgers & King, 2000)
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5. SITES FOR IM INJECTION
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6. VENTROGLUTEAL
INJECTION SITE
 In the upper side of the hip
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SITES FOR IM INJECTION

7. DORSOGLUTEAL INJECTION SITES
 In the upper quadrant of
the buttock
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IM INJECTION SITES

8. DELTOID MUSCLE IN THE SHOULDER
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INJECTION SITES

9. USING THE Z-TRACK METHOD
Place the client
in a comfortable
position, and
locate the
injection site.
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10. USING THE Z-TRACK METHOD
With the dominant hand, insert
the needle at a 90-degree angle
in a dart-like motion.
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11. USINT THE Z-TRACK METHOD
Hold the syringe with the
thumb and fore finer of the
non-dominant hand
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12. USING THE Z-TRACK METHOD
Aspirate for blood
Administer medication,
and withdraw the needle
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13. THE Z-TRACK METHOD
Cover injection sight
with dry cotton
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