INTRAMUSCULAR INJECTION IM Injection (Introduction, Definition, Purpose, Technique, Rights of Medication, Z-Track Method, Equipment, Procedure and Responsibilities)..

1. INTRAMUSCULAR INJECTION
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2.  It is defined as introduction of medicine into the
muscle in form of solution
Purpose
 To obtain quick effect of medicine
 The medication that is not suitable for intravenous
administration
 Assure that the total dosage will be administered
and the same will be absorbed for the systemic
action of the drug
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INTRAMUSCULAR INJECTION

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INJECTION TECHNIQUE

4.  To determine which injection site to use, the type of
medication used, its volume, and the patient’s age
and condition must be taken into consideration.
The following four areas are where intramuscular
injections are typically given:
 Deltoid Muscle
 Vastus-Lateralis Muscle:
 Ventro-Gluteal muscle
 Dorso-Gluteal muscle:
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INJECTION SITES

5.  Deltoid muscle is located in
the arm; this is the site most
commonly used for
vaccines. However, its small
muscle mass limits the
volume of medication that
can be injected (typically
no more than 1mL).
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DELTOID MUSCLE

6.  Vastus-Lateralis is a muscle
in the thigh, and is used
when other sites are not
available or if the
medication is to be self-
administered.
 This is the recommended
site for injections of up to
5mL
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VASTUS-LATERALIS MUSCLE

7.  Ventro-Gluteal muscle is
the safest site for adults
and children over seven
months; this muscle in the
hip is deep and not close
to any major blood vessels
or nerve.
 The recommended volume
for an injection here is
between 2.5 and 3mL.
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VENTRO-GLUTEAL MUSCLE

8.  Located in the buttocks.
Recently, there are
considered no advantages to
using this site with greater
emphasis placed on using the
vetrogluteral site instead for
deep IM injections due to the
slower absorption rate using
this muscle as well as risk to
sciatic nerve injury.
 Volumes - 5mL
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DORSO-GLUTEAL MUSCLE

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10.  Right Patient
 Right Time
 Right Dose
 Right Route
 Right Drug
 Right Documentation
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RIGHTS OF MEDICATION

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AMPOULE VIAL
▪ An ampoule is also known as
ampul, ampule, or ampulla.
▪ It is a sealed vial that
contains or stores a sample,
usually liquid or solid.
▪An ampoule contain only one
dose.
▪ A vial is also called as a
phial or flacon. It is a small
cylindrical container made of
glass typically for holding
liquid medications.
▪Vial contain multiple doses
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12.  The Z track method is a technique for intramuscular injections
that helps to keep the medication in the muscle. Learn more
about the purpose of the test as well as what to expect
before, during, and after the procedure.
Purpose of Test
 The idea behind the Z track method of IM injections is to put
medications into the muscle tissue and not allow them to leak
(track) back into the subcutaneous tissue layer over the muscle.
 The Z Track method is only used for intramuscular injections,
and not other types of injections. The type and amount of
medication given will help determine the length and gauge of
the needle as well as the proper location of the injection.
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Z-TRACK METHOD

13. A tray containing
 Syringe and needle
 Sterile cotton swabs and gauze pieces in sterile
container
 Methylated spirit in a container
 Bowl with water
 Kidney tray and paper bag
 Drug order sheet
 Ampoule Cutter
 Small covered tray to carry the prepared injection to
the bed side
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EQUIPMENT

14.  Identify the patient correctly
 Explain the procedure to the patient
 Provide privacy
 Keep the patient attention away from the injection
by friendly conversation
 Place the patient in comfortable and relaxed
position
 Select a suitable site for the route of administration
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PREPARATION

15.  Select the medication
 Wash hands
 Prepare the medication
 Keep the syringe with medication in the sterile tray
and cover it
 Make sure that the medication taken right and
correct dosage
 Carry medication to the patient in sterile tray
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PROCEDURE

16.  Identify the right patient
 Prepare the site of injection
 Inject the medication by correct technique
 Needle is inserted at a 90O
 If no blood comes give the medication slowly
 Remove the needle gently
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Cont....

17.  Inspect the area for bleeding
 Help the patient to dress up
 Ask the patient to take rest for 15 mins
 Check the limb movements
 Watch for signs and symptoms
 Replace the equipments
 Hand wash
 Record the procedure
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AFTER CARE

18. Check
 Doctors order
 Purpose of injection
 Patient details
 Diagnosis and age of the patient
 Allergic reactions
 Site of injection
 Patients previous experience
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NURSES RESPONSIBILITY

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Thank You