(See area outlined in figure to the right.) Pec intramuscular - the pectoral muscles are located on the chest area behind the breast. Intramuscular shots are given at a 90° angle, in other words, the needle is going straight through the skin into the muscle. Hold the muscle around the spot with your thumb and index finger. Consider the patient's weight before selecting a route of injection and needle size. 22-25 gauge, 1-1½" needle (see note at right) Needle insertion • Use a needle long enough to reach deep into the muscle. Needles Safety needles should be used for IM injec-tions to reduce the risk of needle-stick injury (Health and Safety Executive, 2013). With a quick firm thrust, put the needle into the muscle straight up and down, at a 90 degree angle. In all BMI males and females, BMI <35, intramuscular injection could be achieved with a 25 mm long needle, whilst in females BMI >35, a 32 mm long needle is required. What should I know about the syringe? Very large or obese person. Deltoid intramuscular - located at the side of the shoulder in the middle of this muscle.
Step 1: Setting Up for the Injection Find a comfortable, well lit working place and inject at the same time each day. Needles with a gauge of 20 or 22 G and a length of 1 or 1.5 inches are usually best. Angle of needle insertion. However, it is most common to administer an intramuscular injection to an infant using a 25-27G needle, while a 23-25G needle is more appropriate for a child or adult. 90° to skin plane. Grownup cattle: give IM injections with a 1 1/2" 18 gauge needle. However, the length of the needle should be in accordance with the patient's weight. The deltoid muscle is found about 3 fingers below the acromion, above the level of the armpit. The gauge of needle can be 21-25, with a length of 1.5 inches for the average sized adult; the needle would be much shorter for skinny individuals and children. Answer (1 of 4): It depends on how much subcutaneous tissue (also known as fat) you have.
For example, vaccines with adjuvants need to be injected into the muscle and not the subcutaneous tissue to .
This study investigated whether the size of needles used to administer intramuscular injections is appropriate for patients on the basis of their weight or body mass index. I use a 30mm 23G needle for IM injections into my thigh. In their review of the nursing fundamental textbooks, it was found that no specific guidelines for choosing a needle size for intramuscular injections in obese individuals were discussed.
For intramuscular injections: the needle must be thicker and longer. 90° to skin plane.
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. Needle size should be based on factors such as the species, size, and breed of the animal; the type of injection; the volume of injection; and the viscosity of the fluid being injected. Needle for IM injections can be 22-23 Gauge, 1-1.5 inches in length, adjusted for thickness of site. In general, 18 to 20 gauge needles (as gauge number increases, needle diameter decreases), 12 or 15 mm in length are sufficient. A 21G is commonly used but selection depends on the viscosity of the liquid being injected (Dougherty and Lister, 2015). It is essential to ask a doctor or pharmacist which size needle to use before giving an injection. 1 mL per 10 seconds. 4, 8 Why is it important to be sure that the correct needle size is used […] insert the needle at a 90° angle2 • Inject the medication with steady pressure7 Remove the needle. Choose the injection site that is appropriate for the person's age and body mass. Answer: Intramuscular shots are given at 90 degree angle. A spare administration needle of each size is provided in case of clogging [see How Supplied/Storage and Handling (16)]
Most intravenous drug users will prefer either 1cc or 1/2 cc syringes. Needle for IM injections can be 22-23 Gauge, 1-1.5 inches in length, adjusted for thickness of site. Choose appropriate needle size and length for the product given, taking the injection site into consideration. Needle length and size . The general rule is to use the smallest gauge needle that will allow smooth and timely administration of the injectable product. What is an intramuscular injection? Use the right needle size to manage the vaccine. 4, 8. Intramuscular injections go directly into a muscle. Needle Length and Injection Site for Inactivated Influenza Vaccine Inactivated influenza vaccine must be administered by the intramuscular route only Birth through 18 years of age Age Needle Length Injection Site Infant 6 - 12 months 1" (25 mm) Anterolateral thigh Toddler 1 - 2 years 1" - 1 ¼" (25-32 mm) 5/8"* - 1" (16-25 mm) Needle selection should be based on the: Triceps intramuscular - large arm muscle at the back of the upper arm. Aspirate.? (IM) Needle Size: 23-25 gauge Needle Length: 1" . Photo used with permission from the Meat Goat Production Guidelines for site/location and needle size (length and gauge) for adult, paediatric, and infant IM injections exist [ 37 ]. ⅝″ Intramuscular (IM) injections are made into the striated muscle fibers that are under the subcutaneous layer of the skin. Choose the injection site and needle length appropriate to the person's age and body mass. 22 mm - 25 mm 25 - 27 G 90˚ Toddlers and children (12 months to 18 years) Deltoid muscle Ventrogluteal site Dorsogluteal site (not recommended for < 3 years) Vastus lateralis muscle Depending on the site of administration, it is important to select the right needle size to optimize the immune response and reduce the risk of injection site reactions. Intramuscular injections to children and adults are usually given in the upper arm. Mix Medication: a. injections should be larger to accommodate viscous solutions and suspension. 23-25 gauge, 16 mm long. Remember that 83% of overweight and obese patients do not receive IM injections correctly, and injections are likely to be SQ due to . Syringes and needles. Several variations in the teaching of IM injection administration were identified among the five textbooks reviewed (Carter-Templeton & McCoy, 2008). Figure 2 Needle Entry for Intramuscular Injections . 3. Both 1.5 and 2 inch administration needles are provided to accommodate varying patient body habitus. . Whether vitamin injections are self-administered or given by someone else, knowing how to give a B12 shot will make the process easy and painless. 2 inch needle with needle protection device to ensure that the injectate reaches the intramuscular mass. Remove blue plastic caps off the vials. is necessary to get into the muscle in a person who is a little fleshier. Intramuscular injection procedure are used commonly in Hospitals and Clinics, we are providing Latest Information about How to give IM Injection. Preterm infant (<37 weeks gestation) up to 2 months of age, and/or very small infant. Pull the needle straight out.
Pectoralis major is the larger muscle located at the top outer area of the chest. These injections can be administered with needles ranging from 18-27G. Intramuscular (IM) injections The needle length and gauge are the same as when the deltoid muscle is used, i.e., 1″-1½" length, 22-25 gauge.You should choose needle length based on the weight of your adult patients, as follows: Adults weighing less than 130 lbs (60 kg): Use of a 1″ needle is recommended. Infant, child or adult for intramuscular vaccines. 5 Muscle is deeper than skin, so the needle used for these shots must be thicker and longer. The length of the needle must be long enough to pass through the subcutaneous tissue to reach the muscle, so needles up to 1.5 inches long may be selected. Clean your work area. 22-25 .
Intramuscular Injection is Technique used by Registered Nurse Practitioner, it is Introducing Medication in to Muscles Tissues through Needle in Different sites, . Recommended needle and syringe sizes for adults. A decision on needle length and site of injection must be made for each person on the basis of the size of the muscle, the thickness of adipose tissue at the injection site, the volume of the material to be administered, injection technique, and the depth below the muscle surface . Safety needles should be used for IM injections to reduce the risk of needle-stick injury (Health and Safety Executive, 2013). Push the medicine into the muscle. INTRAMUSCULAR: Needle size: 9 - 23 gauge 1-1.5" INTRAMUSCULAR: Angle of Insertion. . In a child you use a 1 inch long, 25 to 27 gauge needle. How do I know what size needle to inject? Intramuscular (IM): Deposits the Drug Into the Muscle . Instead, I bought an Essential 10 pack from Exchange Supplies.