RehabFAQs

how should rehab nurse administer intramuscular injection to morbidly obese pt

by Agustina Wiegand DDS Published 2 years ago Updated 1 year ago

Are intramuscular injections safe for Nursing Practice?

May 26, 2018 · The thumb should be placed at the groin, such that the wrist is in line with the thigh. The fingers need to be pointed towards the head. Form a V with your fingers by separating the index finger from the other three. Feel the edge of a bone along the tips of your little and ring fingers. The place to give the injection is in the middle of the V.

What are the recommended intramuscular (IM) injection sites for muscle atrophy?

Intramuscular injections require a thorough and meticulous approach to patient assessment and injection technique. This article, the second in a series of two, reviews the evidence base to inform safer practice and to consider the evidence for nursing practice in …

How do I choose the right needle for intramuscular injections?

3. Administer the vaccine correctly. Inject the vaccine into the middle and thickest part of the muscle. Insert the needle at a 90-degree angle and inject all of the vaccine in the muscle tissue. If administering more than one vaccine in the same arm, separate the injection sites by 1 inch if possible. Administer these vaccines by IM injection:

What percentage of intramuscular injections reach the muscles of the buttock?

Mar 18, 2006 · In highly obese populations, the depth could be expected to be even greater than that shown here. As previous studies have shown low efficacy of gluteal intramuscular injections, this route should be avoided for most drugs. If alternative routes are not possible, using longer needles should be considered.

How do you give an IM injection to an obese patient?

In both males and females, the deltoid muscle is preferred when giving most IM injections with 1 in. needles. A 1-in. needle is required to reach the deltoid muscle tissue in females whose BMI is less than 35.

What factors should nurse consider when preparing to administer an intramuscular injection to a patient?

Factors that influence the choice of muscle to use for an intramuscular injection include the patient's size, as well as the amount, viscosity, and type of medication.

How do nurses give intramuscular injections?

0:441:49HOW TO GIVE IM INJECTIONS | sites, considerations, nursing care for ...YouTubeStart of suggested clipEnd of suggested clipThe injection. Site for the deltoid muscle is two. And a half centimeters or three fingers below theMoreThe injection. Site for the deltoid muscle is two. And a half centimeters or three fingers below the edge of the acromion. Process for this site use a 1 mil of njet of medication. And a 1 inch needle.

How are intramuscular injections given?

Hold the skin around where you will give the injection: With your free hand, gently press on and pull the skin so that it is slightly tight. Insert the needle into the muscle: Hold the syringe barrel tightly and use your wrist to inject the needle through the skin and into the muscle at a 90 degree angle.Apr 4, 2022

At what angle should you administer an intramuscular IM injection?

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

What are the steps in performing Z-track technique when administering an IM injection?

Administering a Z-Track InjectionWash your hands with soap and warm water. This will help to prevent potential infection. ... Gather the necessary supplies: ... Clean the injection site. ... Relax the muscle to be injected. ... Prepare the syringe with medication. ... Insert the needle. ... Inject the medication. ... Create Z-track.More items...

Where do you inject intramuscular injections?

Imagine a line from the bottom of the buttocks to the top of the hip bone. Imagine another line from the top of the crack of the buttock to the side of the hip. These two lines form a box divided into 4 parts. Put the injection in the upper outer part of the buttocks, below the curved bone.Aug 13, 2020

Which actions should the nurse perform when administering an IM injection?

3. What can the nurse do to minimize the patient's risk for injury when delivering an intramuscular injection?Instruct the patient to relax.Insert the needle at a 45-degree angle.Pull back on the plunger after inserting the needle.Pull the skin taut at the injection site when inserting the needle.

Where is the acromion process for IM injections?

Find the acromion process, which is the bony point at the end of the shoulder. The injection site will be approximately 2 inches below the bone and above the axillary fold/armpit.Nov 16, 2020

Where do you give an intramuscular injection in the thigh?

Place the palm of your hand against the front of your thigh where it meets your groin. (If injecting into your right thigh, use your right hand. If injecting into your left thigh, use your left hand.) The area just below your hand is the top of the rectangle.

Why are intramuscular injections given?

In medicine, it is one of several methods for parenteral administration of medications. Intramuscular injection may be preferred because muscles have larger and more numerous blood vessels than subcutaneous tissue, leading to faster absorption than subcutaneous or intradermal injections.

A B C D E F G H I J K L M N O P Q R S T U V W X Y Z 1 2 3 4 5 6 7 8 9