Is it best practice to aspiration with intramuscular injections?
IM injections: Aspiration prior to injection of medication through the IM route remains a part of most guidelines 4, 35, 38– 40. Nursing curricula and guidelines 4, 38, 39 clearly recommend aspiration as an essential step in IM injection technique.
Which site is no longer recommended for intramuscular injections?
Additionally, the rectus femoris (the middle third of the rectus femoris) is no longer a recommended site because it may cause discomfort and pain. A previous study reported that one disadvantage of this site is that nerves and numerous blood vessels run very close to it.
Why is Z track method not recommended?
However, due to the potential for injury to the sciatic nerve, the ventrogluteal muscle is most often used instead. This site in the dorsogluteal muscle is difficult to use for self-injection and is not recommended. You should not use an injection site that has evidence of infection or injury.
Why do we aspirate before injection medication intramuscularly?
Purpose: Aspiration is a technique used during intramuscular (IM) injection to check if a blood vessel has been punctured prior to medication administration to avoid the accidental delivery of medication into the bloodstream (Swart, 2014; Thomas, Mraz, & Rajcan, 2016).
Which actions should the nurse perform when administering an IM intramuscular injection?
Administer the injection using the Z-track method.
- Position the ulnar side of the nondominant hand just below the site and pull the skin laterally.
- With the dominant hand, inject the needle quickly into the muscle at a 90-degree angle using a steady and smooth motion.
Do you pinch the skin for an IM injection?
Needle insertion Insert needle at an 45o angle to the skin. Pinch up on SQ tissue to prevent injecting into muscle. Aspiration before injection is not required. Multiple injections given in the same extremity should be separated as far as possible (preferably at least 1” apart).
What is the advantage of the Z-track technique when giving an intramuscular injection?
It’s pretty simple: The Z-track is a better injection technique. It’s been shown to reduce leakage of medication through subcutaneous tissue and decrease skin lesions at the injection site. Plus, it doesn’t hurt patients quite as much as a regular I.M. injection.
What are the most effective methods of intramuscular injection therapy?
Other effective methods were the two‐needle technique, post-injection massage, and the ShotBlocker. Subgroup analysis by IM intervention vs comparator SMD manual pressure, 3 studies 0.557 (0.372 to 0.741, p = 0.001)
Are intramuscular injections ritualistic?
Results: Within the literature review, it became clear that there are several actions within the administration of an intramuscular injection that could be perceived as ritualistic and require consideration for contemporary nursing practice.
Is intramuscular injection a commonly performed nursing procedure?
The technique for delivering intramuscular injection remains rooted in custom and practice. This literature review examines the evidence on this commonly performed nursing procedure covering all aspects including site and needle selection. The technique for delivering intramuscular injection remains rooted in custom and practice.
What is the needle length for intramuscular injection (IM)?
2 ml or less- deltoid injection 2 to 5 ml- ventrogluteal injection Needle length Vastus lateralis- 16 to 25 mm Deltoid- 16 to 32 mm (children), 25 to 38 mm(adults) Ventrogluteal- 38 mm Technique The sequential method of IM injection can be summarised as follows Thorough cleaning of the hands Application of sterile gloves