Quick Answer: What Angle Do You Give An IM Injection?

Do you massage intramuscular injections?

Generally, rubbing or massaging the injection site area should be avoided through the time the drug is expected to reach peak levels to avoid intended absorption patterns..

What happens if you accidentally inject air into muscle?

Injecting a small air bubble into the skin or a muscle is usually harmless. But it might mean you aren’t getting the full dose of medicine, because the air takes up space in the syringe.

Can you hit a nerve when giving an IM injection?

Where you give the injection is very important. The medicine needs to go into muscle. You do not want to hit a nerve or a blood vessel. So show your health care provider how you will choose where you will put the needle, to make sure you can find a safe spot.

Do you pinch skin for IM injection?

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

What is the correct needle size for IM injection?

22-25 gaugeIntramuscular injections are administered at a 90-degree angle to the skin, preferably into the anterolateral aspect of the thigh or the deltoid muscle of the upper arm, depending on the age of the patient (Table 6-2). The needle gauge for intramuscular injection is 22-25 gauge.

What happens if you give an IM injection in the wrong place?

“A vaccine is an immunologically sensitive substance, and if you were to receive an injection too high – in the wrong place – you could get pain, swelling and reduced range of motion in that area,” says Tom Shimabukuro, deputy director of the Centers for Disease Control and Prevention’s immunization safety office.

How deep should an IM injection go?

Injection site Give in the central and thickest portion of the deltoid muscle – above the level of the armpit and approximately 2–3 fingerbreadths (~2″) below the acromion process. See the diagram. To avoid causing an injury, do not inject too high (near the acromion process) or too low.

How do you give an intramuscular injection without pain?

A subcutaneous (SC) or intramuscular (IM) injection is almost always painless if the skin is stretched firmly before inserting the needle. If injecting the arm, for example, the third, fourth and fifth fingers should go medial to the arm while the thumb and index finger stretch the skin on the lateral surface (Fig.

What happens if you give an IM injection in a blood vessel?

You may feel pain and stiffness in the muscle. When a blood vessel breaks, scar tissue or blood clots can form and if a blood clot starts to wander and reaches the heart or lungs, the consequences can be life-threatening. Injections that hit an artery can be particularly dangerous.

What angle do you give intramuscular injections?

Intramuscular shots are given at 90 degree angle. Needle for IM injections can be 22-23 Gauge, 1-1.5 inches in length, adjusted for thickness of site.

Why are intramuscular injections given at a 90 degree angle?

Overwhelmingly the evidence supports a 90 degree angle of needle insertion for intramuscular injection as being that most effective in terms of patient comfort, safety and efficacy of vaccine.

What color needle is used for intramuscular injections?

21 (green) and 23 (blue) gauge needles are most commonly used. The needle should be held at a 90° angle to the skin (see diagram) and gently aspirated preinjection to ensure that the needle has not entered a blood vessel.

Can you give an injection wrong?

Injections can also be administered in the wrong site. The most common error is steroid injections (for example, Kenalog) administered into the deltoid or thigh instead of gluteal muscle. Deep intramuscular steroid injections must be given into the large muscles of the buttock.

What should I do after wrong injection?

Treatment for post-injection inflammationCold packs. These help reduce swelling, itching, and pain.Over-the-counter pain medicines. These help reduce pain and inflammation.Prescription medicine. These treat infection.

What is a 90 degree angle when giving an injection?

Give the injection at a 90 degree angle if you can grasp 2 inches of skin between your thumb and first finger. If you can grasp only 1 inch of skin, give the injection at a 45 degree angle.

Where do I inject IM?

Intramuscular injection sitesDeltoid muscle of the arm. The deltoid muscle is the site most typically used for vaccines. … Vastus lateralis muscle of the thigh. … Ventrogluteal muscle of the hip. … Dorsogluteal muscles of the buttocks.

What is Z track technique?

The Z-track method is a type of IM injection technique used to prevent tracking (leakage) of the medication into the subcutaneous tissue (underneath the skin). During the procedure, skin and tissue are pulled and held firmly while a long needle is inserted into the muscle.

What happens if you hit bone while giving an injection?

A needle that is too long can penetrate the deltoid muscle, hitting the bone. Although patients will not feel their bones being hit, the vaccine might not fully absorb into the muscle, leading to a reduced immune response.