What Are the Different Types of Intramuscular Injection Techniques?

Intramuscular injection (IM) is a method of injecting a certain amount of liquid medicine into muscle tissue. Draw a horizontal line to the left or right from the apex of the gluteal cleft, and then make a vertical bisector from the highest point of the zygomatic spine. The upper quarter is the injection site.

Intramuscular injection

1.Wear your face with a mask

2. Item preparation: 70% -75% alcohol, 2% -2.5% iodine, sterile cotton swabs, curved discs, disposable syringes, injection drugs, bottle openers, grinding wheels, injection cards, and dirt tanks are provided in the treatment tray. Quick hand disinfectant, sharps collector, prepare sterile items (such as sterile gloves, sterile holding forceps, tweezers, etc.) as needed.

3. Put the articles on the treatment cart or the treatment board, and bring them to the patient's bed

4, check the name, bed number (check with the patient and the bedside card), drug name, dose, concentration, time, usage, check whether the drug has expired, check the drug for turbidity, precipitation, and whether there is looseness or cracks on the bottle mouth

5. Explain the purpose to the patient, get cooperation, and wash your hands.

6. If the medicinal solution is an ampoule: Alcohol disinfection ampoule, grinding wheel, scratch with an abrasive wheel, and then disinfect the ampoule scratches with alcohol, open the ampoule by hand, open and close the cotton swab cylinder and use the tweezers

7. If the medicinal solution is a sealed bottle: Disinfection bottle opener, aluminum cap, aluminum cap, disinfection stopper

8. The disinfection method is correct.

9, take the syringe, check the validity of the syringe, whether the package is leaking, whether the needle has barbs;

10. Aspiration of the liquid used, the dosage is accurate, and the method of extraction is correct;

11. Put it in the curved plate for backup, take care not to contaminate the needle and piston;

12.Assist the patient in a comfortable position;

13.Select injection site

14. Gluteus maximus injection positioning method: cross method, connection method;

15, skin disinfection: area 4 × 6 cm, disinfection method is correct, clean iodine (2 times), wait to dry

16. Disposal

First, posture, commonly used postures are sitting, prone, prone, supine (when doing gluteal muscle injection)

1. Gluteus maximus injection positioning:

Cross method: Draw a horizontal line to the left or right from the apex of the gluteal cleft, and then make a vertical bisector from the highest point of the zygomatic spine. The upper quarter is the injection site.

Line method: the upper third of the line connecting the anterior superior iliac spine and the coccyx is the injection site.

2. Orientation of gluteal muscle injection:

Dotted line method: Put the tip of your index finger and middle finger outside the superior iliac spine and the lower edge of the iliac spine. The iliac spine, index finger, and middle finger form a triangle, and the injection site is inside the angle formed by the index and middle fingers.

3. Positioning of gluteal muscle injection:

To

1. If the blood vessel is mistakenly entered and a small amount of blood is drawn back, pull out a small amount of needle, and then reinject it after no blood is drawn back. If a large amount of blood is drawn back, quickly pull the needle, press the part with a sterile dry cotton ball, and re-preparation injection.

2. Don't pierce the needle stem completely to prevent the needle stem from breaking from the root joint. If the needle breaks, you should keep the part and the limb still. Quickly clamp the broken end with blood vessel forceps and pull it out. If all the muscles are buried, you should ask the surgeon to remove it.

3. For patients who have been given intramuscular injection for a long time, the injection site should be replaced alternately to reduce the occurrence of induration.

4. When injecting the same amount of two kinds of liquids, pay attention to the contraindication of compatibility, and inject in different parts.

5. Select the appropriate syringe and needle according to the amount, consistency and irritation of the liquid medicine, such as (oily drugs need to use thick needles, drugs less than 1 ml can only be used with 1 ml, 0.5, ml or special syringes Injection, etc.).

6, infants under 2 years of age should not choose gluteal muscle injection, because there is a risk of sciatic nerve damage, can choose gluteal muscle, gluteal muscle injection.

7. Avoid injections in scars, indurations, inflammation, skin diseases, and old needles. Congestion and hematoma were also injected.

8. Depending on the nature of the medicinal solution, decide whether you need to rub the part.

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Application of Z injection

Intramuscular position