Intramuscular injection by Pushkar And Prathamesh.pptx

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1. General and facultative surgical department Dr. Ruslan.Rasujanovich.Sherov Name – Pushkar.Pandurang.Karad Prathamesh.Santosh.Budhwant Group – Ldi-7 Date – 13/04/2024 City - Mumbai

2. Intramuscular injection Made incredibly easy …

3. objectives The group : Defines intramuscular injection Enlist the indication of intramuscular injection Enumerate the contraindication of intramuscular injection Explains nursing responsibility of intramuscular injection Enlist the sites of intramuscular injection Describes best practices undergoing

4. INTRODUCTION Parenteral drug administration   means any non-oral means of  administration , but is generally interpreted as relating to injecting directly into the body, bypassing the skin and mucous membranes. The common  parenteral routes  are intramuscular (IM), subcutaneous (SC) and intravenous (IV

5. DEFINITION : Intramuscular (IM) injection: A method of administering medication directly into muscle tissue. -(Macqueen et al 2012 )

6. INDICATION. some vaccines are administered intramuscularly: Gardasil, Hepatitis A vaccine ,Rabies vaccine Influenza vaccines based on inactivated viruses are commonly administered intramuscularly. Platelet-rich plasma injections can be administered intramuscularly. Certain substances (e.g. ketamine) for recreational purposes. Vitamin B12 as cyanocobalamin, hydroxocobalamin or methylcobalamin

7. contraindication Active infection near the site of injection, a known allergy/hypersensitivity to the material or to the lidocaine Acute  myocardial infarction : The intramuscular injection leads to the release of muscle-specific enzymes which complicate the  laboratory diagnostics of myocardial infarction Shock : The blood supply in the  periphery  is reduced, which means insecure absorption of the active substances Coagulation disorders , eg .  hemophilia  or therapy with  anticoagulants : Risk of a massive hematoma formation at the injection site

8. Sites of administration FOR INFANTS RECTUS FEMORIS VENTROGLUTEAL DORSOGLUTEAL VASTUS LATERALIS FOR ADULTS VENTROGLUTEAL DORSOGLUTEAL VASTUS LATERALIS

9. DELTOID TO LOCATE THE SITE FEEL FOR THE BONE (ACROMION PROCESS)THAT’S LOCATED AT THE TOP OF THE UPPER ARM.THE CORRECT AREA TO GIVE THE INJECTION IS TWO FINGERS BELOW THE ACROMION PROCESS. AT THE BOTTM OF THE TWO FINGERS WILL BE AN UPSIDE DOWN TRIANGLE GIVE THE INJECTION ON THE CENTER OF THE TRIANGLE

10. VASTUS LATERALIS DIVIDE THE UPPER THIGHINTO THREE EQUAL PARTS.LOCATE THE MIDDLE OF THESE THREE SECTION.THE INJECTION SHOULD GO INTO THE OUTER TOP OF THE PORTION OF THESE SECTION.

11. DORSO GLUTEAL DIVIDE THE BUTTOCKS INTO FOUR QUANDRANTS THE UPPER PUTER ASPECT OF THE BUTTOCK WILL BE THE SITE OF THE INJECTION .

12. VENTRO GLUTEAL PLACE THE HEEL OF YOUR HAND ON THE HIP OF THE PERSON WITH THE FINGER POINTING TOWARDS THEIR HEAD.POSITION THE FINGERS SUCH THAT THUMB POINTS TOWARDS THE GROIN THE INDEX FINGER TOWARDS ANTERORSUPERIOR ILIAC SPINE.SPREAD THE FINGER IN “V” SHAPE AND INSERT INTO MIDDLE OF V

13. FEMORIS LATERALIS PUT YOUR PALM ON THE GREATER TROCHANTER NEAR THE PUBIS AND OTHER PALM ON THE PATELA AND COME TO CENTER WITH THE POINTER FINGER .

14. PREPARATION OF ARTICLES:- A CLEAN TRAY CONTAINIG SYRINGE TRAY SYRINGE [3ML] [24G] NEEDEL DRY AND WET COTTON / ALCOHOL SWAB MEDICATION { AMPOULE OR VIAL} PAPER BAG MEDICATION CARD KIDNEY TRAY GLOVES PUNCTURE PROOF CONTAINER

15. PREPARATION OF NURSE WASH HANDS CHECK THE MEDICATION ORDERS IN THE FILE OF THE PATIENT. PREPARE THE MEDICATION FROM THE VIAL FOR THE DRUG WITHDRAWL REMOVE THE NEEDLE COVER WITHOUT CONTAMINATING THE NEEDLE IF USING THE PREFILLED UNIT DOSE MEDICATION, TAKE CAUTION TO AVOID DRIPPING MEDICATION ON THE NEEDLE PRIOR TO INJECTION. IF THIS THUS OCCUR WIPE THE MEDICATION OFF THE NEEDLE WITH A STERILE GAUZE LOAD THE MEDICATION INT THE SYRINGE FROM THE VIAL. INVERT THE SYRINGE NEEDLE UPPERMOST AND EXPEL ALL THE AIR

16. PREPARATION OF ENVIRONMENT PROVIDE PRIVACY ENSURE THERE IS GOOD LIGHTING PROPER AIR VENTILATION PREPARATION OF PATIENT EXPLAIN PROCEDURE TO THE PATIENT FOLLOW THE CHECKS OF THE PATIENT IDENTIFICATION.

17. PROCEDURE EXPLAIN THE PROCEDURE TO THE PATIENT Select the location and clean the site Select a site free of skin lesion ,tenderness ,swelling ,inflammation If injections are to be frequent, alternate sites. Avoid using the same site twice in a row Put on clean gloves Clean the site with an antiseptic swab. Using a circular motion, start at the center and move outward about 5cm Transfer and hold the swab between the third and fourth fingers of non dominant hand in readiness for needle withdrAWl,or position the swab on the client’s skin above the intended site .

18. Holding the syringe between the thumb and forefinger pierce the skin quickly and smoothly at a 900 angle and insert the needle into the muscle. Hold the barrel of the syringe steady with non dominant hand and aspirate by puling back the plunger with the dominant hand. Aspirate for 5-10 seconds. If blood does not appear inject the medication steadily and slowly. After injection wait 10 seconds Place the cotton near the hub and withdraw the needle quickly and dis card in the puncture proof container Massage the site using a cotton Discard the articles in the appropriate bags. .

19. complications Severe pain at the injection site Tingling or numbness Redness ,swelling or warmness at the injection site. Prolonged bleeding. Sign of allergic reaction

20. References LIPPINCOTT WILLIAMS & WILKINS,FUNDAMENTALS OF NURSING MADE INCREDIBILY EASY,SOUTH ASIAN EDITION,WOLTERS KLUWER,NEW DELHI,Pg235. BT BASAVANTHAPPA,FUNDAMENTALS OF NURSING,2 nd EDITION JAYPEE BROTHERS MEDICAL PUBLISHERS,NEW DELHI , Pg628 & 629 KOZIER ERB BERMAN BURTEN,FOUNDATION OF NURSING,7 th EDITION, KINDERLY ,INDIA,Pg864-865 P.D HINDUJHA COLLEGE OF NURSING,MEDICAL SURGICAL NURSING1 ,PROCEDURE MANUAL

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