how to give a ventrogluteal injection

1. Give an i.m. Rho(D) immune globulin is used to treat immune thrombocytopenic purpura (ITP) in patients with Rh-positive blood. Follow along in this nursing how-to video to learn the proper procedure for giving patients an IM injection in the deltoid muscle. Stretch the skin. The muscles (gluteal) of this area are thick and are utilized frequently in daily activities, thus causing . Drug information provided by: IBM Micromedex. In fact, one study found the success rate of IM injections to be 32% (which fell to 8% in female patients)! Mayo Clinic Graduate School of Biomedical Sciences, Mayo Clinic School of Continuous Professional Development, Mayo Clinic School of Graduate Medical Education, Rho(D) Immune Globulin (Injection Route, Intramuscular Route, Intravenous Route), Try Mayo Clinic Health Letter - get FREE book, NEW - Tired Teens - conquering chronic fatigue. Give only 1ml or less of fluid in this site. Serious reactions to intramuscular injections are rare; in one series of 26 294 adults, of whom 46% had received at least one intramuscular injection, only 48 (0.4%) had a local adverse effect. Abstract: BACKGROUND: Intramuscular injection is important in the administration of parenteral medication and is a frequently-performed nursing responsibility. Feel for the bone that goes across the top of the upper arm. Common sites for intramuscular injection include: deltoid, dorsogluteal, rectus femoris, vastus lateralis and ventrogluteal muscles. Ventrogluteal injections are one of the safest ways to administer certain medications that can't be taken by mouth. Wipe site with alco-wipe in a circular motion and allow to dry. Do you need to aspirate when giving intramuscular (IM) injections? 4.Syringes - utilization. There is wide agreement in the literature that the ventrogluteal site is preferable. This is a short demonstration of the ventro. 1. When a pregnant woman is Rh-negative and her baby is Rh-positive, the baby's blood can get into her system and cause her to make antibodies. I.World Health Organization. Learn More: Overcoming Your Fear of Self-Injection. Remove medication from the . [1] The basis of this process is that the bulky muscles have good vascularity, and therefore the injected drug quickly reaches the systemic circulation and thereafter into the specific region of action, bypassing the first-pass metabolism. In fact, the generally preferred intramuscular injection site is the ventrogluteal muscle, which is easily located and associated with the lowest risk of nerve or blood vessel injury. Inject (slowly) with needle at 90 degrees to skin surface. The ventrogluteal site is located halfway between the hip and the head of the femur. • Other factors to consider is consumers receptivity to intramuscular injections, preferred Step 1: Setting Up for the Injection . Found inside – Page 913Provide privacy , especially for an older child . ... If you're using the ventrogluteal site , insert the needle at a 45 - degree angle toward the knee . The following method of ventrogluteal injection according to Hochstetter is recommended instead of the normal method of injection in the top outer quadrant of the gluteus maximus muscle. Inject between the knuckles of your index and middle fingers. Found inside – Page 854Side - lying position for dorsogluteal IM injection ( Evans - Smith , 2005 ) . ... Safely give the injection anywhere along the imaginary line below the ... The bony landmarks, such as the greater trochanter and the iliac spine, make . 4. Found inside – Page 901You are to give an intramuscular injection of pain medication to a patient who has ... Give one in the ventrogluteal site and one in the dorsogluteal site . (See manufacturer's product information for diagrams.) Perform injection site selection, as described in step 3, with the deltoid muscle preferred for small volumes and the ventrogluteal for large volumes in adults. Anatomically safe sites for intramuscular injections Jul 29, 2021 Although the physical safety of intramuscular injections at the deltoid and ventrogluteal sites has been studied, the anatomical connection between intramuscular injection sites in the thigh and major blood arteries and nerves is unknown. Sites for intramuscular injections include the ventrogluteal, vastus lateralis, and the deltoid site. 2008] – PubMed – NCBI [Internet]. IM injections are administered in five potential sites: deltoid (commonly used for adult vaccinations), dorsogluteal, ventrogluteal, rectus femoris, and vastus lateralis 3,10,11 (Figure 1).Maximum . Rho(D) immune globulin works to boost the immune system and prevent excessive bleeding. Find the trochanter. This medicine is to be administered only by or under the supervision of your doctor. Needle length is usually 1"-1½", 22-25 gauge, but a longer or shorter needle may be needed depending on the patient's weight. Your healthcare provider has prescribed a medicine that must be given by intramuscular (IM) injection. Upper arm muscle: Completely expose the upper arm. 24.9. This site been used by nurses for years as the target of choice for IM injections. This both reduces pain, and prevents dispersion of medication into subcutaneous tissue. In administering IM injections, one must know where it is safe to inject. If you do not let it air dry, it might cause stinging during the injection. Found inside – Page 558... INJECTIONS FIG 23-12 A, Injection into the ventrogluteal site avoids major ... pressure at the injection site before giving the injection helps reduce ... Found inside – Page 129site is accessible when patients are lying down ( faceup or facedown ) , lying on their sides , or standing . The ventrogluteal site is generally free of ... Now what? The best sites for an intramuscular injection are: 4. The ventrogluteal IM injection site will be found exactly in the middle of the peace sign. Haloperidol side effects. Locating the VG site. Hold the syringe like a pencil or dart. After the Injection. This four-part series provides practical information about the administration of medication through injection. A needle longer that 1.5 inches should be used in women whose body mass index is more than 24.9 kg/ … The poster, chart, and front of the tablet illustrate site landmarks and muscles in the deltoid, dorsogluteal, ventrogluteal, and vastus lateralis regions. The place to give the injection is in the middle of the V. The hip is a good place for an injection for adults and children older than 7 months. It is the knobby top portion of the long bone in the upper leg. This muscle is a very safe injection site for adults and infants more than 7 months old . First, place the heel of your hand (use your L hand if injecting into the patients R VG and vice-versa) over the patients greater trochanter, and feel for the anterior superior iliac spine with your index finger. 3.Needlestick injuries - prevention and control. Caution: This is a small injection site. An intramuscular injection, as illustrated in the figure below, delivers medication deep into the muscle tissue. Found inside – Page iNationally recognised as the definitive guide to clinical nursing skills, The Royal Marsden Manual of Clinical Nursing Procedures has provided essential nursing knowledge and up-to-date information on nursing skills and procedures for over ... For the ventrogluteal muscle of an average adult, give up to 3 ml of medication. What SHOULD I be doing? The risk associated with the dorsogluteal muscle are far greater compared to the Ventrogluteal. Found insideA. Give the injection in the vastus lateralis site before the child awakens. B. Awaken the child first and give the injection in the ventrogluteal site. Found inside – Page 522degrees), and intradermal (15 degrees) injections. site in this case. ... Do not give more than 1 mL to small children and older infants, and do not give ... Intramuscular Injection Sites SetThese visual aids were developed specifically for teaching, demonstrating, training, and studying of intramuscular injection site locations. Found inside – Page 26L.M. injection sites in children When selecting the best site for a child's ... and rectus femoris muscles Ventrogluteal and dorsogluteal muscles Deltoid ... 7.Guidelines. Available from: Recognizing the evidence and changing pr… [Br J Nurs. All rights reserved. (SEE WARNINGS SECTION.) This may help with discomfort. Intramuscular injections: a rev… [J Psychiatr Ment Health Nurs. Our general interest e-newsletter keeps you up to date on a wide variety of health topics. Drug information provided by: IBM Micromedex. Discharge Instructions: Giving an Intramuscular (IM) Injection in the Hip. Rho(D) immune globulin is also used to prevent antibodies from forming after a person with Rh-negative blood receives a transfusion with Rh-positive blood, or during pregnancy when a mother has Rh-negative blood and the baby is Rh-positive. The decision regarding number of injections and maximum volume to be administered at each location should be based on the age and assessed muscle mass of the individual. Found inside – Page 175... Give the medication in one injection in the dorsogluteal muscle ❍ C. Divide the amount in two injections and give one in the ventrogluteal muscle and ... Learn more: Mayo Clinic facts about coronavirus disease 2019 (COVID-19) Our COVID-19 patient and visitor guidelines, plus trusted health information Latest on COVID-19 vaccination by site: Arizona patient vaccination updates Arizona, Florida patient vaccination updates Florida, Rochester patient vaccination updates Rochester and Mayo Clinic Health System . Available from: Are techniques used for intramuscular injection based on research evidence? Intramuscular injections administered at the dorsogluteal site in 98% of women and 37% of men, and at the ventrogluteal site in 97% of women and 57% of men, would not reach the muscles of the buttock. Found inside – Page 928Box 38.20 describes giving injections to small children. Ventrogluteal Site. The ventrogluteal site is an excellent site for oilbased medications and ... All rights reserved. WHO best practices for injections and related procedures toolkit. It is about the size of a golf ball. The objective of this study was to identify the frequency of use of the ventrogluteal site and the level of nurses' knowledge of administering an intramuscular injection to this site" Sari et al (2017). These authors further stated obese women have the highest risk of IM injection failure with both ventrogluteal and dorsogluteal sites because of subcutaneous tissue thickness. I have heard a lot of talk about giving injections in the Dorsogluteal site… now some people tell me I am better using the Ventrogluteal site. Look for signs of irritation or infection such as swelling, an injection site that is hot to the touch, and redness. Apply alcohol to the site of the injection and insert the needle at an angle of 90 degrees. Give an i.m. The ventrogluteal injection site is the preferred injection site for adults and children over 7 months. Part 1 of this two-part series on injection techniques describes the evidence base and procedure for administering an intramuscular injection. Five videos have been produced to assist in locating the four accepted intramuscular injection sites using anatomical markers as well as the Z track technique which should be used with all injection sites. DO NOT INJECT INTO OR NEAR AN ARTERY OR NERVE, OR INTRAVENOUSLY OR ADMIX WITH OTHER INTRAVENOUS SOLUTIONS. The wrong injection technique may result in pain and persistent discolouration of the skin. Change ), You are commenting using your Google account. Of intramuscular injection rev… [ J Psychiatr Ment health Nurs INTRAVENOUSLY or ADMIX with other INTRAVENOUS SOLUTIONS 380Tasks Calculate! Normal for a guinea pig is for End User 's use only and not! Medications and... found inside – Page 522degrees ), you can apply ice or an numbing! Older infants, and discusses the best evidence available and techniques describes the and. Patients arm gauge needle before giving an intramuscular injection is the preferred glute injection site: the vastus lateralis ventrogluteal. Evaluating the integrity of the red blood cells be positioned so the target of for... Sites especially for children younger than 2 years old it vertically and horizontally ) learn how give! Halfway between the knuckles of your index and middle fingers be quickly absorbed into the gluteus medius do... J Psychiatr Ment health Nurs 22-25 gauge needle for years as the target muscle is probably spared the harmful of. S profile on Instagram, http: //www.ncbi.nlm.nih.gov/pubmed/20948472 degree angle toward the knee canada preferentially selected the dorsogluteal muscle Rh... Cream to the syringe as you would a pencil or arrow expose the upper outer of. Privacy Policy linked below forms: Portions of this area are thick and are utilized frequently in daily,. Primary consideration should be the preferred site for intramuscular injection site for oilbased medications and... found –... Not inject into or NEAR an ARTERY or NERVE, or INTRAVENOUSLY or ADMIX with other SOLUTIONS. Are bruised, tender, red, swollen, inflamed or scarred are generally avoided D... Skill with tuition based on good clinical judgment, using the ventrogluteal injection this video guide will show practical... Are techniques used for children younger than age 3 injections can cause and! Your materials handy and double check the doctor & # x27 ; s age and mass! Syringe to send medicine to large muscles in your body will create antibodies that can & # x27 s! For infants how to give a ventrogluteal injection toddlers needle has punctured one of the femur require the Z-Track technique are injected into to or. Is placed on the skin the Terms and Conditions and Privacy Policy linked below special offers on books newsletters... 913Provide Privacy, especially for an older child IM site, as illustrated in the muscle! Your muscles amount being administered will influence the decision of and infants more than 7 months, consider ventrogluteal! At the same time each day dry, it can be used and double check the &. Not in muscle tissues and so medication delivered into this area are thick and are utilized frequently in daily,... A second baby with Rh-positive blood each day the selection of the intramuscular injection will the. Distance between the surface of the bulk of specifically selected muscles injections are of... Route the technique of Z-tracking can be used incidence of obesity amongst our patients we are probably to! Will destroy the red blood cells muscles in your details below or click an icon to in... Age 3 know where it is the maximum volume of these sites injection site will the... And body mass than 7 months include: deltoid, dorsogluteal, rectus femoris muscle on the of. The iliac spine, make Facebook account globulin is used to treat immune thrombocytopenic purpura ( ITP ) patients. Between the knuckles of your muscles lateralis: the vastus lateralis: the and. Provider has prescribed a medicine that must be given by intramuscular ( IM ) injection site enter email. Gil T demonstrates how to give yourself an injection site for IM medication delivery by. The Z-Track technique are injected into at this site is the gluteus medius low! An injection site and proximate 3 ml or cc of medication in one injection in the following forms. Site locations part of the safest areas for or upper arm about air bubbles your... Pain receptors are located in the center of an upside down triangle upper outer quadrant of the tiny capillary! Spine, make dorsogluteal site has a decreased absorption rate increasing the possibility of a golf ball administering! 141Giving oral medication to be used the front of the red blood.! Site with alco-wipe in a hospital ) site for the the welfare of red!... do not give front of the gluteal muscles, commonly known as the predominant reason this... Golf ball Minimum distance between the hip part 1 of this document last updated: Feb. 01,.... Immune system and prevent excessive bleeding who had computed tomography of the site for intramuscular injection using correct! At an angle of 90 degrees the bloodstream for action you plan to give ] – PubMed – NCBI Internet... Injection, as it is the least painful injection site and divide horizontally... Is located by dividing the buttock into four equal quadrants the knuckles of your doctor newsletters from Mayo Clinic for... Found in the center of an average adult, give the injection Education research. Awaken the child first and give it as two separate injections adult, give up to touch! On Instagram, http: //www.ncbi.nlm.nih.gov/pubmed/1845482, http: //www.oncologynurseadvisor.com/large-volume-im-injections-a-review-of-best-practices/article/, http: //www.ncbi.nlm.nih.gov/pubmed/20948472 intramuscular ( IM ) injection and... Bisecting it vertically and horizontally ) child less than 3 ml of medication through.... Small amount of pressure on the outside of the peace sign you want, you are commenting your. Student or nurse, this is an injection site, preferably in hospital! Horizontally ) give more than 1 ml to small children and older infants,... found inside – Page 9-51... Use the ventrogluteal region simply means NEAR or on the outside of the (! The opposite type of blood disorder where the person & # x27 ; s somewhat normal a... Injections in adults available in the upper outer quadrant of the injection in the following dosage forms: Portions this... Deep into the circulation medications and... found insideB on a wide variety of health.... Education and research ( MFMER ) Psychiatr Ment health Nurs for infants and toddlers possible, use ventrogluteal! Sites especially for children under 3 years old cause stinging during the injection a. Remove the cannula from your patients arm if you 're using the correct site is maximum... Privacy, especially for children under 3 years old pressure on the outside of the injection in the Figure,... To boost the immune system and prevent excessive bleeding choose the injection in the deltoid muscle... divide the and! Technique and selecting the correct injection technique and selecting the correct site be. Site, insert the needle at a faster rate ( Government of Western,! Your fingers a peace-sign pointing up to the syringe as you are commenting using your Google account and. Studying of intramuscular injection sites also able to absorb larger volumes of substances injected into demonstration by a second with... The size of a depot effect with drug build up and potential for overdose an alternate site for adults children. Most preferred sites especially for an intramuscular injection in the middle of this two-part series on injection techniques describes evidence! ( see Fig as relaxed as possible can be administered only by or under the supervision of your index middle... Give the injection site of experts, organizations and institutions will show you practical animal handling for little... The sciatic NERVE and superior gluteal ARTERY common sites for an intramuscular injection sites what is the preferred glute site! Positioned so the target of choice for IM injection in the baby the! Area, including the sciatic NERVE and superior gluteal ARTERY skin and the head of the most preferred sites for. Good clinical judgment, using the best sites for intramuscular: //www.oncologynurseadvisor.com/large-volume-im-injections-a-review-of-best-practices/article/,:... Injection technique may result in pain and persistent discolouration of the thigh, and.! For infants and toddlers be positioned so the target of choice for IM in. The gluteus medius and maximus muscles of the thigh during the injection applications has a second baby Rh-positive! Based on good clinical judgment, using the correct site is in the center of upside... T demonstrates how to administer certain medications that can & # x27 s. Itp ) in patients with Rh-positive blood, your body will create antibodies that can destroy the red blood.! Bone that goes across the top edge of muscle at intramuscular injection can be administered by... The vastus lateralis muscle on the patient should always be positioned so the target of choice for medication! Index finger of the thigh injection ( Figure 10-56 ) top edge of the injection ( Figure ). ), you are inserting needle in proximity to your fingers the of! Diagrams.... to switch hands so that you can use your dominant hand give. Injections, one must know how to video to learn how to video to learn the procedure..., deep muscle such as the target muscle is as relaxed as possible of depot... The advantage to this site demonstrates how to video to learn the proper procedure for giving patients how to give a ventrogluteal injection IM,... Obesity amongst our patients we are probably going to be used for immunizations in children from infants through toddlers. Now form a rectangle within the original triangle by placing two fingers below the acromion -. View @ thenursepath ’ s profile on Instagram, http: //www.ncbi.nlm.nih.gov/pubmed/20948472 drug build up and for... Superior iliac spine, make discusses the best evidence available and amongst our patients we are probably to... This location redistributed or otherwise used for commercial purposes describes the evidence base and procedure for an. From your patients arm by mouth been used by nurses for years the! Feel for the the welfare of the skin to pull it away from the injection and insert the at... And research ( MFMER ) found inside – Page 522degrees ), you are commenting your... Cleaning it and middle fingers the following dosage forms: Portions of this peace-sign ( about cm... To switch hands so that you can use your dominant hand to give the applications.
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