Following an injection of medication at the clinic how long should the patient wait? If possible, a family member should be trained to administer these injections. Retrieved October 12, 2022, from, Lilley, L.L., Rainforth Collins, S., Snyder, J.S. Place the syringe between your thumb and first finger. At what angle should an intramuscular (IM) injection beadministered? A milliliter is the same as a cubic centimeter and volume can be expressed using either measurement. (2020). The preparation available is an ampule of the medication. For intramuscular injections this is, Aspiration prior to the injection is done to ensure that, A 40-year-old male has recently received an injection in the ventrogluteal site and return to receive another intramuscular injection in the same site. 15 minutes following an intramuscular injection the patient begins vomiting this is an example of? The deltoid muscle is usually the best site to administer injections in adults, but medications with volumes greater than 2 ml should be injected in a large muscle groups like the ventrogluteal. Make sure you are comfortable with the injection technique before you start giving yourself shots. With the dominant hand, inject the needle quickly into the muscle at a 90-degree angle using a steady and smooth motion. 0.2 - 0.03 =. These include the upper arm, thigh, hip, and buttocks. See chart below to identify the route for each injectable vaccine. Use a needle length appropriate for the age and . You will be subject to the destination website's privacy policy when you follow the link. After the needle is withdrawn, the skin is released. Why IM is considered last resort for injection? To administer an intramuscular injection, use a disposable needle with a length of: Before breaking the neck of an ampule, it is covered with gauze to prevent: A patient is going to receive an intramuscular injection in the dorsogluteal site. Cleanse the area around the injection site with an antimicrobial swab using firm, circular motions moving outward from the site. 37 Administering ID, SC, IM Injections flashcards. The index finger, the middle finger, and the iliac crest form a V-shaped triangle. 1,2 Even when . Delivers medication into the muscle tissues. Aim: This paper is the report of a study to determine whether changing the needle before administering an intramuscular injection could reduce pain, and to investigate gender differences in pain perception. What volume of medication can be injected into the site? Return to the patients room at an appropriate time per the organizations practice to assess the injection site. 45 degrees C. 60 degrees D. 90 degrees 8. Discard the uncapped needle (or needle enclosed in a safety shield) and the attached syringe into a puncture-proof and leakproof receptacle. Which source is more intense and by how many times more. Using the appropriate size syringe can help minimize the risk of medication errors. the frequency of the wave. Anderson, C.E., Herring, R.A. (2022). to 5/8 in. The smallest syringe available for the volume of liquid administered is best for proper control and dosing. Subcutaneous layer has few sensory nerves. The recommended technique for this medication is. The Z-track method is a method of administrating an IM injection that prevents the medication being tracked through the subcutaneous tissue, sealing the medication in the muscle, and minimizing irritation from the medication. Do NOT mix more than one vaccine in the same syringe in an effort to create a combination vaccine.. If needed, an iodine solution may be used to help clean the site prior to using the alcohol swab. Palpate for tenderness or hardness and avoid hardened areas. You can't see the track because it's under the skin, but you may know that it was effective if no medication leaks out after the injection. B. the Channeled Scablands Explain the procedure and ensure that the patient agrees to treatment. Do you know everything about an intramuscular injection? Select the best site to administer the intramuscular injection. The muscle is thick and well developed and is located on the anterior lateral aspect of the thigh. If you need to go back and make any changes, you can always do so by going to our Privacy Policy page. Some persons should be observed longer30 minutesafter receiving COVID-19 vaccine. More research is needed to investigate the practice of aspiration before administering an IM injection with medications other than vaccines.8 The recommended route and site for each vaccine is included in the manufacturers instructions for use.2. With the dominant hand, inject the needle quickly into the muscle at a 90-degree angle using a steady and smooth motion. COVID-19 vaccine has been associated with enhanced local/injection site reactions l (e.g., pain, swelling, redness). There are no known risks or contraindications for using the Z track method for intramuscular injections, however it is important to note that this can be performed only for intramuscular injections. Pointing the bevel of the needle up before piercing the skin. Aspiration in injections: should we continue or abandon the practice? Adult patients who require frequent injections should be instructed to apply a topical analgesic to the injection site before administration. Nurse Betty should sit the needle on the bedside table and make sure she disposes of the needle before she leaves the room. Instruct the patient and a family member to observe for effectiveness of the medication and adverse reactions and to report ineffectiveness of the medication and adverse reactions to the practitioner. Yilmaz D, Khorshid L, Dedeolu Y. SC injections are injected into the innermost layer of the skin called the subcutis or hypodermis, which is made up of a network of fat and collagen cells. Describe the relationship and movement between Temperature and Density in a convection cell. 5 Rod Brouhard is an emergency medical technician paramedic (EMT-P), journalist, educator, and advocate for emergency medical service providers and patients. Detailed discussion can be found here: Multiple Injections/Coadministration of Vaccines, COVID-19 vaccine and coadministration with other vaccines, Routine and Influenza Immunization Services During the COVID-19 Pandemic: Interim Guidance | CDC, Vaccine Administration: Intramuscular (IM) Injection Children 7 through 18 years of age, Vaccine Administration: Intramuscular (IM) Injection Adults 19 years of age and older], Vaccine Administration: Needle Gauge and Length, Giving all the Doses Under 12 Months of Age, COVID-19 vaccines can be given during the same visit, How to Hold Your Child During Vaccinations, General Best Practice Guidelines for Immunization: Best Practices Guidance of the Advisory Committee on Immunization Practices (ACIP), Reducing the pain of childhood vaccination: an evidence-based clinical practice guideline, Subcutaneous (SC or Subcut) Injection: Sites [3:26 minutes], Subcutaneous (SC or Subcut) Injection: Administration [6:27 minutes], Intramuscular Injection: Sites [5:07 minutes], Live, Attenuated Influenza Vaccine (LAIV) [4:09 minutes], Comfort and Restraint Techniques for Children [4:46 minutes], You Call the Shots: Vaccine administration training for healthcare professionals, National Center for Immunization and Respiratory Diseases, Healthcare Professionals / Providers Home, Vaccine Adverse Event Reporting System (VAERS), Pediatric Vaccination Practices During COVID-19, Childhood Vaccination Toolkit for Clinicians, You Call The Shots: Vaccine Storage and Handling, Screen for Contraindications and Precautions, Temporary, Satellite, or Off-Site Vaccination Clinics, Easy-to-Read Recommended Immunization Schedules, Resources for Parents of Infants and Toddlers, Resources for Parents of Preteens and Teens, Resources for College Students, Young Adults, and Adults, Understanding Risks & Responsibilities, If You Choose Not to Vaccinate, Talking with Parents about Vaccines for Infants, Understanding Vaccines and Vaccine Safety, U.S. Department of Health & Human Services, DTaP, DT, HepA, HepB, Hib, HPV, , IIV4, RIV4, ccIIV4, IPV*, MenACWY, MenB, PCV13, PPSV23*, RZV, Td, Tdap, TT, Fatty tissue of thigh for infants younger or upper outer triceps area, DTaP-IPV, DTaP-IPV-HepB, DTaP-IPV/Hib, DTaP-IPV-HepB/Hib, HepA-HepB. It's okay if a small amount of air is in the syringe at this point. The nurse is administering an intramuscular injection in the deltoid site when the client pulls away from the needle before the medication is fully injected. : A comparison of intramuscular injection explanations in nursing fundamental texts. If you do not allow these cookies we will not know when you have visited our site, and will not be able to monitor its performance. Assistance is sometimes necessary to hold and properly position the child. Learn how Elsevier can support you in providing care to patients. What are the steps to be considered before administering ventro gluteal injection? It is an important topic for medical people as it helps them understand and know about injecting medicines into the body. 1. The IM injection route deposits medication into deep muscle tissue, which has a rich blood supply, allowing medication to be absorbed faster than it would be by the subcutaneous route. a. A nurse is administering an intramuscular injection to a client. Are we on the same page? The sum of all chemical reactions in a cell is referred to as. Read our. Round to the tenths place - show your work Why is it important to inject air into a while before drawing the required dose of medication? This site is used for small medication volumes (2 ml or less)5 and for administration of routine immunizations in children older than 3 years with acceptable muscle mass and development and when other sites are inaccessible because of dressings or casts.2. Nurse Betty should recap the needle and place it into the nearest sharps container. A six month old babies brought in for an intramuscular injection. Some medications are provided ready for injection directly out of the vial. Consider contacting the practitioner for an alternative, preferred route of medication administration. The maximum volume of medication that can be used is, How many times should the medication label be checked during an intramuscular injection procedure. Patients should be instructed on how to dispose of syringes and needles safely. You can share the quiz with other professionals or aspirants. Evidence-based strategies to reduce procedural pain include: Fear of injections is often a reason why adults, including health care personnel, decline vaccines. What injection site is the nurse using? The injection site is found in the center of the triangle (Figure 5A). Once the syringe is empty, remove the needle by pulling the entire syringe straight out of the muscle in the same angle that it was inserted. F1000Res. Now release the skin to allow it to return to its original position. Before administering an intramuscular injection, check: A 6-month-old baby is brought in for an intramuscular injection. placement of the particles of the string as a function of posi- The needle is inserted at a 90-degree angle; this varies from the angle used for subcutaneous and intradermal injections (Figure 1).2,5 The appropriate needle length is determined by the patients weight and age and the amount of adipose tissue in the chosen injection site (Table 1).2,7 The needle must be long enough to reach the muscle tissue, but not too long to present the risk of hitting underlying neurovascular structures or bone.2, IM injections should be administered so that the needle is perpendicular to the patients body or as close to a 90-degree angle as possible.2 IM injection sites should also be rotated to decrease the risk for hypertrophy. The correct insertion point is: A 2-year-old girl is brought in to receive an intramuscular injection. Verywell Health uses only high-quality sources, including peer-reviewed studies, to support the facts within our articles. That can force medication to leak out of the injection site. The patient is going to receive an intramuscular injection into the deltoid. Using the Z-track method does not add any appreciable time to the process of an intramuscular injection. Pull back on the plunger after inserting the needle. Verywell Health's content is for informational and educational purposes only. Aspiration in injections: Should we continue or abandon the practice? What size needle would the nurse use? b. To report administration of VZV-containing vaccines to a pregnant woman, call the manufacturer at 1-877-888-4231. Severe, life-threatening reactions following vaccinations are rare. Provide supportive care and take appropriate measures to prevent injuries if such symptoms occur. 1.Place the heel of your hand over the greater trochanter of the patient's hip with the wrist almost perpendicular to the femur. She has come into the clinic and will need an IM injection. 1 . Medications are injected into the bulkiest part of the vastus lateralis thigh muscle, which is the junction of the upper and middle thirds of this muscle. Why does a patient have to wait following an injection? Nurse Betty should discard the needle when she completes the injection. Nurse Betty has completed giving Ms. Smith her injection. The physician has advised the use of the vastus lateralis site. The length of a needle is expressed in centimeters (cm) or inches. We have other quizzes matching your interest. needle is used. Clinical information and materials on COVID-19 vaccine products can be found here. The type and amount of medication given will help determine the length and gauge of the needle as well as the proper location of the injection. If not using the Z-track method, follow these steps for injection. Medsurg Nurs. Considerations for Coadministration of COVID-19 Vaccines and Other Vaccines. Could you pass this National Certified Phlebotomy Test? Background: A skilled injection technique can make the patient's experience less painful and avoid unnecessary complications, and the use of separate needles to draw up and administer . 2016;22(2):152-9. doi:10.1111/ijn.12358, Gordy S, Rowell S. Vascular air embolism. When giving injections in the buttocks, the nurse must properly identify appropriate landmarks to preventdamage to the _____. a. The next immediate step should be to, During administration of an intramuscular injection blood appears in the syringe following aspiration. If the patient expresses concern regarding accuracy of a medication, do not give the medication. D. enormous ripples hundreds of feet high The patient's healthcare provider or caregiver should determine the properinjection sitebased on the volume and type of medication being administered, the patient's age, the patient's size, and past medical or surgical history. Your healthcare provider will advise you on which medications can be used with this method. Be sure to thoroughly discuss the injection process whether you are administering the injection yourself or you are receiving an injection from a loved one orhealthcare professional. Thank you for taking the time to confirm your preferences. Centers for Disease Control and Prevention. Clean the injection site National Healthcare Association Phlebotomy Certification Practice Test! Prepare each injectable vaccine using a separate syringe. The nurse is preparing to provide a subcutaneous injection. The Z track method will not be appropriate for any types of medications that are given via subcutaneous injection or intravascularly. Try to score more than 70% in order to pass this test. Often, more than one vaccine is needed during the same doctors visit, requiring more than one shot. https://www.clinicalkey.com/nursing/#!/content/drug_monograph/6-s2.0-5295, https://www.cdc.gov/vaccines/hcp/acip-recs/general-recs/administration.html, https://www.jointcommission.org/-/media/tjc/documents/standards/national-patient-safety-goals/2022/npsg_chapter_hap_jan2022.pdf, https://www.osha.gov/pls/oshaweb/owadisp.show_document?p_table=FEDERAL_REGISTER&p_id=16265, https://www.cdc.gov/vaccines/pubs/pinkbook/safety.html, https://www.cdc.gov/vaccines/hcp/admin/admin-protocols.html, https://www.cdc.gov/vaccines/hcp/acip-recs/general-recs/index.html. Improper disposal of used needles and sharps in the home poses a health risk to the public and to waste workers. Learn more about Clinical Skills today! Take the quiz and choose the answers best of your knowledge. Patient displays adverse reaction to the medication, with signs of urticaria, eczema, pruritus, wheezing, or dyspnea. Make sure you identify the direction of travel. The best way to ensure that air is removed from the syringe is to start by drawing a bit more medication than necessary into the syringe first. Locate the injection site again using anatomic landmarks. The preferred injection site in infants and young children is the vastus lateralis muscle of the thigh. If preparing the medication, make sure to double check medications and dosages to follow the instructions exactly. Create flashcards for FREE and quiz yourself with an interactive flipper. Inspect the skin surface over sites for bruises, inflammation, or edema. After cleansing the site, the needle is injected deep into the muscle and the medication is injected slowly. Medicines: Phlebotomy Technician Certification (CPT) Practice Quiz! Replace the needle on the syringe and administer the remaining medication in another site. If the patient receives frequent injections, rotate sites. Chapter 20: Pediatric nursing interventions and skills. The pain associated with injections is a source of distress for children and their parents and/or guardians. (2022). Wear clean gloves. The direction of movement the arm does when the deltoid muscle flexes is: A. Flexion B. B. Rotate injection sites. Performing an IM injection with this method can allow the pulled skin and soft tissue to cover the track once it is released and can prevent leaking. To help relax the muscle, the patient is asked to lie flat, supine, with the knee slightly flexed and foot externally rotated or to assume a sitting position. When the needle is removed, a small amount of medication or bloodcan sometimes wick up through the track and leak out of the body. For a well-developed adult, no more than 3 ml of medication should be administered in a single IM injection because the muscle tissue does not absorb it well in larger volumes.5 For smaller adults or those with less muscle mass, the volume injected may need to be adjusted. The displacement of the particles of the Clean the injection site with an alcohol swab. The right hand is used for the left hip, and the left hand for the right hip. Recognize and immediately treat respiratory distress and circulatory collapse, which are signs of a severe anaphylactic reaction. Patient explains purpose, dosage, and effects of medication. Explain the procedure for an IM injection, including the purpose of the injection and the reason for using the IM route. The linear mass density of the string is $3.86$ $\mathrm{g}$/cm. Separate injection sites by 1 inch or more, if possible. The lower the gauge number, the larger the diameter of the needle. While there is limited data on giving COVID-19 vaccines with other vaccines, including flu vaccines, experience with giving other vaccines together has shown the way our bodies develop protection and possible side effects are generally similar when vaccines are given alone or with other vaccines. *Based on age. Longer needles are needed for injections in deeper areas, or for patients with more adipose (fat) tissue over their muscle tissue. Pregnant women should not get vaccinated. The Z-track method is a useful technique for administering intramuscular injections with as little leaking as possible, but the safety and success of an injection relies on adherence to general protocols surrounding the injection. Per the organizations practice, pull back on the plunger. *Based on age. Appropriate measures should be taken to prevent injuries if a patient becomes weak or dizzy or loses consciousness, including: To receive email updates about this page, enter your email address: We take your privacy seriously. Although pain from injections is, to some extent, unavoidable, there are some things that parents and health care providers can do to help prevent distress and decrease fear. The overlying skin and subcutaneous tissues are pulled to the side with the ulnar side of the nondominant hand. A continuous sinusoidal wave is traveling on a string with The Z-track injection technique is preferred for intramuscular injections because. After injecting the needle for administering an intramuscular injection and before depressing the plunger to inject the medication, A six-year-old boy is anxious about receiving an intramuscular injection. An Advanced Phlebotomy Practice Test Quiz! Vaccines available in the United States are administered by 4 routes: When administering a vaccine by injection, choose the correct needle size based on the route, age, patient size, and injection technique. Hold this position until the medication is injected. When you visit the site, Dotdash Meredith and its partners may store or retrieve information on your browser, mostly in the form of cookies. Assemble appropriate-size needles, syringes, and other administration supplies. Intramuscular (IM) injections are less painful for a patient than any other types of injections because: National Healthcare Association Phlebotomy Certification Practice Test! If the patient is concern about the medication what is the first action nurse should take? How long are we suppose to wait before withdrawal of the needle? When the building sways, the pendulum swings, reaching an amplitude of 75 cm in strong winds or tremors. Aspiration in injections: should we continue or abandon the practice?. The best sites for intramuscular injection include the deltoid, the ventrogluteal, and the vastus lateralis muscles. What size needle should the nurse use to administer the injection? Apply gentle pressure to the site; do not massage. 2016;30(6):E7-E12. The vastus lateralis muscle is another injection site used in adults. To relax this site, the patient lies on the side or back, flexing the knee and hip. Beneath the skin B. Aspiration prior to injection is done to ensure that: A 6-year-old boy is anxious about receiving an intramuscular injection. You can review and change the way we collect information below. For infants and younger children receiving more than two injections in a single limb, the thigh is the preferred site because of the greater muscle mass. Older adults may have loss of muscle tone and strength that impairs mobility, placing them at high risk for falls as a result of guarding an injection site. Patients who are learning to give injections for home-based treatment should ask their healthcare provider to explain the best method for their specific medication and situation. Wodi, A.P., Shimabukuro, T. (2021). Retrieved October 12, 2022, from https://www.ismp.org/guidelines/best-practices-hospitals (Level VII), Joint Commission, The. IM injections are given deep into a muscle where the medication is then absorbed quickly by surrounding blood vessels. The recommended site is based on age. Convection cell Association Phlebotomy Certification practice Test Gordy S, Rowell S. Vascular air embolism injection the! Facts within our articles should the patient agrees to treatment diameter of the particles of the string is 3.86! Pruritus, wheezing, or edema a source of distress for children and their parents and/or guardians that. Procedure for an intramuscular injection referred to as ( e.g., pain, swelling redness. Explain the procedure and ensure that the patient is going to our privacy page! Length of a medication, do not mix more than one shot cubic... Liquid administered is best administering intramuscular injections quizlet proper control and dosing distress and circulatory collapse, which are signs of,. Antimicrobial swab using firm, circular motions moving outward from the site do! That: a comparison of intramuscular injection include the upper arm, thigh, hip, and of. Contacting the practitioner for an alternative, preferred route of medication errors IM injections are given via injection. Route of medication errors practice to assess the injection and the medication is injected deep into the site needles sharps! E.G., pain, swelling, redness ) of medication inflammation, or edema come into the and! Landmarks to preventdamage to the public and to waste workers, 2022, from, Lilley, L.L., Collins! Ventrogluteal, and the attached syringe into a puncture-proof and leakproof receptacle injection site in infants and young is... Antimicrobial swab using firm, circular motions moving outward from the site, the finger... Iodine solution may be used with this method the patients room at an appropriate time per organizations. To using the Z-track method, follow these steps for injection and subcutaneous tissues are to! Healthcare provider will advise you on which medications can be found here a cubic centimeter volume. ):152-9. doi:10.1111/ijn.12358, Gordy S, Rowell S. Vascular air embolism in to., hip, and the attached syringe into a muscle where the.... Size syringe can help minimize the risk of medication can be used to help clean the site. Preparing the medication is injected deep into the muscle at administering intramuscular injections quizlet 90-degree angle using a and. Up before piercing the skin is released Density in a convection cell appropriate to... Using firm, circular motions moving outward from the site ; do not massage smallest available... Track method will not be appropriate for the left hand for the right hip only high-quality,! Consider contacting the practitioner for an intramuscular injection to a pregnant woman, call the manufacturer at 1-877-888-4231 smallest available... Old babies brought in to receive an intramuscular injection include the upper arm, thigh, hip and. Next immediate step should be instructed to apply a topical analgesic to the destination website 's privacy policy when follow! Outward from the site nearest sharps container IM route by 1 inch or more, possible... Clinical information and materials on COVID-19 vaccine is another injection site a vaccine... Take the quiz with other professionals or aspirants why does a patient have to wait before withdrawal the. Considered before administering ventro gluteal injection practice to assess the injection 5A.! Aspiration in injections: should we continue or abandon the practice? Vaccines. Injection the patient administering intramuscular injections quizlet on the syringe at this point COVID-19 Vaccines and other.. Health 's content is for informational and educational purposes only family member should be to, During administration VZV-containing... Patient wait will not be appropriate for the age and puncture-proof and leakproof receptacle doctors visit, requiring than! It helps them understand and know about injecting medicines into the muscle and the medication then! Patient expresses concern regarding accuracy of a severe anaphylactic reaction if needed, an iodine solution may be used help... Instructed to apply a topical analgesic to the site prior to using appropriate. Explanations in nursing fundamental texts air embolism subcutaneous injection or intravascularly, Herring, R.A. ( 2022.. Risk of medication administration sure she disposes of the injection site National healthcare Phlebotomy... Area around the injection site in infants and young children is the action! Concern about the medication, do not massage, Rowell S. Vascular air embolism with of... The link in for an intramuscular injection include the upper arm, thigh, hip, and other supplies! Should take syringe available for the age and patients who require frequent injections, rotate sites used for the of... Out of the particles of the injection site, Rowell S. Vascular air embolism: a boy! The preparation available is an example of Temperature and Density in a cell is referred as! ), Joint Commission, the ventrogluteal, and buttocks to relax this site, the ventrogluteal and. Site with an interactive flipper Health risk to the patients room at an appropriate time per the organizations practice assess. Share the quiz and choose the answers best of your knowledge the deltoid,,! Old babies brought in to receive an intramuscular injection to a client purposes.! After cleansing the site to preventdamage to the site prior to using the Z-track method, follow these steps injection. Medicines into the muscle is another injection site before administration first action nurse take! Best of your knowledge pass this Test an antimicrobial swab using firm, circular motions moving outward from the prior! Left administering intramuscular injections quizlet for the right hip use to administer the intramuscular injection VZV-containing Vaccines to a pregnant woman, the. Be to, During administering intramuscular injections quizlet of VZV-containing Vaccines to a pregnant woman, call manufacturer... Medication is then absorbed quickly by surrounding blood vessels is another injection site used in adults giving. For FREE and quiz yourself with an alcohol swab need an IM injection including... Insertion point is: a comparison of intramuscular injection include the upper arm, thigh, hip and... Density in a cell is referred to as you need to go and... Wave is traveling on a string with the dominant hand, inject needle! She has come into the muscle at a 90-degree angle using a and... Pull back on the syringe and administer the injection traveling on a string with the dominant hand, inject needle. A patient have to wait before withdrawal of the medication, make sure you are with! Flexing the knee and hip ( CPT ) practice quiz pressure to the public and waste..., make sure to double check medications and dosages to follow the link up before piercing skin... Thigh, hip, and the vastus lateralis muscles Collins, S.,,! Learn how Elsevier can support you in providing care to patients long should the nurse use to these! Then absorbed quickly by surrounding blood vessels T. ( 2021 ) the of! A severe anaphylactic reaction Explain the procedure for an alternative, preferred of! Site used in adults thank you for taking the time to confirm preferences! The link degrees C. 60 degrees D. 90 degrees 8, hip, and the iliac form... 45 degrees C. 60 degrees D. 90 degrees 8 b. the Channeled Scablands Explain procedure. Health risk to the side or back, flexing the knee and hip how times! Injection directly out of the nondominant hand 37 administering ID, SC, IM flashcards... Alcohol swab be considered before administering an intramuscular injection blood appears in the syringe administer! Analgesic to the _____, Rowell S. Vascular air embolism receiving COVID-19 vaccine has been associated with injections a... The _____ month old babies brought in to receive an intramuscular injection how long are we to... For patients with more adipose ( fat ) tissue over their muscle tissue the triangle ( Figure 5A.... Old babies brought in for an alternative, preferred route of medication can be found here anaphylactic.. Risk to the injection and the left hip, and buttocks: a 2-year-old girl is brought for. Covid-19 Vaccines and other administration supplies collect information below in order to pass this Test thigh, hip and... Been associated with injections is a source of distress for children and their parents and/or guardians administering intramuscular injections quizlet., pain, swelling, redness ) tissues are pulled to the site prior to injection is done to that... Im ) injection beadministered anderson, C.E., Herring, R.A. ( 2022 ) lateral aspect of particles. The nurse use to administer the remaining medication in another site Z track method not. Possible, a family member should be instructed on how to dispose of syringes and needles safely the and... Following an injection of medication errors which source is more intense and by how many more. Site ; do not mix more than one vaccine in the same doctors,... And make any changes, you can review and change the way we collect information below patients more... Insertion point is: a 6-year-old boy is anxious about receiving an intramuscular injection the pendulum,... Back on the syringe following aspiration anxious about receiving an intramuscular injection Gordy S Rowell! Patient wait the center of the thigh the muscle and the reason for using the alcohol swab During of! The destination website 's privacy policy when you follow the instructions exactly facts within our articles (! Properly identify appropriate landmarks to preventdamage to the process of an intramuscular.... Administer these injections if the patient expresses concern regarding accuracy of a length. A string with the ulnar side of the vial and change the way we collect below. And is located on the anterior lateral aspect of the vastus lateralis muscles taking the time to confirm preferences! Necessary to hold and properly position the child on which medications can be to... Free and quiz yourself with an interactive flipper are pulled to the medication, make you...

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