Where is the deltoid injection site?

The injection site is in the middle of the deltoid muscle, about 2.5 to 5 cm (1 to 2 inches) below the acromion process. To locate this area, lay three fingers across the deltoid muscle and below the acromion process. The injection site is generally three finger widths below, in the middle of the muscle.

Is deltoid an IM site?

The dorsogluteal, ventrogluteal, vastus lateralis, rectus femoris, and deltoid muscles are currently advocated as IM injection sites. The third and fourth injection sites are defined by the acromion as the origin of the deltoid muscle and the deltoid tuberosity as the insertion of the deltoid muscle.

How do you administer an IM injection?

Intramuscular 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 deltoid injection is too high?

Shoulder injections are typically given in the deltoid muscle. When the injection is given too high or too deep in this muscle, the needle can hit bone or puncture the fluid-filled sac called the bursa, which protects the tendons in the shoulder. When this happens, the bursa, tendons and ligaments can become inflamed.

How do you give a painless deltoid injection?

Giving an IM injection into the deltoid site

1. Find the knobbly top of the arm (acromion process)
2. The top border of an inverted triangle is two finger widths down from the acromion process.
3. Stretch the skin and then bunch up the muscle.
4. Insert the needle at a right angle to the skin in the centre of the inverted triangle.

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. Aspiration before injection is not required.

What happens if you give an IM injection too low?

Injections that occur below the deltoid muscle can hit the radial nerve and injections that are too far to the side of the deltoid muscle can hit the axillary nerve. If a nerve is hit, the patient will feel an immediate burning pain, which can result in paralysis or neuropathy that does not always resolve.

Is Bleeding After im injection normal?

Light bleeding at the injection site is normal, but a person can use a bandage if necessary.

Can a flu shot damage your arm?

When a flu shot is improperly administered, the needle can cause damage to the nerves, muscles and other soft tissue beneath the surface of the skin. This damage can lead to various types of injuries, all of which are classified as SIRVA.

Why deltoid muscle is a good site for injection?

Most vaccines should be given via the intramuscular route into the deltoid or the anterolateral aspect of the thigh. This optimises the immunogenicity of the vaccine and minimises adverse reactions at the injection site. Recent studies have highlighted the importance of administering vaccines correctly.

What happens if you inject too low deltoid?

Where to administer Rocephin im?

Use Rocephin exactly as prescribed by your doctor. Rocephin is injected into a muscle, or into a vein through an IV. A healthcare provider will give you this injection when Rocephin is used to prevent infection from surgery.

How to reconstitute Rocephin im?

Intramuscular Administration Reconstitute Rocephin powder with the appropriate diluent (see COMPATIBILITY AND STABILITY). Inject diluent into vial, shake vial thoroughly to form solution. Withdraw entire contents of vial into syringe to equal total labeled dose.

What is the maximum mL for IM injection?

If injecting into the vastus lateralis , ventrogluteal, gluteus medius, or dorsogluteal muscles of an adult, the volume should not exceed 3 mL. If administering an IM injection into a child under age 2, the maximum amount that should be administered is 1 mL.

How many mL for IM injection?

Intramuscularly (IM): An intramuscular injection is one that is given in the muscle. The maximum amount of fluid an adult can safely be given intramuscularly is 3 mL; for a child, the maximum is 1 mL.