Table of Contents
What size of needle do you use for an IM injection?
Intramuscular (IM) injections The deltoid muscle is most often used as the site for IM injections in adults. Needle length is usually 1″–1½”, 22–25 gauge, but a longer or shorter needle may be needed depending on the patient’s weight.
Can you use an 18 gauge needle for IM injection?
Intramuscular shots are given at 90 degree angle. Needle for IM injections can be 22-23 Gauge, 1-1.5 inches in length, adjusted for thickness of site.
Which syringe is best for IM injection?
Intramuscular injections go directly into a muscle. 7 Muscle is deeper than the subcutaneous layer of skin, so the needle used for intramuscular injections must be thicker and longer. 20 or 22 G needles that are an inch or an inch-and-a-half-long are usually best.
What size needle should be used for IM injection in an obese adult?
A needle longer that 1.5 inches should be used in women whose body mass index is more than 24.9 kg/m2, the dorsogluteal site may be used in all overweight and obese men, and the ventrogluteal site may be used in overweight men only.
At what angle do you give an IM injection?
Insert needle at a 90o angle to the skin with a quick thrust. Retain pressure on skin around injection site with thumb and index finger while needle is inserted. Aspiration is not necessary. Multiple injections given in the same extremity should be separated as far as possible (preferably at least 1” apart).
How do you give a painless im injection?
A subcutaneous (SC) or intramuscular (IM) injection is almost always painless if the skin is stretched firmly before inserting the needle. If injecting the arm, for example, the third, fourth and fifth fingers should go medial to the arm while the thumb and index finger stretch the skin on the lateral surface (Fig.
Can you use a 25 gauge needle for IM injections?
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.
Is a 21 or 25 gauge needle bigger?
The needle gauge becomes a consideration when the vein of the patient is narrow, fragile, or superficial. In such cases, a gauge size with a LARGER number (eg, 25 G) may be preferred over a routine needle gauge (eg, 21 G) to minimize damage to the blood vessel, as well as minimize the associated pain with collection.
Where do you give an IM injection for an obese patient?
In both males and females, the deltoid muscle is preferred when giving most IM injections with 1 in. needles. A 1-in. needle is required to reach the deltoid muscle tissue in females whose BMI is less than 35.
How do I give an IM?
Hold the skin around where you will give the injection: With your free hand, gently press on and pull the skin so that it is slightly tight. Insert the needle into the muscle: Hold the syringe barrel tightly and use your wrist to inject the needle through the skin and into the muscle at a 90 degree angle.
What is the Z track technique?
The Z-track method is a type of IM injection technique used to prevent tracking (leakage) of the medication into the subcutaneous tissue (underneath the skin). During the procedure, skin and tissue are pulled and held firmly while a long needle is inserted into the muscle.
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.