Intera Muscular Injection

Definition: It is an introduction of a drug into a body's system via the muscles.

Purpose
• To obtain quick action next to the intra- venous route
• To avoid an irritation from the drug if given through other route.

Equipment
• Tray
• Ordered drug (ampoule, vial)
• Sterile syringes and needle in a container
• Alcohol swab
• Receiver
• A bowl of water for used syringes and needle
• File
• Sterile jar with sterile forceps
• Chart

Sites for I.M. Injection
• Ventrogluteal muscle
• Dorsogluteal muscle
• Deltoid muscle
• Vastus Lateralis

Procedure
• Do the ABC of the procedure.
• Prepare tray & take it to the patien’s room
• Prepare the medication
• Draw the medicine
• Expel the air from the syringe
• Choose the site of injection (the site for intra- muscular)
• Using the iliac crest as the upper boundary divided the buttock into four. Clean the upper outer quadrant with alcohol swab:
• Stretch the skin and inject the medicine
• Draw back the piston (plunger) to check whether or not you are in the blood vessel ( if blood returns, withdraw and get a new needle & reinject in a different spot)
• Push the drug slowly into the muscle
• When completed, withdraw the needle and massage the area with swab gently to and absorption.
• Place the patient comfortably
• Take care of the equipment you have used & return to their places
• Chart the amount, time route and type of the medicine
• Check the patient's reaction

Note:
1. The needle for i.m. Injection should be long
2. Strict aseptic technique should be observed throughout the procedure.
3. Injection should not be given in areas such as inflamed, edematous, those containing moles and pus.