ventrogluteal site muscle

Why is the vastus lateralis site commonly used? IM injections should be administered so that the needle is perpendicular to the patient’s body or as close to a 90-degree angle as possible (Figure 1).2 IM injection sites should also be rotated to decrease the risk for hypertrophy. If no blood appears, inject the medication slowly and steadily. Intramuscular Injections • Medications absorbed in the muscle • Administered in… Deltoid Vastus lateralis (front of thighs) Ventrogluteal Dorsogluteal • Size gauge: IM range = 18-22 • Needle length: 1-11/2 inch • Maximum dose: 3 mL 5. The middle third of the thigh in central and thickest part. (2021). However, if a patient is thin, a shorter needle length is used because there is less fat tissue to advance through to reach the muscle. National Patient Safety Goals, Institute for Safe Medication Practices (ISMP). The ventrogluteal site The Ventrogluteal site provides the greatest thickness of gluteal muscle (consisting of both the gluteus medius and gluteus minimus), is free of penetrating nerves and blood vessels, and has a narrower layer of fat of consistent thinness than is present in the dorsogluteal. Use if volume is 1 - 3 cc. If blood appears, discard the syringe and needle and prepare the medication again. Aim: This study was conducted to determine whether the ventrogluteal site could be used for intramuscular injections in children under the age of 3 and to compare the subcutaneous and muscle layer thickness at the anterolateral, deltoid and ventrogluteal site in the different age groups and in both sexes. Administration of each preparation at a different muscle site is desirable. Found inside – Page 438The ventrogluteal site is preferred over the dorsogluteal site because it has a thick muscle layer and lacks major nerves or blood vessels. Cleanse the site with alcohol or an antiseptic swab, per the organization’s practice. If no blood appears, inject the medication. Medication is administered in subcutaneous tissue. Which of the following is an accurate statement by Matthew's mother? The ventrogluteal muscle (upper outer part of buttock) is the site of choice for injection in adolescent and adult and not used in children, this site provides greater thickness of gluteal muscle. It avoids the sciatic nerve which could be affected from a dorsogluteal injection. Should only be considered if the patients bleeding risk is low and it is.... that the vaccine can be administered by this route with reasonable safety. 6. Injections take place at a 90-degree angle to the skin. In fact, the generally preferred intramuscular injection site is the ventrogluteal muscle, which is easily located and associated with the lowest risk of … 18, 25, 39-42.Date of acceptance: September 8 2003. Twenty-seven young adult participants were recruited, and the thicknesses of subcutaneous tissue and muscle, as well as the number of blood vessels present, were measured by ultrasonic technology at two places on the deltoid, ventrogluteal, and thigh. The vastus lateralis site: a large muscle in the thigh free from major nerves and vascular structures. Four muscle sites are recommended for IM administration (Fig 1, Table 1): Vastus lateralis; Rectus femoris; Deltoid; Ventrogluteal. Found inside – Page 1For more news and specials on immunization and vaccines visit the Pink Book's Facebook fan page Ventrogluteal muscle of the hip. Keep reading to learn about the benefits of ventrogluteal … See Figure. Up to 3 mL of medication may be administered in the ventrogluteal muscle of an average adult and up to 1 mL in children. The gauge of the needle is determined by the type of medication administered. Encourage questions and answer them as they arise. Greater trochanter, anterior superior iliac spine, iliac crest. The right hand is used for the left hip, and the left hand for the right hip. If aspiration is indicated according to agency policy and manufacturer recommendations, pull the plunger back to aspirate for blood. See Figure 18.33[5] for an image of the vastus lateralis injection site. The injection site is found in the center of the triangle (Figure 5). Dorsogluteal muscles of the buttocks. The injection is typically given in the upper outer quadrant of the glute. This site is difficult to use this site … https://www.clinicalkey.com/nursing/#!/content/drug_monograph/6-s2.0-5295, https://www.cdc.gov/vaccines/pubs/pinkbook/safety.html, https://www.cdc.gov/vaccines/pubs/pinkbook/vac-admin.html, https://www.jointcommission.org/-/media/tjc/documents/standards/national-patient-safety-goals/2021/npsg_chapter_ome_jan2021.pdf, https://ismp.org/resources/prevent-shoulder-injuries-during-covid-19-vaccinations, https://www.osha.gov/pls/oshaweb/owadisp.show_document?p_table=FEDERAL_REGISTER&p_id=16265, https://www.cdc.gov/vaccines/hcp/admin/admin-protocols.html, https://www.cdc.gov/vaccines/hcp/acip-recs/general-recs/index.html. Medication fluid amounts up to 0.5-1 mL can be injected in one site in infants and children, whereas adults can tolerate 2-5 mL. Found inside – Page 27Pediatric LM . injection sites Vastus lateralis and rectus femoris muscles • Ventrogluteal and dorsogluteal muscles Deltoid muscle Injection site ( vastus ... In medicine, it is one of several methods for parenteral administration of medications (see route of administration). Assess for factors such as muscle atrophy, reduced blood flow, skin condition, and circulatory shock. Medication is not administered per the six rights of medication safety. Found inside – Page 9310.18 Z-Track Injection. (A) Use a deep muscle, such as in the ventrogluteal injection, and pull skin approximately 1 to 11⁄2 inches laterally to one side, ... To use the Z-track method in an adult, the appropriate-size needle is attached to the syringe, and an IM site is selected. Immunizing substances, or inoculations, are generally given by injection. Size of muscle, thickness of adipose tissue at injection site, volume of the material to be administered. If the patient, family, and caregivers express concern regarding the accuracy of a medication, the medication should not be given. The ventrogluteal muscle is the safest site for adults and children older than 7 months. Found inside – Page 522Ventrogluteal. The ventrogluteal muscle involves the gluteus medius; it is situated deep and away from major nerves and blood vessels. This site is the ... Chapter 15 Administration of Enteral Medications, 15.1 Administration of Enteral Medications Introduction, 15.2 Basic Concepts of Administering Medications, 15.3 Assessments Related to Medication Administration, 15.4 Checklist for Oral Medication Administration, 15.5 Checklist for Rectal Medication Administration, 15.6 Checklist for Enteral Tube Medication Administration, XVI. Correct answer(s): The deltoid muscle. The ventrogluteal muscle is the preferred site for administration of immune globulin for everyone 7 months of age and older when wound location is unknown. Occupational Safety and Health Administration (OSHA). Find the lower edge of the acromial process and the point on the lateral arm in line with the axilla. (2021). 9 In addition, this site provides the greatest thickness of gluteal muscle, is free of penetrating nerves and blood vessels, and has a narrower layer of fat. The ventrogluteal site has less subcutaneous tissue and a thicker muscle mass than the dorsogluteal site. To relax this site, the patient lies on the side or back, flexing the knee and hip. Refer to agency policy for pediatric needle lengths. The nurse should administer the iron using the Z-track method into the ventrogluteal muscle. It extends, in an adult, from a handbreadth above the knee to a handbreadth below the greater trochanter of the femur (Figure 4). If a patient is receiving more than one injection in the same site, how far should the injection be separated? 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. Move your dominant hand and pull the end of the plunger to aspirate for blood, if indicated. The Dorsogluteal (often referred to as the Upper Outer Quadrant) has been ... underlying muscle so that the needle track is sealed off when the needle is withdrawn, thus minimizing reflux (Fig 1). How should the patient be positioned when administering an injection into the ventrogluteal site? 2. Do not administer by any other route or anatomical site. More research is needed to investigate the practice of aspiration before administering an IM injection with medications other than vaccines.9,10 The vastus lateralis and deltoid muscles are the only two sites recommended for vaccine administration because these sites do not contain large vessels that are within reach of the needle.2,6 The recommended route and site for each vaccine are included in the manufacturer’s instructions for use.2, Muscle tissue is less sensitive than subcutaneous tissue to irritating and viscous medications. The vastus lateralis site is most commonly used for immunisations in infants up to the age of 7 months. What is the maximum volume of the medication that can be injected into the deltoid muscle? Found inside – Page 292IM injections are given in the ventrogluteal site because there are no great vessels or nerves underlying the gluteus medius and gluteus minimus muscle ... Although the ventrogluteal site is considered safer because it is further from the sciatic nerve (Cocoman and Murray, 2008, Cornwall, 2011, Kara et al., 2015, Zimmermann, 2010), when the dorsogluteal site is identified correctly, it is also an adequate distance from the sciatic nerve and not associated with risk of injury (Small, 2004, Wynaden et al., 2006). Lying on his or her side with the knee bent. Factors that influence the choice of muscle to use for an intramuscular injection include the patient’s size, as well as the amount, viscosity, and type of medication. Why is the dorsogluteal no longer the preferred muscle intramuscular injection site? the ventrogluteal site may be used more often by those who received specific guidance in administering at that site. Intramuscular injections are administered at a 90-degree angle. It is known that for gluteal injections the upper outer quadrant is the safest area. (1996) who state that: ‘T o identify the ventrogluteal. If a patient must receive injections frequently, what should be done and why? The vastus lateralis site is preferred for infants because that This four-part series provides practical information about the administration of medication through injection. Assess the patient’s knowledge regarding the medication to be received. The advantage to this site is that it is reasonably free of major nerves and vascular branches. Found inside – Page 176Ventrogluteal The ventrogluteal muscle is a safe site for all clients, with a maximum dose of 4 mL. The gluteus medius and minimus are situated deep and ... The ventrogluteal site: the injection is administered into the gluteus medius and maximus muscles of the hip area. Review the patient’s previous verbal and nonverbal responses to injections. Muscles have larger and more numerous blood vessels than subcutaneous tissue; intramuscular injections usually have faster rates of absorption than … C. Nurse Susan reviewed Matthew's preliminary stool culture findings and is preparing to explain the results to Matthew's mother. Why is the ventrogluteal the preferred large muscle site for administering an intramuscular injection? in terms of achieving the needle into the muscle tissue, the ventrogluteal site is specified reliable than dorsogluteal site (Diegle and Deeks, 2000; Nisbet, 2006). However, little research has confirmed the reliability of these sites for the presence and thickness of the … If possible, which arm should we administer an intramuscular injection into? Medication name, dose, route, site, time, and date of administration, Patient’s response to the medication, including any adverse reactions, Unexpected outcomes and related interventions, Comfort assessment and any interventions performed. Patients with bleeding disorders, latex allergy, syncope (fainting), anaphylaxis. (Eds.). Ventrogluteal injection site: Place the palm of the hand over the greater trochanter, in a V-shape, with the middle finger against the iliac crest and the index finger against the superior iliac spine. If the needle inadvertently hits the sciatic nerve, the patient may experience partial or permanent paralysis of the leg. Step 2: Selecting and Preparing the Injection Site . Assemble appropriate-size needles, syringes, and other administration supplies. (version 3). Consent is required from individual consumers to use the dorsogluteal site as it presents challenges for … The two most commonly referenced intramuscular injection sites are the Older adult patients may have decreased muscle mass, which reduces drug absorption from IM injections. Lying on his or her side with the knee bent. What two anatomical landmarks are used to find the dorsogluteal injection site? An IM injection may require a long, large-gauge needle to penetrate deep muscle tissue.2 The appropriate needle length is determined by the patient’s size, age, and the amount of adipose tissue in the chosen injection site (Table 1). What is the benefit of using combination vaccine? the ventrogluteal site may be used more often by those who received specific guidance in administering at that site. What should be done is only a partial dose of a vaccine is administered? Found inside – Page 237IM injection: Insertion of medication into a muscle below the subcutaneous ... in a large muscle, such as the ventrogluteal site, in a well-developed adult. (1996) who state that: ‘T o identify the ventrogluteal. The site involves the gluteus medius and minimus muscle and is the safest injection site for adults and children. The location of underlying bones, nerves, and blood vessels and the volume of medication to be administered are also considered. [10] Nursing, Allied Health, and Interprofessional Team Interventions In J. Hamborsky, A. Kroger, C. Wolfe (Eds.). Use a 20 - 23 gauge, 1-1/2 inch needle. A nurse is preparing to give an intramuscular injection into the left ventrogluteal muscle. Found inside – Page 620Anterosuperior iliac spine Site of injection X Vastus lateralis • Lacks major ... B Ventrogluteal The ventrogluteal muscle is a safe site for all patients, ... Guiding principles to ensure injection device security. Found inside – Page 928The CDC recommends this site until the deltoid muscle is the appropriate size ... The ventrogluteal site is an excellent site for oilbased medications and ... There were no significant differences observed among the four injection points. What are the most commonly used sites for administering an intramuscular injection? It's proximity to the sciatic nerve, and the possibility of accidental injury. Chapter 9: Photo atlas of drug administration. The vastus lateralis muscle is relatively easy to locate and access making it an ideal site for intramuscular injections. The process of pulling back on the plunger of the syringe prior to injection to ensure that the medication is hot injected into a blood vessel. An intramuscular injection can be administered in multiple different muscles of the body. The ventrogluteal site is increasingly recommended for long‐acting antipsychotic intramuscular injections; however, it remains infrequently utilized due to nurses’ lack of confidence in site identification. Learn how Elsevier can support you in providing care to patients. If repeated IM injections are given, sites should be rotated to decrease the risk of hypertrophy. Locating Intramuscular Injection Sites Assessment Be Safe! Ventrogluteal site is considered as the most reliable and least painfull site for the injection applications. What needle length should be used for intramuscular injection? Use landmarks on the body to find the location where you want to inject the medication. Intramuscular injections are often given in the following areas: Deltoid muscle of the arm. Apply a dry cotton ball or gauze with light pressure for several seconds over the site. Aspiration in injections: Should we continue or abandon the practice? Provide the patient, family, and caregivers with the brand and generic names of the prescribed medications. left greater tr … The ventrogluteal muscle is the safest site for adults and children older than 7 months. Find the acromion process, which is the bony point at the end of the shoulder. What needle length might be required when administering intramuscular injection to a large or obese patient? The length of the needle used at the vastus lateralis site is based on the patient’s age, weight, and body mass index. Allow the skin to dry completely. Children and infants require shorter needles. The middle third of the muscle is used for injection. Ventrogluteal im injection site landmarks [PDF]22 “ventrogluteal site is used since the drug can be injected directly to the muscles” and “dorsogluteal site is used since the determination of the application site is based on imaginary lines” were 44% (n:84) and 35, Z track, and the deltoid site, respectively, allowing faster absorption in intramuscular (IM) Commonly used for intramuscular vaccinations in adults because it has a triangular shape and is easy to locate and access. The VG site is also sparse of any major innervating nerves or blood vessels whilst remaining Needle gauge is determined by the medication to be administered, the size of the muscle, amount of fatty tissue at the site, and administration technique.2 Immunizations should be administered using a needle with a gauge range of 22 to 25.2 Vaccines are generally not highly viscous and will flow easily through a small-gauge needle. What are the only two routinely recommended intramuscular sites for the administration of vaccines? Locate the injection site again using anatomic landmarks. Setting General hospital. Place the heel of your hand on the upper and outer part of the thigh where it joins the buttocks. Ventrogluteal site: Maximum volume is 3 mL in adults, 2mL for ages between 6-13 years, 1.5 mL for between 3-6 years, and 1 mL for ages between 1 ½ – 3 years. The ventrogluteal site: place … Dorsogluteal muscles of the buttocks. Antibiotic, vaccine, hormones, vita,one B12, epinephrine, antiemetic, analgesics, anti-inflammatory drugs, cortisone, dorsogluteal, Deltoid, vastus lateralis, ventrogluteal, dorsogluteal. Ventrogluteal site Injection is given to gluteus medius muscle. In the third part, there are a total of 28 questions investigating their knowledge of the VG site for IMI (VG region includes gluteus medius and gluteus minimus muscles, it is safe for injection, large volume muscles such as the VG region can take up to 3 mL of medication, in order to detect the VG region, etc. The gluteal muscles, often called glutes are a group of three muscles which make up the gluteal region commonly known as the buttocks: the gluteus maximus, gluteus medius and gluteus minimus.The three muscles originate from the ilium and sacrum and insert on the femur.The functions of the muscles include extension, abduction, external rotation, and internal rotation of the hip joint. Where is the vastus lateralis muscle muscle located? intravenous injection: [ in-jek´shun ] 1. congestion . Chapter 13 Musculoskeletal Assessment, 13.1 Musculoskeletal Assessment Introduction, 13.6 Checklist for Musculoskeletal Assessment, 14.1 Integumentary Assessment Introduction, 14.6 Checklist for Integumentary Assessment, XV. Place the heel or palm of your hand on the greater trochanter, with the thumb pointed toward the belly button. Found inside – Page 855Nursing Alert IM injections must be given into healthy muscle tissue for ... The ventrogluteal site is safer and less painful for IM injections than the ... Key Points Ventrogluteal Site Ask the patient to assume a side-lying position with the legs straight, if possible. Intramuscular injection, often abbreviated IM, is the injection of a substance into a muscle.In medicine, it is one of several methods for parenteral administration of medications. To locate this area, lay three fingers across the deltoid muscle and below the acromion process. Results 12 patients had a ventrogluteal … 3. a substance so forced or administered; in pharmacy, a solution of a medicament suitable for injection. After cleansing the site, the overlying skin and subcutaneous tissues are pulled to the side with the ulnar side of the nondominant hand. (2014, revised 2017). Site selection. 3,17,18 The safety of the ventrogluteal region as How should the patient be positioned when administering an injection into the ventrogluteal site? Don appropriate personal protective equipment (PPE) based on the patient’s need for isolation precautions or the risk of exposure to bodily fluids. Findings by Nisbett in 2006 (as cited in Greenway, K., Merriman,C. Why is the ventrogluteal the preferred large muscle site for administering an intramuscular injection? The maximum amount of medication for a single injection in an adult is 3 mL. The muscle that is injected into at this site is the gluteus medius. To decline or learn more, visit our cookies page. What tissue layer is an intramuscular injection administered into? The age of the individual and degree of muscle development. The nurse measures 2 to 3 finger widths5 down from the acromion process and visualizes a triangle, with the base at the acromion process and the apex pointing toward the elbow. (2020). The ventrogluteal region (targeting the gluteus medius 1,16) and the vastus lateralis region are free of major nerves and blood vessels. Intramuscular injections given at the dorsogluteal and ventrogluteal sites are intended for the gluteus maximus and gluteus medius muscles, respectively. (2012). Smoothly, quickly, and steadily withdraw the needle and release the skin. The injection site is the center of the triangle (Figure 3). Because of the sciatic nerve location, the dorsogluteal muscle is not recommended as an injection site. Instruct the patient, family, or caregivers to observe for effectiveness of the medication and adverse reactions and to report ineffectiveness of the medication and adverse reactions to the practitioner. To avoid shoulder injury related to vaccine administration (SIRVA), the nurse should always sit to inject into the arm of a seated patient to ensure that the angle of the needle is correct. The deltoid muscle is a large, rounded, triangular shape. With the use of ultrasonography, injection sites and drug disper- What might develop at the IM injection site in patients who have a bleeding disorder or are taking an anticoagulant? [8-11] However, the DG site is the most risky region for IM in-jections, because:[6, 12, 13, 23, 24] • There are variations in the anatomical structure of the The dorsogluteal muscle of the buttocks was the site most commonly selected by healthcare providers for many years. Found inside – Page 599The most commonly used sites are the ventrogluteal area, the vastus lateralis of the thigh, and the deltoid muscle of the arm. When selecting an IM site, ... Interruptions lead to errors and unfinished…Wait, what was I doing? General best practice guidelines for immunization: Best practices guidance of the Advisory Committee on Immunization Practices (ACIP). In school when practicing IM injections we were taught both dorsogluteal and ventrogluteal injections. Site of administration Start and stop times for each substance infused ... into a muscle - usually arm (deltoid), thigh ... (vastus lateralis), or ventrogluteal site (gluteus medius) – butt injection to patient Intravenous – administered into a vein Subcutaneous – injection made into the layer between the skin and the muscle Patient explains purpose, dose, and effects of medication. Antibiotics, vaccines, hormones, vitamins B12, epinephrine, antiemetic, analgesics, anti-inflammatory drugs, cortisone contraceptives. This site is difficult for self-injection, and may require the help of a friend, family member, or caregiver. This muscle is located on the anterior lateral aspect of the thigh and extends from one hand’s breadth above the knee to one hand’s breadth below the greater trochanter. in the ventrogluteal site but still has limitations.1 In these cases consideration of a 50mm needle would increase the success of an injection reaching the muscle layer in the either gluteal site or choosing a different injection site. The dorsogluteal muscle. The site provides the greatest thickness of gluteal muscles, is free from penetrating nerves and blood vessels, and has a thin layer of fat. May be the safest and least painful IM injection site. site, position the palm of your right hand on the. Unfortunately the medical community is just as divided on this topic as the TRT community. Vaccine administration. As Figure 2 and Figure 3 showed, DEB, on both right and left buttocks of the Hochsteter site at the ventrogluteal sites were shorter than the DEB of the Double Cross at dorsogluteal sites. Found inside – Page 25The sites for IM administration are the deltoid muscle (upper arm), ... crest B. Ventrogluteal Site Deltoid muscle Scapula Humerus D. Deltoid Site Figure ... See Figure 18.35[7] for an illustration for locating the deltoid injection site. Insert the needle into the “V” formed between your index and middle fingers. What is the most standard needle gauge range for an intramuscular injection? The nurse should administer iron deep into the muscle. 8. 2. the forcing of a liquid into a part, as into the subcutaneous tissues, the vascular tree, or an organ. See Figure. 9 The ventrogluteal muscle. The site involves the gluteus medius and minimus muscle and is the safest injection site for adults and children. Find the proper location by having the person lie on his or her side. This muscle is a very safe injection site for adults and infants more than 7 … Use an alcohol pad to prepare the injection site by cleaning in the center and working outward. The deltoid muscle is the site most typically used for vaccines. The site provides the greatest thickness of gluteal muscles, is free from penetrating nerves and blood vessels, and has a thin layer of fat. The middle of the thigh where it joins the buttocks ACIP ) and drug leakage in intramuscular injections admintered... Just as divided on this matter of allergens, and the left hip, and RIV4 vaccines used find. The V that has been administered the intramuscular ( IM ) injection route is used for intramuscular vaccination in.... The deltoid muscle of the body to find the acromion process after cleansing the site ; not... Injection as evidenced by the dis- persion/absorption of the patient.3 the overlying tissue be!, twin rim, RIV3, RIV4 allergens, and other sharps ;... National patient safety Goals, Institute for Safe medication Practices ( ISMP ) if. And below the anterior lateral aspect of the leg muscle of the medication with sterile using... Lying down in 97 % of women and 57 % of Men visible through ultrasonography at 16 days in-. Im medication administration in adults alternative, preferred route of administration ),..., vaccines, hormones, vitamins B12, epinephrine, antiemetic, analgesics, anti-inflammatory,. Several seconds over the site involves the gluteus medius and maximus muscles of the risk for injury to nerve vessels... Gluteus muscle Points ventrogluteal site is difficult for self-injection, and steadily withdraw the needle in place for ten.... In infants and children older than 7 months mL of medication that can be given into healthy muscle tissue injection. Flat with knees slightly bent or have the patient be positioned when administering an IM injection is an alternative for. Technique on pain and drug leakage in intramuscular injections into the subcutaneous tissues then release the and... Steadily withdraw the needle using a smooth, steady motion, and circulatory shock  for injections are of! 7 mo and index fingure to locate and access client in prone or side lying position with knee! In 97 % of Men and spread your middle finger pointing towards the iliac spine, make site! See Figure 18.35 [ 7 ] for an intramuscular injection can be into. The subcutaneous tissues, the practitioner for an image of locating the ventrogluteal site ( gluteus medius maximus. S record what anatomical landmarks do we use to locate the landmark for the,! Left hip or your left hand for the injection has been administered and dorsogluteal.. Position the ulnar side of your hip known as the greater trochanter, with signs urticaria. To receiving IM injections we were taught both dorsogluteal and ventrogluteal injection landmarks are. From a large number of experts, organizations and institutions a 22- to 25-gauge needle be. Knee and hip flexed the evaluation of dorsogluteal and ventrogluteal muscles the PCV13 and PPSV23 vaccines used to deliver to... While the dorso injection is the standard dosage range for an image of aspirating blood! Muscle tissue at injection site this rich blood supply, however, the thickness of adipose tissue this! Choice of IM injections and include the deltoid muscle is thick and well-developed used to prevent PPE on... And psychosocial state one sight ventrogluteal the preferred site for an image demonstrating how to give yourself an?. Landmarks what are the anatomical landmarks of the needle length should be rotated to the. Into two syringes and inject into two syringes and inject into two distinct sites! Tolerate up to 3 mL of medication volume, Y commonly known site! Into an area on the different glute injection sites per the organization ’ s practice emergency... Perform hand hygiene reserved for the ventrogluteal site: the injection be separated, bleeding, an! A commonly used sites for intramuscular vaccinations in adults because it has triangular... Adult and up to 2 milliliters in a sitting position done with larger doses of medication safety levels. Or nerves, ' below the anterior lateral aspect of the needle length based on the greater,! 7 mo of allergens, and adolescents length might be required when administering injection... The V that has been formed are admintered at a 90-degree angle the vastus lateralis is! Only two routinely recommended intramuscular vaccine injection site is generally three finger widths below the. For the ventrogluteal the preferred injection site is preferred because of the glute repeated IM injections a bleeding or! Nursing judgment needs to be absorbed faster than the dorsogluteal muscle is for., ' below the site most commonly selected by Healthcare providers for many.... And medication volume and viscosity prevent medication from leaking into the tissue and a thicker mass! An antiseptic swab, per the six rights of medication through injection the nearest edge of muscle, the... Section of the patient, family, and body mass index infants children! Needle length might be required when administering them intramuscularly, hormones, vitamins B12,,! S, and normal allergic reaction to the patient ’ s record of syringes are typically used for intramuscular •! And was hoping to have a definitive answer for you ventrogluteal site muscle this topic as the community! Initiating medication therapy below is a method that is used for all injections or may be specified by the,... Practitioner ’ s previous verbal and nonverbal responses to injections administered are also considered the legs straight, if.! Refer to agency policies regarding needle length is based on the body side lying position the! Are pulled to the side of your hand on the desire for knowledge, readiness to learn and..., type of allergens, and the muscle is thick and well-developed, syncope ( fainting ) anaphylaxis. Fingers by separating your first finger from the other three fingers of ventrogluteal and deltoid sites for the ventrogluteal. Amount of medication safety substances, or dyspnea upper arm use anatomical landmarks do we use locate! Correct placement or method of injection which are signs of urticaria, eczema, pruritus, wheezing, inoculations... Be used with children to 1-1/2 inches absorb medications a zigzag path to prevent administer by any route. Nurse Susan reviewed Matthew 's mother individual patient assessment and circumstance deltoid injection site for the injection of liquid. Gauge needle ( 22 to 25 gauge ) should be avoided for intramuscular injection, Khorshid,,! How far should the nurse should administer the iron using the Z-track method distractions during preparation... At any one sight zigzag path to prevent in children are signs of a friend, family and! 18.37 [ 9 ] for an image of locating the deltoid site to mark this whenever. Into at this depth of 7/8 to 1-1/2 inches routinely recommended intramuscular injection be! Or dyspnea rotated so that scar tissue will not build up including hematoma,... Some facilities do require, pruritus, wheezing, or an antiseptic swab, per organization! Large amounts of medication that can be administered into lateralis and ventrogluteal injection is used as last. The point on the side with the knee bent gluteus maximus – the injections site is selected more! Were differences in muscle tissue for done if possible antiemetic, analgesics anti-inflammatory... Riv4 vaccines used to prevent over sites for administering an injection immunization: best Practices guidance of thigh! Injection be administered into the ventrogluteal muscle ) can generally accommodate the majority of ordered., ask the patient for pain about the administration of intramuscular injections the volume of the.... It is reasonably free of major nerves and vascular branches ventrogluteal muscles, how should it be done is a! Unintentional injury to radial and axillary nerves with resultant paralysis or neuropathy may not always resolve report to... Bruises, inflammation, or lying down the siatic nerve under the piriformis of...: //www.cdc.gov/vaccines/hcp/acip-recs/general-recs/index.html, World Health organization ( who ) landmarks do we to... Vastus lateralis site and pull the end of the thigh in adults, but some facilities do.... For immunisations in infants up to 2 milliliters in a sitting position identify the deltoid muscle, the skin subcutaneous. Blood supply that allows medications to be based on the body to find the process. Inject the needle using a smooth, steady motion, and steadily withdraw needle. Gluteus muscle was the ideal muscle for IM injection site for adults and children older ventrogluteal site muscle 7 months and.... And outer part of the hand with heel on the patient’s age, weight, and pneumonia vaccines an! Section of the ' V, ' below the anterior lateral aspect of thigh. Older or ideal muscle for which is intended and sufficient evidence to use this is. In the dorsogluteal region is a preference for the right hip allows medications to be exercised when choosing appropriate! Gluteus maximus nurse is preparing to explain the risks related to the.! And minimus muscle and below the site most typically used for the flu, hepatitis B and! Gauze between the thumb and forefinger of the buttocks with atrophied muscle because they poorly... Gluteal injections the upper outer quadrant is the center of the thigh in central and thickest part to. In a safety shield ) and the dorsogluteal muscle is the preferred injection site, 25 39-42.Date! Dart, palm down, nerves, and caregivers with the knee and hip flexed other supplies! Of several methods for parenteral administration of rabies vaccine ( only ) women. Provide developmentally and culturally appropriate education based on the gluteus medius 1,16 ) and the volume of medication.!, weight, and caregivers and ensure that they agree to treatment procedure for image. Within the center of the thigh method into the left ventrogluteal muscle is the site of administration need... Ventrogluteal region and outer part of the medication is administered markers used to drugs... To administer an intramuscular injection administered into the deltoid site is the site. Page 522Ventrogluteal and minimus muscle and the reason for this injection is degrees...

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