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INTRAMUSCULAR INJECTION

OBJECTIVES
At the end of the class the students will be
able to:Define intramuscular injection correctly
Describe the purpose of I/M injection
Enlist the contraindication of I/M appropriately
Discuss the site for I/M injection
Specify the guidelines for selection of needle gauge
and length for I/M
Enumerate the principle steps of I/M injection
Explain the procedure of I/M Injection

INTRAMUSCULAR INJECTION

1978

Definition
Intramuscular injection is the injection
of medicine into muscle tissue,
to produce quick action in the
patient as the medicine given by
injection is rapidly absorbed

Purpose
Deliver drugs and vaccines
Used when other method are not
recommended.
Relieve symptoms of illness.
Promote and prevent from disease
Introduce the drug in oil form for
prolonged action

Contraindication

Impaired coagulation
mechanism

Edema

After thrombolytic therapy

SITES OF
INTRAMUSCULAR
INJECTION

Angle for I/M Injection

Equipment

Medicine chart Prescribed drug

Spirit swab

Sterile syringe
with needle

Disposable container

Kidney tray

Steel tray

6 PRINCIPLE STEPS
FOR INTRAMUSCULAR
INJECTION

Nurses Responsibility
Observe for 8 right
Right
route

Right
patient

Right
drug

Right
time
Right
documentatio
n

Right
reason

Right
response

Right
dose

No more
than 5
ml
should
be
injected

Special
consider
ation for
elder and
pediatric

Check
for side
effect

SUMMARY

Procedure
Keep the item ready
Check the doctors order
Hand hygiene
Explain the procedure
Lie down patient comfortably
Check the expiry date of the medicine

Procedure
Withdraw the medicine from ampoule
Clean the chosen site with spirit swab
Allow area to dry
Hold the skin with non dominant hand
Hold the syringe in dominant hand like
pencil

Insert the needle quickly at 90 degree


angle
Release the skin and support the lower
end of syringe
Aspirate for blood by pooling back on
the plunger
If no blood appear inject the
medicine slowly
Remove the needle quickly

Massage /press the site with dry swab


Discard the needle (uncapped)
Assist the client to position comfortably
Perform hand hygiene
Record drug administration, dose, time,
route
Check the client response to medicine
Assess the site.

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