a nurse is preparing to administer an intramuscular injection to a client who is overweight This is a topic that many people are looking for. khurak.net is a channel providing useful information about learning, life, digital marketing and online courses …. it will help you have an overview and solid multi-faceted knowledge . Today, khurak.net would like to introduce to you Intramuscular Injection in Deltoid Muscle with Z-Track Technique. Following along are instructions in the video below:
Is our thread sterner sorry and calm and in this video. Im going to to demonstrate how to give an intramuscular injection in the deltoid before ever administering. Any of medication.
Including ayam injections. You always want to review your facilitys protocol and how they require you to administer that certain medication. Now before actually giving the ayam injection.
Theres some prep work you have to do first of all you have to make sure you have the right patient. The right medication are you giving the right dose at the right time and the right route so double check all those things in addition you want to get your supplies ready and to do this you have to do some critical thinking. So first of all you need to ask yourself ok.
What muscle are we going to be giving this injection in here in this video. Were going to be doing the deltoid. So lets review some things about the deltoid muscle.
Its located up here in this region and this muscles a little bit smaller than the other muscles you can use it can only hold about one to two milliliters of a solution. So if you need to give more amounts of a solution you need to go in a larger muscle like the ventral gluteal muscle next you want to look at how your patient is built generally the guidelines for a needle length in giving a deltoid injection is about a one inch needle to a one and a half inch needle. So look at your patient do they have a lot of adipose fatty tissue over that deltoid muscle.
If so you want to use the longer of the two options. So one and a half needle length would be good here. Were going to use a one inch needle next you want to look at the gauge of needle.
This is how big that hole of that needle is that allows that solution to go through so most vaccines are watery. So you can give anywhere from a 20 to a 25 gauge needle here. Were gonna use a 23 gauge.
But if you were doing like a thicker solution thats all you would want to use anywhere between an 18 to 25 gauge needle. No what were gonna do is were going to gather supplies perform hand hygiene and its optional if you want to wear gloves. According to the cdc gov gloves are not required when administering vaccines unless the person administering.
The sene is likely to come into contact with potentially infectious body fluids or has openly jhins on hands. Therefore gloves are optional personally i like to wear gloves. Because i never know what i may come into contact with then of course you want to explain the procedure to the patient.
What youre going to be doing what youre administering to them in a tip whenever i give vaccines. I always like to ask the patient are they right or left handed.
Because i like to give the deltoid. I am injection and their non dominant arm. Because if youve ever had a vaccine or an injection before in your arm.
It can get sore. So always try to take that into consideration before you give the injection. You can have the patient stand or sit.
If your patient doesnt like needles. Its probably best to have them sit in case. They pass out so where were going is the deltoid muscle.
Its located up in this area. So. What you want to do is you want to have the patient completely like relax their arm.
You do not want this muscle to be tensed up because its going to be a little bit more painful for them so tell them to relax as much as possible then were going to find where were going so to find the deltoid muscle and for an injection site. We want to use landmarks. So our first landmark is called the pro mian process.
This is found high up. Where the shoulder is and it comes out its like a bony prominence just fill in yourself where it is its really easy to find so youre gonna feel that and youre going to go about two fingers width down from that area. So we have our two fingers.
So were going to go about right here in this area once we have our area. What we want to do is we want to clean the injection site so were going to take our alcohol prep. Were going to start in the center and were gonna work our way outward and cleanse the area and let that dry completely dont blow on it let it air dry now to give the injection.
What were gonna do is were gonna use. Whats called a z track technique. This is now recommended for all i am injections and what this technique does is number one it decreases pain for the patient.
But it helps prevent the solution that were instilling from actually going in that sub cute issue. We want this to go in the muscle. Not the sub q.
Tissue. So the z track technique helps with that back in the day.
They taught to pinch the skin up bunch. It up to give the vaccine thats no longer recommended. But the z track method.
So what were going to do to do that were going to take our non dominant hand and were just going to go to the side of where. An injection site is going to be and were just going to put a little bit of pressure and were just going to pull the skin to the side then were going to take our dominant hand with injection. The needle and were going to go in like were shooting a dart at a 90 degree angle.
And youll want to do this quickly to cause the patient less pain. So we want to steady our syringe. So were going to take our thumb and our forefinger and just hold it steady.
Then were gonna take our dominant hand and depress. The plunger and instill that fluid slowly about over 10 seconds per ml. This was half an ml so were gonna do about five seconds and then once you have instilled it wait about ten more seconds to let all that fluid go down into that muscle and then what were gonna do is we are going to take it out the same angle.
We had inserted it were going to engage our safety never recap a used needle. Then you can take a gauze and cover the area sometimes it can bleed if your patients on blood thinners. But never massage the area because that can increase the solution going into the sub q.
Tissue and then dispose of your syringe. A needle in the sharps container. Once youre done with that of course.
What you want to do is you want to perform hand hygiene and you want to document youre going to document what muscle you use on what side. And how the patient responded along with how much medication you instilled in that muscle now notice whenever i was giving that i am injection. I did not aspirate aspiration for ayam injections is no longer recommended a core to cdc gov.
They say aspiration before injection of vaccines or toxoids. Which is pulling back on the syringe plunger after needle insertion before injection is not necessary. Because no.
Large vessels are present. At the recommended injection sites and a process that includes aspiration might be more painful for infants. Okay.
So that wraps up how to give an iamb injection in the deltoid. Thank you so much for watching. And dont forget to subscribe to our channel for more videos.
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