Intramuscular Injection Sites

Intramuscular Injection Sites

Ventrogluteal ØRecommended ØUses: Adults & Children over 7 months ØNeedle: 1 – 1.5in, 21-22g ØVol: 4ml (SAH) refer to agency policy ØLandmarks: In side lying position c upper leg flexed 6. Heel of opposite hand on head of greater trochanter 7. Thumb in groin 8. Index finger on anterior superior iliac spine 9. Third finger spread laterally along crest to form ‘V’ 10. Palpate for well developed muscle in site

Deltoid ØHigh Risk, small muscle close to radial nerve and artery ØUses: Adults, immunizations ØNeedle: 1 – 1.5in, 21-22g ØVol: 1ml Landmarks: Place two fingers side by side below the acromium process. The side of your distal finger determines the top of the triangle. The tip of the triangle is in the same plane as the axillary fold.

Dorsogluteal ØHigh risk of hitting sciatic nerve, blood vessel or bone, not recommended ØUses: Adults & children ØNeedle: 1 – 1.5in, ØVol: 4ml (SAH) refer to agency policy ØLandmarks: Prone position c toes pointed inward -Palpate posterior iliac spine & draw imaginary line to the greater trochanter of femur -This line is lateral & parallel to the sciatic nerve, the injection sit is lateral & superior to this line. *Visual calculation alone can result in an injection placed too low!

Vastus lateralis site

ØSafe, rapid absorption ØUses: Infants ØNeedle: 1 – 1.5in, ØVol: 4ml (SAH) refer to agency policy ØLandmarks: Greater trochanter and knee (lateral femoral condyle), choose middle 3rd for injection site

Rectus fermoris ØPainful ØUses: Emergency ØNeedle: 1 – 1.5in, ØVol: 4ml (SAH) refer to agency policy ØLandmarks: Greater trochanter and knee (lateral femoral condyle), choose middle 3rd (anterior) for injection site

IMs • Needle: 1-1.5in 22-25g • Spread the skin to ensure firmness • 90° angle • Insert needle quickly, dart-like fashion • ALWAYS aspirate prior to injection • Remove needle quickly in the same

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