Intramuscular And Subcutaneous Injection

These procedures are commonly carried out to introduce small volumes of a drug into the system of a patient where oral medication cannot be tolerated or absorbed usually a volume of one milliliter less will be injected subcutaneously whilst larger volumes from two to five mil will be injected intramuscular also size of needle depends slightly on patient size but in general blue or green can be used for IM and blue for subcutaneous.

INTRAMUSCULAR INJECTION -

Intramuscular injection sites -

mid anterior and mid lateral areas of the quadriceps mid deltoids and upper outer quadrant of the gluteal muscles the katiyal region is used less frequently nowadays due to the risk of damaging sciatic nerve.

Equipment required for this procedure -

syringe 
drawing up needle
correctly sized needle for injection commonly blu or green
cotton wool ball 
non sterile gloves
sharps container


process -

sure to recheck whether the patient has any allergy to the drug euro back to deliver as well as ensuring that the drug you have selected matches what is written on the prescription.
you should also record the batch numbers and expiry date of the drug in a suitable location usually a ward register or the patient's notes 
identify a suitable site for injection usually from one of the three previously mentioned
once identified be sure to thoroughly wash your hands
you may then begin to prepare your injection by drawing up the drug using the syringe and drawing up needle
ensure your Reyna gloves when drawing up a drug 
once this has been done proceed to removing the drawing up needle and attaching the injection needle usually blue or green depending on the size of the patient
being careful not to expose the needle until you are ready to inject
stabilize the skin with your non-dominant hand current best practice suggests that it is not necessary to cleanse the target skin area with an alcohol wipe provided the patient is clean 
with your dominant hand hold the syringe as though you would hold a dart and insert it into the skin at 90 degrees almost to the health of the needle
draw back on the plunger slightly to ensure that you have not entered a blood vessel 
when you are confident that you are in the musculature proceed to delivering the drug for a large volume wait several seconds before withdrawing the needle 
once you have withdrawn apply pressure with the cotton wool bowl and dispose of the sharp immediately 
after a few moments of pressure check the wound to assess bleeding it is usually minimal 
check that your patient is comfortable and dispose of your equipment after washing your hands ensure you document everything in the notes correctly and on the prescription charts correctly.

• SUBCUTANEOUS INJECTION -
  

Subcutaneous injection sites -

apparatus or arm lower abdomen upper outer thigh they are generally given for smaller volumes over a slower release is preferred 

Equipment required for this procedure -

syringe 
drawing up needle
correctly sized needle for injection commonly blu or green
cotton wool ball 
non sterile gloves
sharps container

Process -

sure to recheck whether the patient has any allergy to the drug euro back to deliver as well as ensuring that the drug you have selected matches what is written on the prescription.
you should also record the batch numbers and expiry date of the drug in a suitable location usually a ward register or the patient's notes 
identify a suitable site for injection usually from one of the three previously mentioned
once identified be sure to thoroughly wash your hands
you may then begin to prepare your injection by drawing up the drug using the syringe and drawing up needle
ensure your Rayne gloves when drawing up a drug 
once this has been done proceed to removing the drawing up needle and attaching the injection needle usually blue or green depending on the size of the patient
being careful not to expose the needle until you are ready to inject
stabilize the skin with your non-dominant hand current best practice suggests that it is not necessary to cleanse the target skin area with an alcohol wipe provided the patient is clean 
with your dominant hand hold the syringe as though you would hold a dart and insert it into the skin at 45 degrees almost to the health of the needle
draw back on the plunger slightly to ensure that you have not entered a blood vessel 
when you are confident that you are in the musculature proceed to delivering the drug for a large volume wait several seconds before withdrawing the needle 
once you have withdrawn apply pressure with the cotton wool bowl and dispose of the sharp immediately 
after a few moments of pressure check the wound to assess bleeding it is usually minimal 
check that your patient is comfortable and dispose of your equipment after washing your hands ensure you document everything in the notes correctly and on the prescription charts correctly.

                                                   thank you ..