Where do you give an obese patient an IM injection?
In both males and females, the deltoid muscle is preferred when giving most IM injections with 1 in. needles. A 1-in. needle is required to reach the deltoid muscle tissue in females whose BMI is less than 35.
What is the needle range for an intramuscular injection on an obese adult?
For example, Potter and Perry (2008) acknowledged that a longer needle is necessary for IM than for a subcutaneous injection to ensure penetration of the muscle tissue. They indicate that a 3-inch needle might be needed for a very obese person, while a 0.5- to 1-inch needle would be adequate for a thin person.
What happens if IM injection goes in fat?
Injecting a vaccine into the layer of subcutaneous fat, where poor vascularity may result in slow mobilisation and processing of antigen, is a cause of vaccine failure1—for example in hepatitis B,2 rabies, and influenza vaccines.
What is the main disadvantage of the ventrogluteal site for administering an injection?
Disadvantages: If the injection is given inferior or medially from the intended ‘upper outer quadrant’ this may result in: Damage to the sciatic nerve, leading to pain or paralysis (temporary or permanent) Inadvertent administration of the drug intravenously by entering the superior gluteal artery.
Where is the Ventrogluteal injection site?
The ventrogluteal injection site is an area on the most prominent part of the hip that’s considered the preferred site for intramuscular injections. Experts say it’s one of the safest areas for such injections because of the thick thigh muscles in the area. There are also fewer blood vessels and nerves in that area.
Where is the best place to give an IM injection?
Intramuscular injections are often given in the following areas:
- Deltoid muscle of the arm. The deltoid muscle is the site most typically used for vaccines.
- Vastus lateralis muscle of the thigh.
- Ventrogluteal muscle of the hip.
- Dorsogluteal muscles of the buttocks.
How do I give myself a Ventrogluteal injection?
Before you lie down, pull straight up on the cap of the needle to remove it. Carefully place it nearby, in a spot you can reach while lying down. Lie down on your side, with the injection site facing up. Inject the needle into your skin at a 90-degree angle.
What types of shots are given in the buttocks?
Common sites for intramuscular injections include the deltoid muscle of the upper arm and the gluteal muscle of the buttock….
| Intramuscular injection | |
|---|---|
| CPT | 96372 |
Do you aspirate ventrogluteal?
Usual sites for delivering an IM injection include the deltoid, vastus lateralis, ventrogluteal and dorsogluteal muscles. The first 3 are recommended due to their avoidance of any proximity to major blood vessels and nerves. Aspiration is NOT required for these sites.
How thick is the ventrogluteal muscle?
For females and males, respectively, at the ventrogluteal site, muscle thickness was 36.9 ± 8.9 mm and 39.8 ± 8.9 mm, and total tissue thickness was 53.1 ± 14.2 mm and 49.6 ± 11.4 mm, and at the dorsogluteal site, muscle thickness was 50.7 ± 12.1 mm and 52.8 ± 9.3 mm, and total tissue thickness was 71.7 ± 15.3 mm and …
What is the difference between Dorsogluteal and ventrogluteal?
This study revealed that the mean distance of the dorsogluteal injection point to the siatic nerve is 9±2.3 cm. On the other hand, the ventrogluteal side has a thicker gluteal muscle layer and thinner fat layer and is free of penetrating nerves and blood vessels [4].