IM injection

Question 1

Best position for the patient when giving a ventrogluteal injection?

Answer 1

on side with knee bent & upper leg ahead of the bottom leg

Question 2

Patient will be given injection in right ventrogluteal muscle, what landmark?

Answer 2

Left hand: major on the iliac crest, index on the anterior superior iliac spine, & palm of hand on the greater trochanter of femur.

Question 3

Why ventrogluteal site best for IM injection?

Answer 3

• Greatest muscle thickness comparing to other sites

- Far from any major blood vessels & nerves

Question 4

What is the rationale for using Z-track IM injection?

Answer 4

• Prevent leakage of medication into subcutaneous tissues
• Seals medication in the muscle
• Minimizes irritation

Question 5

What is the rationale for pulling the skin to the side when using Z-track technique for IM injection?

Answer 5

the zigzag path seals the needle track which prevents medics from leaking from the muscle into surrounding tissues

Question 6

What is the rationale for not massaging the site after IM injection given?

Answer 6

• Can affect absorption
• To avoid increase discomfort
• Avoid damage to the underlying tissue or force meds up the needle track