The deltoid site is mostly commonly used for immunizations. However,
up to 1 mL
of any medication may be administrated to this muscle (the maximum volume should never exceed 2 mL).
How much can you inject in the deltoid?
Generally only limited injection volumes can be given by intramuscular injection:
2 ml in
the deltoid and thigh muscles, and up to 5 ml in the gluteus maximus. The point of injection should be as far as possible from major nerves and blood vessels to avoid neural damage and accidental intravenous administration.
Can you give 3 ml im injection deltoid?
The
maximum amount of medication for a single injection is 3 ml
. The deltoid muscle has a triangular shape and is easy to locate and access, but is commonly underdeveloped in adults. Begin by having the patient relax the arm. The patient can be standing, sitting, or lying down.
How many ml can you inject at once?
Overall,
5 mL
has been cited for adults as the maximum volume for a single IM injection, with lower maximums proposed for adult patients with less-developed or small muscle mass. Once administered exclusively by physicians, IM injections became a primary-nurse responsibility during the 1960s.
How do you inject a deltoid?
The injection site is in the middle of the deltoid muscle,
about 2.5 to 5 cm (1 to 2 inches) below the acromion process
. To locate this area, lay three fingers across the deltoid muscle and below the acromion process. The injection site is generally three finger widths below, in the middle of the muscle.
Can 2 ml be given in deltoid?
Immunizations and medication doses
between 1-2 milliliters should be administered in the deltoid muscle
. Medication doses between 2-3 milliliters should be administered in the ventrogluteal muscle.”
What happens if you give an IM injection too low?
An IM arm injection is intended for the deltoid, a virtually invisible muscle under the skin. Too high, it will be given into the tendon or shoulder capsule. Too
low and you could hit the brachial nerve or a major artery
.
Do you pinch skin for IM injection?
Insert needle at an 45o angle to the skin.
Pinch up on SQ tissue to prevent injecting into
muscle. Aspiration before injection is not required.
What happens if you hit a blood vessel while injecting?
Injecting a blood vessel can
cause serious complications in rare cases
. However, the likelihood of hitting a blood vessel in the subcutaneous fat is extremely rare. More than likely, if there is blood, it is from slight bleeding after the injection.
Do you need to draw back when giving an IM injection?
Aspiration. It is
common practice to draw back on a syringe after the needle is inserted to check whether it is in a blood vessel
. While it is important to aspirate if the DG muscle site is used – because of proximity to the gluteal artery – it is not required for other IM injection sites (PHE, 2013; Malkin, 2008).
What happens if you give a deltoid injection too low?
Injections that occur below the deltoid muscle can
hit the radial nerve
and injections that are too far to the side of the deltoid muscle can hit the axillary nerve. If a nerve is hit, the patient will feel an immediate burning pain, which can result in paralysis or neuropathy that does not always resolve.
What happens if deltoid injection is too high?
Shoulder injections are typically given in the deltoid muscle. When the injection is given too high or too deep in this muscle,
the needle can hit bone or puncture the fluid-filled sac called the bursa
, which protects the tendons in the shoulder. When this happens, the bursa, tendons and ligaments can become inflamed.
How do you give a painless deltoid injection?
Use the
muscle energy method by asking the patient to push their elbow against their hip as an isometric contraction for 7 seconds
. Then quickly give the injection into the deltoid muscle (now relaxed).
Can Toradol injection be given in deltoid?
She alleged that Nurse Smith gave the injection in the wrong location for the deltoid muscle; that the volume of medication in the injection, 60 milligrams of Toradol in 2 milliliters of fluid, exceeded the standard of care for an injection into the deltoid muscle; and that Nurse Smith should have given the injection …
How many mL can be injected into Ventrogluteal?
For “deep” IM injections, the recommended volume ranges from 2 to 5 ml. If the patient’s available muscle tissue is limited and the dorsogluteal muscle must be used, volumes of up to 4 ml can be administered into this site. The ventrogluteal muscle can accommodate up to
2.5 ml
, with a maximum volume of 3 ml.
How many ml can be given IM to an infant’s?
The volume of the IM injection should not be
more than 1 mL
.
