What is the most common site for intramuscular injections in pediatric clients?
The most appropriate sites for IM injections are the vastus lateralis (anterolateral thigh) for infants and toddlers and the deltoid muscle for pediatric patients 18 months old or older.
Where do you give a 1 year old IM injection?
Infants (Aged <12 Months) For the majority of infants, the anterolateral aspect of the thigh is the recommended site for injection because it provides comparatively larger muscle mass than the deltoid (Figure 2) (23).
Where do you give a 5 year old IM injection?
Intramuscular injections are administered at a 90-degree angle to the skin, preferably into the anterolateral aspect of the thigh or the deltoid muscle of the upper arm, depending on the age of the patient (Table 6-2).
How do you locate the injection sites?
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.
How many mL Can you give IM in pediatrics?
The maximum volume should not exceed 1 mL. If the skin is stretched flat, a 1/2 inch needle is sufficient.
Where do you give a 2 year old IM injection?
Toddlers (Aged 12 Months-2 Years) For toddlers, the anterolateral thigh muscle is preferred, and when this site is used, the needle should be at least 1 inch long. The deltoid muscle can be used if the muscle mass is adequate.
Where is the best site for giving an IM injection to a 15 month old child?
The anterolateral thigh is the preferred site for IM injection in infants under 12 months of age. Medications are injected into the bulkiest part of the vastus lateralis thigh muscle, which is the junction of the upper and middle thirds of this muscle.
How to give intramuscular injections ( IM ) to children?
Medicines that you give into a muscle are called intramuscular (IM) injections. These injections (shots) are given into areas of the body called injection sites. The nurse will show you the following steps and give you time to practice before you give an IM injection to your child. Wash your hands with soap and water. Dry them well.
Where is the most common injection site in infants?
The most common site in infants and young children is the middle of the outer thigh. Have your child lie or sit down and remove clothing from the injection site. Place your hands on the landmarks as instructed to locate the injection site. Using a circular motion, clean the injection site with an alcohol wipe.
Where is the best place for an intramuscular injection?
Buttocks (Dorsogluteal Muscle) You will always want to give the injection in the outer, upper quadrant, almost toward the hip. In addition to choosing the proper intramuscular injection site, ice can be used to reduce pain. Larger needle, both in size and thickness, will be needed to penetrate deeper into your muscles.
How do you remove an injection site from a child?
The most common site in infants and young children is the middle of the outer thigh. Have your child lie or sit down and remove clothing from the injection site. Place your hands on the landmarks as instructed to locate the injection site. Using a circular motion, clean the injection site with an alcohol wipe. Let it dry.
