What size needle do you use for deltoid injection?
For men and women who weigh <130 lbs (<60 kg), a ⅝-inch needle is sufficient to ensure intramuscular injection in the deltoid muscle if the injection is made at a 90-degree angle and the tissue is not bunched. For men and women who weigh 130-152 lbs (60-70 kg), a 1-inch needle is sufficient.
How do you give an IM injection in the deltoid?
Giving an IM injection into the deltoid site
- Find the knobbly top of the arm (acromion process)
- The top border of an inverted triangle is two finger widths down from the acromion process.
- Stretch the skin and then bunch up the muscle.
- Insert the needle at a right angle to the skin in the centre of the inverted triangle.
Do you aspirate for IM injections in deltoid?
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 far does the needle go in for IM injection?
The needle should be long enough to reach the muscle without penetrating the nerves and blood vessels underneath. Generally, needles should be 1 inch to 1.5 inches for an adult, and will be smaller for a child.
What needles for IM injections?
Intramuscular (IM) injections The deltoid muscle is most often used as the site for IM injections in adults. Needle length is usually 1″–1½”, 22–25 gauge, but a longer or shorter needle may be needed depending on the patient’s weight.
What happens if you give an IM injection too high?
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.
Do you pinch the skin for an IM injection?
Insert needle at an 45o angle to the skin. Pinch up on SQ tissue to prevent injecting into muscle.
What is the best needle size for intramuscular injection?
Intramuscular injections go directly into a muscle. 7 Muscle is deeper than the subcutaneous layer of skin, so the needle used for intramuscular injections must be thicker and longer. 20 or 22 G needles that are an inch or an inch-and-a-half-long are usually best.
Do you pinch the skin for IM injection?
Do you pinch skin giving intramuscular injection?
