Evidence for the Use of Intramuscular Injections in Outpatient Practice
- Antibiotics. After the discovery of penicillin in the early 1940s, “the shot” became associated with a dramatic reversal...
- Corticosteroids. Some physicians believe that corticosteroids are the treatment of choice in acute anaphylaxis, although...
- Vitamin B 12. Trials of oral versus IM vitamin B 12...
Full Answer
What are intramuscular injections used for?
Mar 02, 2022 · Intramuscular (IM) chemotherapy is used to treat cancer. Chemotherapy (chemo) is used to shrink the tumor or kill the cancer cells. IM chemo is given as an injection deep into a muscle in your arm, thigh, or buttock.
When is intramuscular (IM) administration indicated?
Jan 01, 2011 · Surgical excision is the best way to treat the symptomatic intramuscular, infiltrating lipoma. Careful preoperative evaluation and complete tumor excision with clear margins are most important to ensure successful surgical results. Intramuscular, infiltrating lipoma, Marginal excision, Wide excision.
What is the best treatment for intramuscular lipoma?
We consider that five-day intramuscular antibiotic therapy could be effective in the treatment of lower UTI and it can be recommended as a safe treatment modality in patients representing unwillingness to come to follow-up visits. Intramuscular antibiotic treatment of urinary tract infection. Indian J Pediatr.
What is intramuscular chemotherapy?
Feb 21, 2022 · Fertility shots are given intramuscularly (IM). This means the shot is given in the muscle. Your muscles are located under a layer of insulating fat that's under your skin. At first, the idea of giving yourself shots may seem overwhelming. With preparation and practice, though, it can become quick and painless.
What medication is used for intramuscular injection?
Drugs may be given intramuscularly both for prophylactic as well as curative purposes, and the most common medications include[2]: Antibiotics- penicillin G benzathine penicillin, streptomycin. Biologicals- immunoglobins, vaccines, and toxoids. Hormonal agents- testosterone, medroxyprogesterone.Feb 9, 2022
What are the recommended sites for giving an intramuscular injection?
There are four sites on your body that can be used to give yourself an intramuscular injection. These include the upper arm, thigh, hip, and buttocks. Make sure you are comfortable with the injection technique before you start giving yourself shots. A nurse or other healthcare provider can show you how to do it.Feb 21, 2022
What is the recommended site for adults when administering intramuscular injection?
Healthcare professionals often give intramuscular injections into the ventrogluteal muscle of the hip. This muscle is a very safe injection site for adults and infants more than 7 months old because it is thick and located away from major nerves and blood vessels.
What are the 5 injection sites?
IM injections are administered in five potential sites: deltoid (commonly used for adult vaccinations), dorsogluteal, ventrogluteal, rectus femoris, and vastus lateralis3,10,11 (Figure 1).Feb 22, 2013
How do you inject an IM injection?
Follow these steps for a safe intramuscular injection:Wash your hands. ... Gather all the needed supplies. ... Locate the injection site. ... Clean the injection site. ... Prepare the syringe with medication. ... Self-inject with a syringe. ... Inject the medication. ... Remove the needle.More items...
When treating an 80 kg 176 lb adult the nurse should inject the IM medication at which angle?
Intramuscular injections are administered at a 90-degree angle. Research has found administering medications at 10 seconds per mL is an effective rate for IM injections, but always review the drug administration rate per pharmacy or manufacturer's recommendations.
At what angle should you administer an intramuscular IM injection?
Insert needle at an 45o angle to the skin. Pinch up on SQ tissue to prevent injecting into muscle.
At what angle should intramuscular injections be given?
Overwhelmingly the evidence supports a 90 degree angle of needle insertion for intramuscular injection as being that most effective in terms of patient comfort, safety and efficacy of vaccine.
What Is Intramuscular Chemotherapy?
Intramuscular (IM) chemotherapy is used to treat cancer. Chemotherapy (chemo) is used to shrink the tumor or kill the cancer cells. IM chemo is giv...
How Long Will I Need to Have Im Chemotherapy?
The type of cancer you have will determine how long you will need to receive chemo. You may have more than one medicine given at a time. You may ne...
Where Will I Go to Get Chemotherapy?
You may get chemo in a clinic, or at home. You may need to see your caregiver every time you get a shot. If you get chemo at home, a caregiver spec...
What Tests and Treatments May I Need During Chemotherapy?
Tests will help your caregiver see how the chemo is working. It will also help him to see how your body is handling the chemo. You may need more th...
What Are The Risks of Im Chemotherapy?
You may have a severe reaction to the chemo. You may have pain in the area where you get your injection. Chemo may increase your risk of an infecti...
How Can I Care For Myself During Im Chemotherapy Treatment?
1. Prevent illness: Stay away from people who are sick. Stay away from children who have recently been vaccinated for chicken pox or polio. Ask for...
When Should I Contact My Caregiver?
Contact your caregiver if: 1. You have a fever. 2. The area where you got the injection is painful, red, or swollen. 3. You have nausea, are vomiti...
When Should I Seek Immediate Care?
Seek care immediately or call 911 if: 1. You have chest pain, shortness of breath, or trouble breathing. 2. You feel confused, or have a severe hea...
What is intramuscular injection?
An intramuscular injection is a technique used to deliver a medication deep into the muscles. This allows the medication to be absorbed into the bloodstream quickly. You may have received an intramuscular injection at a doctor’s office the last time you got a vaccine, like the flu shot. In some cases, a person may also self-administer an ...
How to isolate muscle injections?
To isolate the muscle and target where you’ll place the injection , spread the skin at the injection site between two fingers. The person receiving the injection should get into a position that’s comfortable, provides easy access to the location, and keeps the muscles relaxed.
Where to inject Vastus lateralis?
Divide the upper thigh into three equal parts. Locate the middle of these three sections. The injection should go into the outer top portion of this section.
Is ventrogluteal muscle safe for children?
The ventrogluteal muscle is the safest site for adults and children older than 7 months. It’s deep and not close to any major blood vessels and nerves. This site is difficult for self-injection, and may require the help of a friend, family member, or caregiver.
Is it normal to feel pain after an intramuscular injection?
It’s normal to experience some discomfort after an intramuscular injection. But certain symptoms may be a sign of a more serious complication. Call your doctor or healthcare provider right away if you experience: severe pain at the injection site. tingling or numbness.
How to clean a rubber stopper?
The rubber stopper should be cleaned with an alcohol swab. Draw air into the syringe. Draw back the plunger to fill the syringe with air up to the dose that you’ll be injecting. This is done because the vial is a vacuum and you need to add an equal amount of air to regulate the pressure.
How to insert a needle into a muscle?
Insert the needle. Hold the needle like a dart and insert it into the muscle at a 90-degree angle. You should insert the needle in a quick, but controlled manner. Do not push the plunger in.
What is intramuscular lipoma?
Intramuscular, infiltrating lipoma, unlike other subcutaneous lipoma, has characteristics of local invasion and recurrence, and may be accompanied by neuromuscular compression signs and symptoms.
Where is lipoma found?
Lipoma may occasionally be found within the muscle, which is the intramuscular, infiltrating lipoma. Intramuscular, infiltrating lipoma is an uncommon lesion, and local recurrence can be expected if the surgical margin is not clear. We report 8 patients in a 2-year period diagnosed with intramuscular, infiltrating lipoma who were treated by ...
Is lipoma a soft tissue tumor?
It is the most common form of soft tissue tumor. 1 Superficial subcutaneous tissues of the extremities and trunk are the most common areas in which they can be found. Usually, treatment of lipomas is not necessary, unless the tumors become painful or restrict movement.
Can lipomas be excision?
In most cases, lipomas can be treated by simple excision with minimal recurrence tendency. 2. A lipoma, however, may occasionally be noted within the muscles with a high tendency of invasion and dissociation of surrounding muscles; this is the intramuscular, infiltrating lipoma.
Do lipomas need MRI?
However, lipomas with deep, large or unusual in locations and with neurovascular compression symptoms need radiographic evaluation such as MRI to identify and localize these tumors. 4
What are the side effects of a syringe?
Make sure to keep an eye out for any side effects such as pain, redness, swelling, warmth, pus, or drainage at the injection site. Report anything you are concerned about to your doctor or nurse .
Where to give intramuscular injection?
There are four sites you can use to give yourself an intramuscular injection. The best locations for an IM injection are your upper arms, thighs, hips, and buttocks. These sites have large, easy to locate muscles and a little fatty tissue covering them.
Where is the deltoid muscle located?
Upper Arm (Deltoid Muscle) Your deltoid muscle is located in your upper arm, just below your shoulder. To mark this site, place the palm of your hand on your shoulder and spread your thumb apart from your other fingers to form an upside down V shape. Make sure that the middle of your arm is centered in your V.
Where is the vastus lateralis located?
Thigh (Vastus Lateralis Muscle and Rectus Femoris) Your vastus lateralis and rectus femoris muscles are located in your thigh. To properly mark these muscles, divide the front of your thigh into thirds from the top to the bottom of the thigh. To inject into the vastus lateralis, the needle should go into the middle third on the outer portion ...
What is an IM injection?
An intramuscular (IM) injection is a shot of medicine given into a muscle. Certain medicines need to be given into the muscle for them to work correctly.
How to form a V?
Form a V with your fingers by separating your first finger from the other 3 fingers. You will feel the edge of a bone along the tips of your little and ring fingers. The place to give the injection is in the middle of the V. The hip is a good place for an injection for adults and children older than 7 months. ...
Where is the acromion process?
This bone is called the acromion process. The bottom of it will form the base of the triangle. The point of the triangle is directly below the middle of the base at about the level of the armpit. The correct area to give an injection is in the center of the triangle, 1 to 2 inches below the acromion process. This site should not be used ...
Can you throw needles in the trash?
Do not throw needles into the trash. You may receive a hard plastic container made especially for used syringes and needles. You can also use a soda bottle or other plastic bottle with a screw lid. Make sure that both the syringe and needle fit into the container easily and cannot break through the sides.
How to get rid of cracks in buttocks?
With an alcohol wipe draw a line from the top of the crack between the buttocks to the side of the body. Find the middle of that line and go up 3 inches. From that point, draw another line down and across the first line, ending about halfway down the buttock.
Can you refuse treatment?
You always have the right to refuse treatment. The above information is an educational aid only. It is not intended as medical advice for individual conditions or treatments. Talk to your doctor, nurse or pharmacist before following any medical regimen to see if it is safe and effective for you.
How to keep track of injections?
Keep track of where the injections are given: Make a list of the sites you use. Write down the date, time, and the site each time you give an injection. Change sites for the injections: It is important to use a different site each time you give an injection. This helps prevent scars and skin changes.
What is the meaning of the shot?
After the discovery of penicillin in the early 1940s, “the shot” became associated with a dramatic reversal of illness. Since then, injections have continued to represent a powerful medical symbol. 1 Physicians and patients may perceive an injection as being more potent than standard oral treatment, and physicians may favor this route when treating a sick patient. 1 However, this approach is not supported by the literature. 1, 2
How much B12 is needed for pain?
Oral vitamin B 12 at a dosage of 2,000 mcg per day is an effective treatment for B 12 deficiency in the short term. Intramuscular ketorolac (Toradol, no longer available for injection) is no more effective for pain syndromes than oral ibuprofen or other oral nonsteroidal anti-inflammatory agents.
Where is Mark Shatsky?
He completed a family medicine residency at Hinsdale Hospital, Hinsdale, Ill., and completed a primary care fellowship at Michigan State University in East Lansing. ...
Can you take antibiotics for pneumonia?
However, oral antibiotics are the treatment of choice for the outpatient treatment of pneumonia and most other outpatient bacterial infections. Oral corticosteroids are as effective as intramuscular corticosteroids and are well-tolerated by most patients. High daily doses of oral vitamin B 12 with ongoing clinical surveillance appear ...
What antibiotics are used for pneumonia?
Oral antibiotics are recommended for the outpatient treatment of pneumonia. Intramuscular penicillin G benzathine is the recommended treatment of choice for Treponema pallidum infections, and intramuscular ceftriaxone (Rocephin) is recommended for Neisseria gonorrhoeae infections and pelvic inflammatory disease.
What is the best treatment for asthma?
For acute asthma exacerbation and croup, systemic corticosteroids are the recommended treatment. 18 – 27 Corticosteroids have been shown to lead to symptom improvement, fewer hospitalizations, and fewer return visits for both conditions. 18 – 27 Although much of the data regarding the treatment of asthma and croup are based on emergency department and hospital encounters, there is a growing body of evidence indicating that oral treatment and IM treatment are equally effective. 22 – 27 One study also found that oral prednisolone (Prelone) is not inferior to IM prednisolone (Predalone; brand no longer available in the United States) in treatment for exacerbations of chronic obstructive pulmonary disease. 28
What is the cause of STIs?
Sexually transmitted infections (STIs) caused by the bacteria Neisseria gonorrhoeae (gonococcal infections) have increased 63% since 2014 and are a cause of sequelae including pelvic inflammatory disease, ectopic pregnancy, and infertility and can facilitate transmission of human immunodeficiency virus (HIV) ( 1, 2 ).
What is antimicrobial stewardship?
The 2019 report on antimicrobial resistance threats in the United States ( 3) highlights that antimicrobial stewardship, i.e., the development, promotion, and implementation of activities to ensure the appropriate use of antimicrobials, remains a major public health concern.
Can you take azithromycin while pregnant?
During pregnancy, azithromycin 1 g as a single dose is recommended to treat chlamydia. Alternative regimens for uncomplicated gonococcal infections of the cervix, urethra, or rectum if ceftriaxone is not available: Gentamicin 240 mg IM as a single dose plus azithromycin 2 g orally as a single dose OR.
What is clinical trial?
Clinical trials can test a new drug , a new combination of standard treatments, or new doses of standard drugs or other treatments. Clinical trials are an option to consider for treatment and care for all stages of cancer. Your doctor can help you consider all your treatment options.
How does chemotherapy work?
Chemotherapy. Chemotherapy is the use of drugs to destroy cancer cells, usually by keeping the cancer cells from growing, dividing, and making more cells. A chemotherapy regimen, or schedule, usually consists of a specific number of cycles given over a set period of time.
What is cancer care team?
Cancer care teams include a variety of other health care professionals, such as physician assistants, nurse practitioners , oncology nurses, social workers, pharmacists, counselors, dietitians, and others.
What is it called when a NET spreads to another part of the body?
If a NET spreads to another part in the body from where it started, doctors call it metastatic cancer. If this happens, it is a good idea to talk with doctors who have experience in treating it. Doctors can have different opinions about the best standard treatment plan. Clinical trials might also be an option. Learn more about getting a second opinion before starting treatment, so you are comfortable with your chosen treatment plan.
Why is shared decision making important?
Shared decision making is when you and your doctors work together to choose treatments that fit the goals of your care. Shared decision making is particularly important for a NET because there are different treatment options. Learn more about making treatment decisions.
What is the procedure to remove a tumor?
Surgery. Surgery is the removal of the tumor and some surrounding healthy tissue during an operation. A surgical oncologist is a doctor who specializes in cancer surgery. Completely removing the entire tumor is the standard treatment, when possible.
How do you give a systemic treatment?
Common ways to give systemic therapies include an intravenous (IV) tube placed into a vein using a needle, in a pill or capsule that is swallowed (orally), and intramuscular (IM) injections. This type of medication can reach cancer cells throughout the body. Systemic therapies are generally prescribed by a medical oncologist, a doctor who specializes in treating cancer with medication.
