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Perform hand hygiene. For IM (intramuscular) injections, an adult would use a 21-23 gauge needle 1 to 1.5 inches long. - 5-mL syringe; 2-inch (5-cm), 20-gauge needle - 1 mL syringe; -inch (1.25-cm), 26-gauge needle -insulin syringe; 1-inch (2.5-cm), 16-gauge needle - 1 mL syringe; -inch (1.25-cm), 26-gauge needle A nurse is using the Z-track technique to administer an injection to a client. The deltoid muscle has a triangular shape and is easy to locate and access, but is commonly underdeveloped in adults. If the gluteal muscle must be used, care should be taken to define the anatomic landmarks. This is the preferred site for anaphylaxis 108 volume 39 | number 2 March/April 2014 O ver the past decade, the childhood vaccine schedule has increased in complexity. chapter 20 craven questions Flashcards | Quizlet For men and women who weigh 130-152 lbs (60-70 kg), a 1-inch needle is sufficient. Thank you for taking the time to confirm your preferences. Assess the patient for specific contraindications to receiving the medication and advise the practitioner accordingly. Cookies used to track the effectiveness of CDC public health campaigns through clickthrough data. However, the immunogenicity for persons aged 65 years is inadequate, and varying the recommended route and dose either with the intradermal product licensed through 64 years of age or with other influenza vaccines is not recommended (24). The purpose of IM injections is to administer medication safely into the muscle below the subcutaneous layer. The most appropriate sites for IM injections are the vastus lateralis (anterolateral thigh) for infants and toddlers and the deltoid muscle for pediatric patients 3 years and older.6 Selection of the injection site is based on the patients age, muscle mass, medication volume, and medication viscosity. Pediatric Intramuscular Injections Guidelines for Best Practice Author Information . Using the vastus lateralis muscle avoids the risk of sciatic nerve damage from gluteal injection. The injection site affects how much fluid can be given and how quickly the medication will be absorbed. Introduce yourself to the patient and family. Chapter 5: Pain assessment and management in children. Injection Site Injection Angle Maximum Volume per Injection Notes Intramuscular Preterm (<37 weeks GA) (up to 2 months PNA and/or very small infants) 5/8 inch (16 mm); 22-25 gauge Vastus lateralis/ anterolateral thigh 90 0.5 mL -Aspiration for blood return is not necessary. The ventrogluteal muscle can accommodate up to 2.5 ml, with a maximum volume of 3 ml.