Vaccine Administration: Intramuscular (IM) injections: Adults The site provides the greatest thickness of gluteal muscles, is free from penetrating nerves and blood vessels, and has a thin layer of fat. Begin by having the patient relax the arm. Once medication is completely injected, remove the needle using a smooth, steady motion. Follow the organizations practice for emergency response. Retrieved February 11, 2023, from https://www.cdc.gov/vaccines/hcp/acip-recs/general-recs/index.html. 70% isopropyl swab for 30 Thanks. Evidence does not support use of antipyretics before or at the time of vaccination; however, they can be used for the treatment of fever and local discomfort that might occur following vaccination. The recommended Intramuscular Injection: Definition and Patient Education - Healthline If the skin is stretched tightly and Use the correct needle length (5/8- to 1.5-inch needle). Explain the procedure and the medication, and give the patient time to ask questions. Immune responses generated by jet injectors against both attenuated and non-live viral and bacterial antigens are usually equivalent to, and occasionally greater than, immune responses induced by needle injection. In certain circumstances (e.g., physical obstruction to other sites and no reasonable indication to defer doses), the gluteal muscle can be used. Deltoid injection The deltoid muscle is located by fully exposing the patients upper arm and shoulder and asking the patient to relax the arm at the side or by supporting the patients arm and flexing the elbow. Complications with IM include muscle atrophy, injury to bone, cellulitis, sterile abscesses, pain, and nerve injury (Hunter, 2008; Ogston-Tuck, 2014a). Verify expiry date and check for particulates, discoloration, or loss of integrity (sterility). A longer needle with a larger gauge is required to penetrate deep muscle tissue.
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