CPMS COLLEGE OF NURSING

ASSIGNMENT
ON
INTRAMUSCULAR INJECTION

DATED: 19TH MAY, 2021

SUBJECT: CHILD HEALTH NURSING

SUBMITTED TO SUBMITTED BY:

MAAM ARCHANA DAS PATE YASUK

ASSOCIATE PROFESSOR M.SC 1st YEAR

M.Sc. (N) CHILD HEALTH NURSING CHILD HEALTH

CPMS COLLEGE OF NURSING CPMS COLLEGE OF NURSING

INTRAMUSCULAR INJECTION

Introduction

Injections Of any kind can hurt; children know that pain is predictable. Preparation for an
intramuscular injection should be done just before giving the injection, so that children do not
have time to build up the anxieties about the procedure. The pediatric nurse needs to be
competent enough to give intramuscular injections.

Definition

1. An intramuscular injection is when medication is injected deep into the muscles, is

called intramuscular injection.
2. Intramuscular injection is the injection of a substance directly into muscle.

Purposes of Injection

To get a rapid and systemic effect of the drug.

To help in quick absorption than oral drug.
To provide means of administration for medication that cannot be given orally or IV
To provide the needed effect even when the child is unconscious/very small or unable to
swallow/ when peripheral line is not accessible.

Different Sites of giving Intramuscular Injections

1. Vastus lateralis: Palpate to find greater trochanter and knee joints, divide
vertical distance between these two landmarks into three equal parts, inject into
middle one-third.
2. Ventrogluteal: Palpate to locate greater trochanter, anterior superior iliac
tubercle and posterior iliac crest: place palm of hand over greater trochanter,
index finger over anterior superior iliac tubercle and middle finger along crest of
ilium, posteriorly as far as possible inject into centre of "V" formed by fingers.
 3. Dorsogluteal: Locate greater trochanter and postetior superior iliac spine,
draw imaginary line between these two points and inject into lateral and superior
to line into gluteus maximus or medius muscle.
4. Deltoid: Locate acromian process, inject only into upper third of muscle that
begins about two finger breadths below acromian but is above axilla.

Determining the Site

Factors that are considered when selecting site for an 1M injection on an infant or child include
the following:

The amount and character of the medicine to be injected.

The amount and general condition of the muscle mass.
The frequency or number of injection to be given during the course of treatment.
Factors that may impede across or cause contamination of the site.
The child’s ability to assume the required position safely.

Articles Required

1. Sterile tray with sterile gauze piece lining for injection.

2. Syringe and appropriate size needle (23/24 G).
3. Extra needle (20/22 G), if medication is drawn from vial.
4. Spirit swabs.
5. Injection in the form of vial or ampule.
6. Ampule cutter.
7. Medication card.
8. Kidney tray and paper bag.

Steps of the Procedure

1. Arrange all articles at the bed side.

2. Check medicine card with patient's chart for name, hospital number, drug to be
administered d route of administration and time of administration (7R).
3. Prepare medication from ampule or vial asceptically. Be sure that all air is expelled.
 4. Provide privacy (if the child is older).
5. Explain to mother/child.
6. Assess the site of giving 1M injection.
7. Position and expose appropriate site.
8. Locate the anatomical site for giving 1M injection.
9. Clean the site with cotton swab moistened with spirit.
10. Ensure that the site is dry.
11. Grasp the body of muscle between thumb and fingers.
12. Secure and hold the child firmly.
13. Insert the needle quickly at 90 into muscles.
14. Withdraw the piston and push the injection slowly.
15. Talk to the child during the procedure.
16. Quickly remove the needle and apply firm pressure. Do not massage.
17. Give the child comfortable position.
18. Discard the waste properly as per the biomedical waste disposal rules.
19. Observe the site for any bleeding, redness.
20. Record date, time and name of the drug, dosage and route in nurse's record signature of
nurse is mandatory.

Complications of Injection

Induration.
Allergic reactions.
Infection.
Pyogenic reaction.
Pain.
Trauma.
Psychological stress.
Over dosage or under dosage.
Errors in the administration of medication.
REFERENCE

PEDIATRIC NURSING PROCEDURES, KALIA RAMAN, SECOND EDITION.

JAYPEE BROTHERS MEDICAL PUBLISHERS (P) LTD.

NEW DELHI 110002, INDIA.