Do you pinch skin for IM injection?
Insert needle at an 45o angle to the skin. Pinch up on SQ tissue to prevent injecting into muscle.
How do you give a flu shot in the arm?
The armpit marks the lower border for a good injection. The needle should be held at a 90 degree angle to the arm, with the thumb and forefinger in a V keeping the deltoid muscle visible during the injection. Clear directions and an informative graphic can be found in the Canadian Family Physician article.
How do you give a painless deltoid injection?
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.
What happens if deltoid injection is too high?
Shoulder injections are typically given in the deltoid muscle. 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.
What happens if you give an IM injection too low?
An IM arm injection is intended for the deltoid, a virtually invisible muscle under the skin. Too high, it will be given into the tendon or shoulder capsule. Too low and you could hit the brachial nerve or a major artery. To be fully effective, an IM vaccine must be injected into the muscle.
What length needle is used for IM injections?
Intramuscular (IM) injections
Needle length is usually 1″–1½”, 22–25 gauge, but a longer or shorter needle may be needed depending on the patient’s weight. Note: An alternate site for IM injection in adults is the anterolateral thigh muscle.
What happens if you don’t aspirate when giving an IM injection?
Many who did not aspirate felt that aspiration resulted in increased pain. The two RCT’s found that a slower technique that included 5–10 second aspiration were assessed as more painful than a 1–2 second ‘faster’ technique without aspiration (both these studies were in the paediatric setting).
How do you know if you give an IM injection wrong?
However, within 30 minutes or so, more serious symptoms can develop, including:
- Coughing, wheezing, and shortness of breath.
- Chest tightness.
- Dizziness or fainting.
- Rapid or irregular heartbeat.
- Weak pulse.
- Facial swelling.
- Swollen or itchy lips or tongue.