1. Intramuscular Injection，IM

2. Learning Objectives
◊ To understand the definition of intramuscular injection
◊ To master the sites of intramuscular injection
◊ To master the implementation of intramuscular injection

3. Definition
Intramuscular injection is the method to inject certain medication solutions into muscles.

4. Sites General principle： the sites should have well developed muscles,
be away from large nerves, blood vessels and bones.

5. Sites Dorsogluteal Muscle (Gluteus Maximus)
Ventrogluteal Muscle (Gluteus Medius & Gluteus Minimus)
Deltoid Muscle
Vastus Lateralis Muscle

6. Dorsogluteal Muscle

8. Ventrogluteal Muscle

9. Deltoid Muscle

10. Vastus Lateralis Muscle

11. How should we implement
the intramuscular injection?

12. Assess the condition of the patient.

13. Wash hands and wear mouth mask.

14. Prepare equipments. appropriate disposable syringe and needle
sterile swabs
disinfectant (iodine tincture & alcohol)
medication (drug)

15. Carry the equipments to the bedside.
Explain the injection to the patient.

16. Draw up the medication solution.

17. Pull the curtain for privacy.
Position the patient for access to the injection site.

18. Select the appropriate injection site.

19. Clean the site with iodine tincture & alcohol swabs
using a circular motion.

20. Allow the skin to air-dry.
Place the dry swab between the third and fourth finger
of your left hand.

21. Remove the needle guard. Eject air in syringe thoroughly.

22. Using your left hand, make the skin taut.

23. Insert the needle through the skin
with a quick dartlike thrust at 90 degrees angle.

24. Put back gently on the plunger
to be sure the needle is not in a blood vessel.

25. If no blood appears in the syringe， inject the medication slowly.

26. Remove the needle quickly. Press the injection site with the dry swab.

27. Wash hands and record.

28. Notices 1.Check principles 2.Sterile technique
3.Two quicks and one slow 28

29. Check principles Three checks and seven rights
Three checks include:
Check before intervention
Check during intervention
Check after intervention
Seven rights include:
Client’s name, bed number, medication’s name, concentration, dose, route, time. 29

30. Buttocks abscess 30

31. Two quicks and one slow Quick withdrawal Quick insertion of needle
Slow injection
of medication 31

32. Summary
Definition
Sites
Implementation

33. References

34. Thank you ！