How do you insert IM?

Hold the skin around where you will give the injection: With your free hand, gently press on and pull the skin so that it is slightly tight. Insert the needle into the muscle: Hold the syringe barrel tightly and use your wrist to inject the needle through the skin and into the muscle at a 90 degree angle.

Can you give 4ml IM?

Overall, 5 mL has been cited for adults as the maximum volume for a single IM injection, with lower maximums proposed for adult patients with less-developed or small muscle mass.

What happens if IV injection is given IM?

Intravenous and intramuscular injections may cause damage to a nerve, leading to palsy or paralysis. Intramuscular injections may cause fibrosis or contracture. Injections also cause localized bleeding, which may lead to a hematoma.

Do you aspirate im injections?

Aspiration is most commonly performed during an intramuscular (IM) or subcutaneous (SC) injection, and is meant to ensure that the needle tip is located at the desired site, and has not accidentally punctured a blood vessel.

How much volume is an IM injection?

An intramuscular (IM) injection is the administration of medication through the cutaneous and subcutaneous layers, into the muscle. Solutions up to a volume of 5ml in large muscles, and 2ml in smaller muscles, may be used.

Is IM injection painful?

Although intramuscular (IM) injection is among the common techniques for delivering medications [1], it can lead to pain and discomfort in patients [2]. The results of one study showed that 40% of patients who received IM injections described their experience as very painful [3] .

What is Z technique IM injection?

The Z-track method is a type of IM injection technique used to prevent tracking (leakage) of the medication into the subcutaneous tissue (underneath the skin). During the procedure, skin and tissue are pulled and held firmly while a long needle is inserted into the muscle.