-
7/30/2019 How to Administer Intramuscular
1/5
How to Administer Intramuscular (IM) Vaccine
InjectionsAdminister these vaccines by the intramuscular (IM)
route: Diphtheria-tetanus (DT, Td) with pertussis (DTaP, Tdap);
Haemophilus influenzae type b (Hib); hepatitis A (HepA); hep(HepB);
human papillomavirus (HPV); inactivated influenza (TIV);
quadrivalent meningococcal conjugate (MCV4); and pneumococcal
conjugate (PCV). Administer inactivated poliand pneumococcal
polysaccharide (PPSV23) either IM or SC.Patient age
Newborn (028 days)
Use a needle long enough to reach deep into the muscle.
Insert needle at a 90 angle to the skin with a quick thrust.
(Before administering an injection of vaccine, it is not
necessary to aspirate, i.e., to pull back on the syringe plunger
after needle insertion.
)
Multiple injections given in the same extremity should be
separated by a minimum of 1", if possible.
Infant (112 months)
Anterolateral thigh muscle
1" (2225 gauge)
11" (2225 gauge)
Anterolateral thigh muscle
Toddler (12 years)
Alternate site: Deltoid muscle of arm if muscle mass is
adequate
1"* (2225 gauge)
90angle
1"* (2225 gauge)
skin
Deltoid muscle (upper arm)
Children (318 years)
11" (2225 gauge)
subcutaneous tissue
Alternate site: Anterolateral thigh muscle
muscle
Deltoid muscle (upper arm)Adults 19 years and older
11" (2225 gauge)
Alternate site: Anterolateral thigh muscle
*A " needle may be used only if the skin is stretched tight, the
subcutaneous tissue is not bunched, and injection is made at a 90
angle.
A " needle is sufficient in adults weighing
-
7/30/2019 How to Administer Intramuscular
2/5
www.immunize.org/catg.d/p2020.pdf Item #P2020 (11/10)
Technical content reviewed by the Centers for Disease Control
and Prevention, November 2010.
Immunization Action Coalition 1573 Selby Ave. St. Paul, MN 55104
(651) 647 -9009 www.immunize.org www.vaccineinformation.org
admin@immunize
-
7/30/2019 How to Administer Intramuscular
3/5
How to Administer Subcutaneous (SC) Vaccine InjectionsAdminister
these vaccines by the subcutaneous (SC) route: measles, mumps, and
rubella (MMR), varicella (VAR), meningococcal polysaccharide
(MPSV4), and zoster (shingles[ZOS]). Administer inactivated polio
(IPV) and pneumococcal polysaccharide (PPSV23) vaccines either SC
or IM.
Injection site
Needle size
Patient age
Needle insertion
Pinch up on subcutaneous (SC) tissue to
prevent injection into muscle.
Insert needle at 45 angle to the skin.
(Before administering an injection of vaccine, it
is not necessary to aspirate, i.e., t o pull backon the syringe
plunger after needle insertion.*)
Multiple injections given in the
same extremity should be
separated by a minimum of 1".
Fatty tissue over the
anterolateral thigh muscle" needle, 2325 gauge
Birth to 12 mos.
45angle
skin
Fatty tissue
over
anterolateral
thigh or fatty
tissue over
triceps
" needle, 2325
gauge
subcutaneous
tissue
12 mos.
and older
*CDC. ACIP
General
Recommend
ations on
Immunizatio
n at www.immunize.org/acip
muscle
SC site for children (after the 1st birthday) and adultsSC site
for infantsacromion
SC injection site(shaded area)
elbow
SC injection site(shaded area)
Insert needle at a 45 angle into fatty tissue of the
anterolateral thigh. Make sure
you pinch up on SC tissue to prevent injection into the
muscle.
Insert needle at a 45 angle into the fatty tissue over the
triceps muscle. Make sure
you pinch up on the SC tissue to prevent injection into the
muscle.
-
7/30/2019 How to Administer Intramuscular
4/5
www.immunize.org/catg.d/p2020.pdf Item #P2020 (11/10)
Technical content reviewed by the Centers for Disease Control
and Prevention, November 2010.
Immunization Action Coalition 1573 Selby Ave. St. Paul, MN 55104
(651) 647-9009
www.immunize.org www.vaccineinformation.org [email protected]
Angka 1 diwakili oleh jari
telunjuk, 2 diwakili jari telunjuk dan jari tengah demikian
seterusnya sampai 4 ditunjukkan ketika jari
telunjuk sampai kelingking terbuka.
Angka 5 diwakili oleh jempol saja. Lalu 6 ditunjukkan dengan
jempol dan telunjuk, demikianseterusnya hingga angka 9 ditunjukkan
jika semua jari tangan kanan terbuka.
Contoh : 1 + 5 + 3 2 = 7
1 (buka jari telunjuk)
+5 (buka jempol)
+3 (buka jari tengah, jari manis, kelingking)
-2 (tutup jari kelingking dan jari manis)
sampai disini kita akan mendapati jempol, jari telunjuk dan jari
tengah terbuka dan ini menunjukkan
angka 7.
Jika sudah terbiasa, maka dengan sendirinya jari-jari akan
bergerak dengan lincah.
Metode Jarimatika ini bisa digunakan untuk operasi penjumlahan
dan pengurangan sampai
dengan 9999 dan untuk operasi perkalian/pembagian 2-3 digit
(atau bahkan lebih)?
Untuk informasi selengkapnya mengenai jarimatika ini dapat
menghubungi alamat di bawah ini:
www.jarimatika.com
KANTOR PUSAT :
Jl. Margosari PR 4 Salatiga
Telp : 0298 325016
HP : 0812 867 1598
CABANG MAKASSAR :
Kursus & Sanggar Anak MENTARI
Jl. Pengayoman
Ruko Jasper III No. 11
Panakkukang Mas Makassar
Telp: (0411) 435566
Untuk Tekhnik Dasar Jarimatika Mungkin Rumus Dibawah Ini Bisa
Membantu
Teknik Jarimatika
1)Penjumlahan dan PenguranganTangan Kanan sebagai satuan dan
tangan kiri sebagai puluhan.
Tangan Kanan:
- Telunjuk dibuka = 1
- (Telunjuk + Jari Tengah) dibuka = 2
- (Telunjuk + Jari Tengah + Jari manis) dibuka = 3
- (Telunjuk + Jari Tengah + Jari manis + Kelingking) dibuka =
4
- (Telunjuk + Jari Tengah + Jari manis + Kelingking) ditutup +
Jempol dibuka
= 5
- (Jempol + Telunjuk) dibuka = 6
- (Jempol + Telunjuk + Jari Tengah) dibuka = 7- (Jempol +
Telunjuk + Jari Tengah + Jari Manis) dibuka = 8
- (Jempol + Telunjuk + Jari Tengah + Jari Manis + Kelingking)
dibuka = 9
Tangan Kiri:
- Telunjuk dibuka = 10
- (Telunjuk + Jari Tengah) dibuka = 20
- (Telunjuk + Jari Tengah + Jari manis) dibuka = 30
- (Telunjuk + Jari Tengah + Jari manis + Kelingking) dibuka =
40
http://www.jarimatika.com/http://www.jarimatika.com/http://www.jarimatika.com/
-
7/30/2019 How to Administer Intramuscular
5/5
- (Telunjuk + Jari Tengah + Jari manis + Kelingking) ditutup +
Jempol dibuka
= 50
- (Jempol + Telunjuk) dibuka = 60
- (Jempol + Telunjuk + Jari Tengah) dibuka = 70
- (Jempol + Telunjuk + Jari Tengah + Jari Manis) dibuka = 80
- (Jempol + Telunjuk + Jari Tengah + Jari Manis + Kelingking)
dibuka = 90
Check with your doctor or nurse to make sure your baby is
receiving all vaccinations onschedule. Many times vaccines are
combined to reduce the number of injections. Be sure youask for a
record card with the dates of your babys vaccinations; bring this
with you to everyvisit.
Heres a list of the diseases your baby will be protected
against:
HepB: hepatitis B, a serious liver disease
DTaP: diphtheria, tetanus (lockjaw), and pertussis (whooping
cough)
PCV: pneumococcal conjugate vaccine protects against a serious
blood, lung, and brain infection
Hib: Haemophilus influenzaetype b, a serious brain, throat, and
blood infection
Polio: polio, a serious paralyzing disease
RV: rotavirus infection, a serious diarrheal disease
Influenza: a serious lung infection
MMR: measles, mumps, and rubella
HepA: hepatitis A, a serious liver disease
Chickenpox: also called varicella
