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INTRAMUSCULAR INJECTION

A. Welman

January 2012

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OUTCOMES:

List the indications for IM medication injections.

Explain the principles of IM injections. Administer safely and implement

preventative precautions. Perform patient assessment before

procedure. Using the medication formula, determine

correct dose. Maintain sterility during procedure. Complete documents correctly.

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REFRENCES:

Mulder, part 2. p. 445

Dosages for injections in workbook.

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PRINCIPLES: Identification and allergies. Check medication and prescription chart 3 times.

Date Drug Dose Time route

5 Golden rules. Select the correct size needle. Ensure area is clean and well lighted. Do not inject:

Paralysis. Necrotic tissue. Skin allergy present Painful muscle Skin scars/moles or rash Inflammation

Ask for assistance in children or incapacitated adult. Keep needles and syringes from view.

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STEPS:

1. Checks Medication for:

Name Expiry date Cloudiness Colour change Sediment Strength

2. Planning3. Preparing injection4. Administration5. Documentation

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DETERMINE INJECTION DOSE:

Dose needed X Volume diluted inDose in stock 1= ml

Practice:Prescribed: 100mg. You have 2 500mg in 5ml.200mg. You have 2G in 10ml.

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LINKS TO VIDEOS:

z-techniquehttp://www.youtube.com/watch?v=IPp28ZGgobw

Holding the syringehttp://www.youtube.com/watch?v=BFwXlT1X1NM

Area for injectionhttp://www.youtube.com/watch?v=HUFwaLwhCOU&feature=results_main&playnext=1&list=PL62D1879109DFC0E8

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QUESTIONS

Please! Make an appointment with the clinical preceptor allocated to your clinic for the skill as soon as possible