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Rationale for IM inj
Question | Answer |
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Why would we change the needle before administering an IM inj? | Because the outside of a new needle is free of medication, it does not irritate subcutaneous tissues as it passes into the muscle. |
What do we identify the patients identity before administering an IM inj? | this ensures that the right client gets the medication. |
Why is proper positioning important in giving an IM inj? | Appropriate positioning promotes relaxation to the target muscles. |
Why would we give a patient relevant information about effects of the medication we are given them? | Information can facilitate acceptance of and compliance with therapy . |
If injections are to be given frequently, alternate sites. Avoid using the same site twice in a row. Why? | this is to reduce the discomfort of intramuscular injections. |
Why would you allow the skin to dry prior to injecting IM? | This will help reduce the discomfort of the injection. |
If using a pre-filled unit dose medication, take caution to avoid dripping medication on the neddle. If this happens wipe the needle with a sterile gauze or change the needle.Why? | Medication left on the needle can cause pain when it is tracked through the subcutaneous tissue. |
Why would you want to pinch the muscle of an emaciated patient or a child? | Pulling the skin and the subcutaneous tissue or pinching the muscle makes it firmer and facilitates needle insertion. |
What is the purpose of piercing the skin smoothly and quickly when giving an injection? | Using a quick motion lessens the discomfort. |
Why would you aspirate for 5-10 seconds on an IM injection? | If the needle is in a small vessel, it takes time for the blood to appear. |
After aspiration, if blood appears, you would discard the syringe and start over. Why? | this step determines whether the needle has been inserted in a blood vessel. |
What is the purpose of injecting medication slowly? | Injecting medication slowly promotes comfort and allows time for tissue to expand and begin absorption of medication. |
After injecting medication, withdraw the needle smoothly at the same angle of insertion.Why? | This minimizes tissue injury. |
Apply gentle pressure at the site with a dry sponge. Why? | Use of an alcohol swab may cause pain or a burning sensation. |