Should not The dorsogluteal site be used for intramuscular injection?
Should Not The Dorsogluteal Site Be Used for Intramuscular Injection? The present review was conducted for the purpose of explaining the reasons why the dorsogluteal site should not use for intramuscular injection based on evidence. Intramuscular injection is the method used in administering medications into a large muscle mass of the body.
What is the difference between ventrogluteal and dorsogluteal injections?
Due to the location of the injection site, the ventrogluteal injection site is only slightly easier to reach than the dorsogluteal site, but those who are injecting themselves mostly find it easier than trying to twist and turn to find the other location. Finding the exact injection location, however, is still quite challenging in this site.
Why is The dorsogluteal site so close to the sciatic nerve?
Because the dorsogluteal site is close to the sciatic nevre and the superior gluteal nerve and artery and subcutaneous tissue at the dorsogluteal site is thick. In order to avoid complications as a result of intramuscular injection nurses knowledge need to be updated.
Where is The dorsogluteal im site?
The first thing to understand about the dorsogluteal im site is where it is located. For a visual, you should divide the buttocks into four quadrants. To locate the site of injection you will simply find the upper and outer section of that grid. It is located high on the buttocks, near the thigh.
Why is the ventrogluteal site preferred over Dorsogluteal?
With studies in recent years, it is recommended to use of ventrogluteal site instead of dorsogluteal site for injection because of it is away from the sciatic nerve and large blood vessels, it is more easy to identify and for reasons such as the subcutanous tissue is being more thinner for intramuscular injection.
What site is no longer recommended for IM injection Why?
Additionally, the rectus femoris (the middle third of the rectus femoris) is no longer a recommended site because it may cause discomfort and pain. A previous study reported that one disadvantage of this site is that nerves and numerous blood vessels run very close to it.
Which site is not recommended for intramuscular injections?
Dorsogluteal muscles of the buttocks This site in the dorsogluteal muscle is difficult to use for self-injection and is not recommended. You should not use an injection site that has evidence of infection or injury.
What are the cons of using the ventrogluteal site?
While ventrogluteal injections are one of the safest types of IM injection, they carry the same risks as any other injection, including:pain.injury to bone, blood vessels, or nerves.infection.abscesses.muscle atrophy.
Is Dorsogluteal recommended for IM injections?
Injections into the dorsogluteal region not only risk damaging sciatic nerve, it is also not a good site for IM injections.
What is the difference between Dorsogluteal and ventrogluteal?
Background. Although the dorsogluteal region is frequently used for intramuscular injections, the ventrogluteal region is suggested as a more secure injection site due to its distance to the neurovascular structures.
What are the two good sites for intramuscular injection?
There are four sites on your body that can be used to give yourself an intramuscular injection. These include the upper arm, thigh, hip, and buttocks. Make sure you are comfortable with the injection technique before you start giving yourself shots.
Where is the Dorsogluteal injection site?
On the outside of the thigh between the hip and the knee. Gluteus Medius. These are called dorsogluteal injections. It's an injection into the buttocks.
How do you find the Dorsogluteal injection site?
To locate the muscle, place the palm of a hand over the greater trochanter of the femur, facing the index finger and thumb towards the umbilicus, along the anterior iliac spine. Place the middle finger toward the iliac crest creating a 'V' shape. The injection is given in the middle of the 'V'.
What happens if IM injection hit blood vessel?
If you see blood in the syringe, you have hit a blood vessel. If you hit a vessel, pull the needle out of the skin. Get rid of the needle and syringe, and prepare a new syringe with medicine. Insert the new needle in a different spot, and check again to see if there is blood.
How much can you inject into ventrogluteal?
For the ventrogluteal muscle of an average adult, give up to 3 ml of medication. The vastus lateralis is commonly used for immunizations in children from infants through to toddlers.
When injecting an intramuscular vaccine in the deltoid what part of the deltoid should be avoided?
To avoid causing an injury, do not inject too high (near the acromion process) or too low. thrust. by a minimum of 1". Give in fatty tissue over the triceps.
Can you give EPI IM in the deltoid?
Epinephrine (Adrenalin) There are 3 studied routes for epinephrine administration: IM in the deltoid muscle, SQ in the upper arm, and IM in the lateral thigh.
What is the site for IM injections?
There are four sites on your body that can be used to give yourself an intramuscular injection. These include the upper arm, thigh, hip, and buttocks. Make sure you are comfortable with the injection technique before you start giving yourself shots. A nurse or other healthcare provider can show you how to do it.
Can you give EPI IM in the arm?
ROUTES OF ADMINISTRATION If administering epinephrine by vial or ampule, it is also recommended to do so ONLY subcutaneously on the lateral thigh, and NOT the arm if possible.
How long do nurses stay on the DG site?
The nurses who had been in nursing the longest were most likely to use the DG site (81% for 20 plus years versus 41% for one to four years) and newer nurses were most likely to use the VG site (44% for one to four years versus 5% for 20 plus years).
What is the most frequent complication of DG?
Patient discomfort was the most frequent complication -- 78% for the DG site, 88% for the VG site, 90% for the vastus lateralis site and 100% for the deltoid site.
What site do nurses use for intramuscular injections?
Seven out of ten hospital nurses who took part in a Canadian study used the dorsogluteal (DG) buttock site to administer intramuscular injections -- despite the potential risks of sciatic nerve injury -- with only 14% using the ventrogluteal (VG) hip site recommended by the nursing literature.
What site do nurses use?
71% of the nurses preferred using the DG site (buttock), 14% the VG site (hip), 7% the deltoid site (upper arm) and 7% the vastus lateralis site (thigh).
What is the relationship between site selection and awareness of potential nerve injury?
The relationship between site selection and awareness of potential nerve injury was significant. 74% of nurses who routinely used the DG site recognised the potential for nerve injury, but 26% did not. 70% of nurses who used the VG site stated correctly that nerve damage was not a recognised complication, but 30% thought it was.
How many nurses use VG?
Site selection varied significantly with age. 67% of nurses aged 20-24 used the VG site. The figures then declined rapidly by age group to 28% (25 to 29 years), 10% (30 to 39), 5% (40 to 49) and 8% (50 plus).
Can nurses shorten the length of stay in the emergency department?
Aug. 24, 2016 — Protocols allowing nurses to administer certain types of treatment in the emergency department can dramatically shorten length of stay for patients with fever, chest pain, hip fractures and vaginal ...
Where is the dorsogluteal im site?
To locate the site of injection you will simply find the upper and outer section of that grid. It is located high on the buttocks, near the thigh.
What is dorsogluteal injection?
Dorsogluteal injections are one of the most common ways that doctors and patients choose to administer testosterone treatment injections. Here is some information about this type of injection and why so many people choose to use it.
What site to inject testosterone?
The other injection site that you can use for testosterone replacement therapy injections is the ventrogluteal site . There are two main sites that doctors and individuals use for these types of injections, and this site and the dorsogluteal site are the two. Ventrogluteal sites are much more commonly used because of the various benefits ...
Why is ventrogluteal site so popular?
In addition to the lack of nerves and vessels around this site, the tissue that surrounds the ventrogluteal site is thick and strong. With these factors in mind, the ventrogluteal site is so popular because doctors and patients feel confident that they will not cause harm to the patient when using this site for the injection for testosterone replacement therapy.
What are the two types of intramuscular injection sites?
In this analysis, we are going to examine two types of intramuscular (im) injection sites: ventrogluteal im injections and dorsogluteal im injections. One of the questions that many men ask who are undergoing testosterone injections is which injection site is superior? This hotly debated topic is somewhat difficult to prove beyond a reasonable doubt, but we are going to give you all of the information that is available on these two injection sites.
Why is the location of the site important?
The location of the site is so crucial because it will determine how effective the injection is, how painful it is, and how easy it is to administer the injection. While the dorsogluteal site is very easy to locate, this site is a bit more challenging.
Where is the ventrogluteal injection site?
The ventrogluteal intramuscular injection site is located on the hip at the high part of the hip. To locate this site, it takes a bit of medical training, which we will provide you with. To locate it, you will have to place the palm of your hand on the femur on the part that protrudes.
