The site of the intramuscular injection (Figure 7-3) depends on the age of the child, the amount of muscle mass, and the density and volume of medication to be administered.
Young infants may not tolerate volumes greater than 0.5 mL in a single site, where as older infants or small children may be able to tolerate 1 mL per site. As the child grows, greater volumes can be administered. Note: The larger the volume of medication, the larger the muscle to be used. If possible, avoid areas that involve major blood vessels or nerves.
The preferred site for the infant is the vastus lateralis muscle (Figure 7-4), which lies lug the midanterior lateral aspect of the thigh. After the child has been walking for 1 or, the dorsogluteal site can be used. However, because these muscles are poorly developed
they are not the ideal choice for a child less than 5 years old. For the older child and adolescent, the sites are the same as for the adult: the vas. lateralis, deltoid, and ventrogluteal muscles.
Administering an intramuscular injection
PREPARATION : Select the syringe size according to the volume and dose of medication to be delivered. The needle must be long enough to penetrate the subcutaneous tissue and enter the muscle. 4eedles with a length of 0.5 to 1 in. (25 to 21 gauge) are recommended for infants and children.
2-Choose the appropriate site .
EQUIPMENT AND SUPPLIES:-
1- Syring filled with medication
2- Alcohol swab
3- Gauze pad or cotton ball
4- small band-aid
Procedure: Clean Gloves
1- Have another nurse, an assistant, or the parent restrain the child during the injection (Figure 7-5). rationale: Adequate restraint allows the procedure to be done safely and quickly and thereby minimize trauma for the child
2- Don the glove.
3- Locate the site. Clean with alcohol using an outward circular motion.
4- Grasp the muscle between the thumb and fingers for stabilization.
5- Remove the cap from the syringe. Insert the needle quickly at a 90-degree angle. Pull back the !plunger.
6- If no blood is aspirated, inject the medication, withdraw the needle, massage the area with a gauze pad or cotton ball (alcohol will sting), and return the child to a position of comfort. Apply a small band-aid if there is a drop of blood visible.
7- Do not recap the needle. Discard it in a puncture-resistant container according to standard precaution recommendations