Intramuscular Injection

Aka: Intramuscular Injection

II. Technique: Location

  1. Deltoid muscle
  2. Outer thigh (Vastus lateralis muscle)
  3. Upper, outer aspect of buttock
    1. Avoid sciatic nerve at inferior medial aspect

III. Precautions

  1. Avoid frequent site reuse due to injection site fibrosis risk

IV. Efficacy

  1. Many standard IM medication uses are no more effective than their oral counterparts
    1. Vitamin B12 Replacement
    2. Ketorlac (Toradol)
    3. Corticosteroids
    4. Ceftriaxone in cases of refractory Otitis Media or Urinary Tract Infections in children
    5. Shatsky (2009) Am Fam Physician 79(4):297-300 [PubMed]

V. Contraindications

  1. Bleeding Diathesis (e.g. Coagulopathy or Thrombocytopenia)

VI. Indications

  1. Analgesics
    1. Morphine
  2. Sedative-Hypnotics
    1. Diazepam
    2. Ketamine
  3. Vaccinations
    1. GardasilVaccine
    2. Hepatitis A Vaccine
    3. Hepatitis B Vaccine
    4. Rabies Vaccine
  4. Sex Hormones
    1. Testosterone
    2. Estradiol
    3. Depo Provera
    4. Lupron
  5. Antibiotics
    1. Penicillin
    2. Ceftriaxone
  6. Miscellaneous
    1. Interferon Beta (Multiple Sclerosis)

Images: Related links to external sites (from Bing)

These images are a random sampling from a Bing search on the term "Intramuscular Injection." Click on the image (or right click) to open the source website in a new browser window. Search Bing for all related images

Related Studies

Related Topics in Pharmacology

2021 Family Practice Notebook, LLC. Terms | Privacy (EHS) | About | Site Map | Blog

Footer Site Logo