An intramuscular injection deposits medication into well-perfused muscle tissue. The vascularity of muscle aids the rapid absorption of the medication into the systemic circulation. Intramuscular injections are used to deliver medications that would otherwise be absorbed too slowly or made ineffective if taken orally; when intravenous access is difficult; or if other routes are contraindicated. The intramuscular route should not be used in cases where muscle size and condition is not adequate to support sufficient uptake of the drug. Intra muscular injections are of limited use in patients who have impaired peripheral circulation and oedema. Intramuscular injections should be avoided where possible in patients with thrombocytopenia or impaired clotting.<\/p>\r\n
Once you have watched the video, please complete the multiple choice quiz to test your knowledge.<\/p>\r\n","protected":false},"excerpt":{"rendered":"
An intramuscular injection deposits medication into well-perfused muscle tissue. The vascularity of muscle aids the rapid absorption of the medication into the systemic circulation. Intramuscular injections are used to deliver medications that would otherwise be absorbed too slowly or made ineffective if taken orally; when intravenous access is difficult; or if other routes are contraindicated. […]<\/p>\n","protected":false},"author":2,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[2,1],"tags":[],"class_list":["post-50","post","type-post","status-publish","format-standard","hentry","category-tomorrows-clinicians","category-uncategorized","entry"],"youtubeVideo":"471371039\/da6cffb055","question1":"At what angle should you administer an intramuscular injection?","answers1":"45 degrees| 60 degrees| 90 degrees| Administered at an angle according to the patient's size and stature","correctAnswer1":"2","correctAnswerText1":"","question2":"What is the purpose of a Z-track when administering an intramuscular injection?","answers2":"To ensure the medication does not seep out| Less painful for the patient| Helps prevents bleeding| Assists in absorption of the deposited medication","correctAnswer2":"0","correctAnswerText2":"Z tracking creates a disjointed pathway allowing the medication to be trapped once deposited.","question3":"What is the maximum volume which should be deposited into the deltoid muscle?","answers3":"10 ml| 20 ml| 1 ml| 5 ml","correctAnswerText3":"","correctAnswer3":"2","question4":"How would you landmark the deltoid muscle?","answers4":"Two fingers breadth from the top of the shoulder| A hand width from the acromial process| A hand width from the acromial process at mid point| 4-5 cm below the acromial process\r\n","correctAnswer4":"3","correctAnswerText4":"","question5":"What is the purpose of aspiration in relation to the administration of an intramuscular injection?","answers5":"To check for correct placement of the syringe| Less painful for the patient| To ensure the medication is deposited within the muscle| To ensure the full amount of medication is administered","correctAnswer5":"0","correctAnswerText5":"Aspiration is most commonly performed during an intramuscular or subcutaneous injection, and is meant to ensure that the needle tip is located at the desired site, and has not accidentally punctured a blood vessel.","question6":"How would you position the patient whilst administering an intramuscular injection into the deltoid muscle?","answers6":"Lay flat with arm relaxed| Sat comfortably with hand resting on hip| Sat down with arm outstretched| Prone position\r\n","correctAnswer6":"1","correctAnswerText6":"","question7":"At what speed should you administer an intramuscular injection?","answers7":"1-2 seconds| 3-5 seconds| As quickly as possible| 1 ml \u2013 per 10 seconds\r\n","correctAnswer7":"3","correctAnswerText7":"","question8":"In relation to the patient\u2019s skin, where would you not administer an intramuscular injection?","answers8":"Scars| Moles| Broken or swollen skin| All of the above\r\n","correctAnswer8":"3","correctAnswerText8":"","question9":"","answers9":"","correctAnswer9":"","correctAnswerText9":"","question10":"","answers10":"","correctAnswer10":"","correctAnswerText10":"","question11":"","answers11":"","correctAnswer11":"","correctAnswerText11":"","question12":"","answers12":"","correctAnswer12":"","correctAnswerText12":"","question13":"","answers13":"","correctAnswer13":"","correctAnswerText13":"","question14":"","answers14":"","correctAnswer14":"","correctAnswerText14":"","question15":"","answers15":"","correctAnswer15":"","correctAnswerText15":"","icon":"intramuscular-injections","parentId":"","recapId":"415","_links":{"self":[{"href":"https:\/\/vapp.rguc.co.uk\/index.php?rest_route=\/wp\/v2\/posts\/50"}],"collection":[{"href":"https:\/\/vapp.rguc.co.uk\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/vapp.rguc.co.uk\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/vapp.rguc.co.uk\/index.php?rest_route=\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/vapp.rguc.co.uk\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=50"}],"version-history":[{"count":11,"href":"https:\/\/vapp.rguc.co.uk\/index.php?rest_route=\/wp\/v2\/posts\/50\/revisions"}],"predecessor-version":[{"id":833,"href":"https:\/\/vapp.rguc.co.uk\/index.php?rest_route=\/wp\/v2\/posts\/50\/revisions\/833"}],"wp:attachment":[{"href":"https:\/\/vapp.rguc.co.uk\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=50"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/vapp.rguc.co.uk\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=50"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/vapp.rguc.co.uk\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=50"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}