[florry]

[quote=student4life]

You are from Norway!!!

yes!!! Apology my bad
English, I hope Y do! What beeing from Norway a supprise!

[florry]

[quote=florry]

Originally Posted by student4life

yes!!! Apology my bad
English, I hope Y do! What beeing from Norway a supprise!

SORRY; WHAS THAT A SUPPRISE? WOULD YOU IF SO TELL ME WHY? HAVE I MISUNDERSTOD?

[CyndieRN2007]

[quote=florry] All right; now I understand the language: quote]

Sorry for the misunderstanding, I didnt understand why you made the above statement in your post. I then looked at your location and realized that you are from Norway a probably speak another language. Thats all, I didnt mean anything bad by that. Im sorry!!

[pvjerrys]

Originally Posted by SweetOldWorld

6th edition of Potter and Perry's Fundamentals of Nursing states that the dorsogluteal site should not be used because of the danger of hitting the sciatic nerve. I know someone who suffered permanent damage from just this very thing from an injection he received in the ER. I rarely give IMs anymore anyway. Most of our meds are given IV.

We also use Perry & Potter as basis for practice. Students learn to give IM injections in the ventrogluteal site. They practice locating the site repeatedly in the lab prior to clinical.

There are advantages to the VG site: large muscle site, lack of nerves or vessels, and, last but not least, the patient can be in supine position during administration. We also teach students to inject with Z-track technique for all injections. Meds are beter absorbed and students get to perfect a technique that they might otherwise not be able to use. I have observed students having minimal problems locating the VG site using Z-track for injections.

<O</O
Community practice usually lags behind current theoretical practices, so it is no surprise that nurses still use the dorsogluteal site.

One last response: Always aspirate for IM. It s not necessary to aspirate for subcutaneous injections as there are minimal blood vessels in this area.

<O</O

[DCJ3]

I'm in nursing school now and they are discouraging the use of dorsogluteal site because of the high chances of hitting the sciatic nerve and the preferred site is now the VG. My clinical instructor also taught me that a better way to give all IMs is via z track - less pain, better absorption.

B.
------------------------------
I hear and I forget
I see and I remember
I do and I understand~ Old Proverb

[florry]

Originally Posted by DCJ3

I'm in nursing school now and they are discouraging the use of dorsogluteal site because of the high chances of hitting the sciatic nerve and the preferred site is now the VG. My clinical instructor also taught me that a better way to give all IMs is via z track - less pain, better absorption.

B.
------------------------------
I hear and I forget
I see and I remember
I do and I understand~ Old Proverb

In your country or us, would you telling me what a Z-track is! I cant find the word translated, and I apressiate if you can explain it! Thank you very much!

[pvjerrys]

Originally Posted by florry

In your country or us, would you telling me what a Z-track is! I cant find the word translated, and I apressiate if you can explain it! Thank you very much!

FLORRY - THIS MIGHT HELP.

Could you please provide a list of drugs that should be administered via the Z-track method.
18<SUP>th</SUP> January 2001

http://www.nurseminerva.co.uk/images/ztrack.gif

We are not able to specify a list of drugs - application of the Z-track injection technique differs from hospital to hospital and country to country. As a general observation, though, the Z-track method is used for intramuscular injections of substances which are known to cause pain to the patient if they seep into the subcutaneous tissues or cause permanent staining of the skin. To reduce the risk of causing irritation along the injection pathway, the needle used to draw up the substance is normally changed before the injection is given. The Z-track technique involves displacing the skin and subcutaneous layer in relation to the underlying muscle so that the needle track is sealed off when the needle is withdrawn, thus minimizing reflux (see diagram above). It is most commonly employed in the administration of parenteral iron solutions such as Iron Dextran (Imferon) and Iron Sorbitex (Jectofer). A drug which is highly coloured in solution may be administered by this method. It is sometimes used in the administration of Heparin into the abdominal subcutaneous tissues. Several studies have been carried out to compare the effectiveness of different injection techniques (eg: Keen, 1986; Quartermaine and Taylor, 1995).
References
Johns, M.P. (1989) Drug therapy and nursing care. London: Macmillan Press.
Keen, M.F. (1986) Comparison of intramuscular injection techniques to reduce site discomfort and lesions. Nursing Research, 35(4), 207-210 (Jul-Aug).
Potter, P.A., and Perry, A.G. (1993) Fundamentals of nursing: concepts, process & practice (3<SUP>rd</SUP> edition). St. Louis: Mosby-Year Book, Inc (pp 662-663).
Quartermaine, S., and Taylor, R. (1995) A comparative study of depot injection techniques. Nursing Times, 91(30), 36-39 (Jul 26-Aug 1).

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http://www.nurseminerva.co.uk/_theme...as/cnvrule.gif

[florry]

Originally Posted by pvjerrys

FLORRY - THIS MIGHT HELP.

Could you please provide a list of drugs that should be administered via the Z-track method.
18<SUP>th</SUP> January 2001

http://www.nurseminerva.co.uk/images/ztrack.gif

We are not able to specify a list of drugs - application of the Z-track injection technique differs from hospital to hospital and country to country. As a general observation, though, the Z-track method is used for intramuscular injections of substances which are known to cause pain to the patient if they seep into the subcutaneous tissues or cause permanent staining of the skin. To reduce the risk of causing irritation along the injection pathway, the needle used to draw up the substance is normally changed before the injection is given. The Z-track technique involves displacing the skin and subcutaneous layer in relation to the underlying muscle so that the needle track is sealed off when the needle is withdrawn, thus minimizing reflux (see diagram above). It is most commonly employed in the administration of parenteral iron solutions such as Iron Dextran (Imferon) and Iron Sorbitex (Jectofer). A drug which is highly coloured in solution may be administered by this method. It is sometimes used in the administration of Heparin into the abdominal subcutaneous tissues. Several studies have been carried out to compare the effectiveness of different injection techniques (eg: Keen, 1986; Quartermaine and Taylor, 1995).
References
Johns, M.P. (1989) Drug therapy and nursing care. London: Macmillan Press.
Keen, M.F. (1986) Comparison of intramuscular injection techniques to reduce site discomfort and lesions. Nursing Research, 35(4), 207-210 (Jul-Aug).
Potter, P.A., and Perry, A.G. (1993) Fundamentals of nursing: concepts, process & practice (3<SUP>rd</SUP> edition). St. Louis: Mosby-Year Book, Inc (pp 662-663).
Quartermaine, S., and Taylor, R. (1995) A comparative study of depot injection techniques. Nursing Times, 91(30), 36-39 (Jul 26-Aug 1).

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Thank you, this was wery well illustrated as told! We use some of the same tecknic, but not the "Z" as a term. I am supprised that you in US seem to have that kind of a system, shortenings when doing nursing! Though I have also seen fex. other illnesses as MRSA that sorry to say, is out of control. Certainly we can learn or eacc other, and I appressiate that you took your time to answering me about that issue!!

Thank you, again!

[K205]

I work in geriatrics, so I mostly use ventrogluteal. It' difficult to position an elderly and, possibly demented patient. I just find the best muscle pad that I can, since MOST of my pts are cachexic. Hope that helps

Originally Posted by celestlyn

I use dorsogluteal most of the time. Will occassionally use vastus lateralis, also, but people say it hurts more.

[K205]

Vistorol, Iron, and anything caustic to sc tissue.

Originally Posted by florry

Thank you, this was wery well illustrated as told! We use some of the same tecknic, but not the "Z" as a term. I am supprised that you in US seem to have that kind of a system, shortenings when doing nursing! Though I have also seen fex. other illnesses as MRSA that sorry to say, is out of control. Certainly we can learn or eacc other, and I appressiate that you took your time to answering me about that issue!!

Thank you, again!