I work at a family practice clinic and have been there for maybe 1.5 years now. I used to work in the hospital on the med-surg floor for almost 4 years. In the hospital setting, pretty much all our meds were delivered IV. Usually, we only gave IM injections when a patient was extremely agitated. Since I have been in the clinic, I have given plenty of IM injections.
I swear that you could only give up to 1 ml in the deltoid muscle. I could be totally wrong, but that is what I remember being told.
I had a situation today. I had a patient who doctor ordered Toradol 60 mg and Solumedrol 40 mg IM. She gets both of these at another doctor's office (Rheumatolgy) at times. She has chronic pain. The nurse there gives both of these meds in the deltoid. I told the patient I wasn't comfortable doing that. I found through our computer system SoluMedrol should not be given in the deltoid because of risk of subcutaneous atrophy.
What about Toradol? I think 60 mg/2 ml is too much in the deltoid because it is 2 mls plus being the type of med that it is. I give plenty of immunizations and B12 in the deltoid.
I talked with the patient and gave them both without difficulty in the ventrogluteal.
I am now doubting myself because I can't find anywhere in my saved notes from school, the hospital, or my clinic nursing skill book on how much you can give in the deltoid. Anybody got any advice on this matter?