IM injection

  1. 1
    Hey, I was giving flu shots at the flu clinic and some people bled while others didn't. What does it mean if they bleed? If they bleed, does it mean I did something wrong? Thanks.
    lisabeth likes this.
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  4. 9 Comments so far...

  5. 0
    Did you aspirate? If you did sometimes after the injection it does bleed a little but it's usually like it's seeping. I just always make sure I have bandages on hand and ask them if they want one if it starts to seep.
    Last edit by APBT mom on Oct 26, '07
  6. 0
    Yea, I did aspirate, it was seepin out. Some had more seeping out than others.
  7. 3
    from bd syringe manufacturer:

    safe injection techniques.

    aspiration:
    although aspiration is no longer recommended for sc
    injections, it should be practised in im injections. if a
    needle is mistakenly placed in a blood vessel, the drug
    may be given intravenously by mistake and could cause
    an embolus as a result of the chemical components of
    the drug. following insertion into the muscle, aspiration
    should be maintained for several seconds to allow
    blood to appear, especially if a narrow bore needle is
    used (torrance 1989a). if blood is aspirated, the syringe
    should be discarded and a fresh drug prepared. if no
    blood appears, proceed to inject at a rate of approximately
    1ml every ten seconds. this may seem slow,
    but it allows time for the muscle fibres to expand and
    absorb the solution. there should also be a ten second
    wait before withdrawal of the needle, to allow the
    medication to diffuse into the muscle before the needle
    is finally withdrawn. if there is seepage from the
    site, slight pressure using a gauze swab can be applied.
    a small plaster may be required at the site. massage
    of the site should be discouraged because it may cause
    the drug to leak from the needle entry site and irritate

    local tissues (beyea and nicholl 1995).
    article also discusses z technique and air bubbles....


    yes to aspiriration prior im injection: excerpts from nursing procedures


    Last edit by NRSKarenRN on Oct 26, '07
    rachel33138, lisabeth, and lintung like this.
  8. 1
    It happens just make sure that you ask them if they would like a bandage before you put it on. I'm and alot of other people are allergic to the adhesive that they put on bandages and would rather walk around holding a piece of gauze or cotton ball to it until it stops bleeding than have a layer of my skin pulled off and walk around with a red swollen bandage stamp on my arm for a week.
    lintung likes this.
  9. 2
    Quote from lintung
    Hey, I was giving flu shots at the flu clinic and some people bled while others didn't. What does it mean if they bleed? If they bleed, does it mean I did something wrong? Thanks.
    No. As long as you followed correct technique and aspirated before injection and got no blood return, you did nothing wrong. Sometimes when you are injecting the needle, the needle does manage to traumatize or poke through capillaries that lie within the muscular tissue as you are making your way to the needle's final destination. After you withdraw the needle, these damaged capillaries will then bleed. That is the bleeding you are seeing. It happens and there is no way to prevent it from happening.
    rachel33138 and lintung like this.
  10. 0
    Quote from Daytonite
    No. As long as you followed correct technique and aspirated before injection and got no blood return, you did nothing wrong. Sometimes when you are injecting the needle, the needle does manage to traumatize or poke through capillaries that lie within the muscular tissue as you are making your way to the needle's final destination. After you withdraw the needle, these damaged capillaries will then bleed. That is the bleeding you are seeing. It happens and there is no way to prevent it from happening.
    Thank you so much for the info. My professor said to aspirate until you see a bubble, is that how you do it?
  11. 0
    they could be on coumadin or asa as well,
  12. 3
    Quote from lintung
    Thank you so much for the info. My professor said to aspirate until you see a bubble, is that how you do it?
    The only way that is going to happen is if there is air in the muscle! Read the Safe Injection Techniques article that NRSKarenRN posted for you to read. It tells you exactly what the procedure is and how long to wait when you aspirate. You aspirate and if you see blood then you withdraw the needle and discard the entire syringe and it's contents and redraw the medication into a new syringe and start all over.
    lintung, rachel33138, and lisabeth like this.
  13. 0
    This was very helpful. I have given plenty of SQ injections, but no IM injections as of yet.


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