A couple questions about med injections

[mnnurse29]

Hi -

What is the maximum you can use for an IM injection? Depending on the source, I have read anywhere from 1cc-2cc in the deltoid ans 3cc-5cc for the glut. I have no idea why all these different sources contradict each other. What about for infants & children?

Also, has anyone ever recieved or given phenergan in the deltoid?

Thanks in advance!

[southernbeegirl, BSN, RN]

I would have written you up, too. Directions for reconstitution are on the labels of each and every vial of dessicated med, and specify what diluent to use, how much to use, and the volume of reconstituted med along with the mg dosage of that volume you'll have when it's done. You didn't read the directions for preparing the med, so who knows what else you overlooked

I carefully followed the instructions on the bottle, and when it was diluted it made over 4cc to inject.

Because there were questions after that incident, i raised heck about it and backed myself up with proper IM admin. literature, so that the facility changed it's policy on injections and how much to adm.

[southernbeegirl, BSN, RN]

QUOTE=pennyaline;3687495]

1000 mg Rocephin can easily be reconstituted into a > 3 ml IM injection, reconstituting it according to the directions that come with the med. So you see, I'm not suiting myself to get by with just one injection.

If a dose greater than 1000 mg is ordered, you might want to forgo IM and ask for an IV order -- less painful, more dilute solution for better tolerance, run at speed better tolerated by the patient, faster systemic availability.

As I posted, the bottle said to reconstitute with 4.1cc lidocaine, so I did.

[southernbeegirl, BSN, RN]

I noticed that, and wondered about the same thing. However, since the time frame wasn't specified...

I remember how we used to do things way back when, too. We don't necessarily do them the same way now.

Protocols and standards do change.

[pennyaline]

I still maintain, if a dose that high or a volume that large is ordered IM, best to get an order for IV (for reasons I stated elsewhere).

[donsterRN, ASN, BSN]

And once again, a perfectly good thread goes down the tubes because specific individuals apparently don't understand the terms of service regarding personal attacks...

Let me say this very clearly. Debate the topic. Not the poster.

I don't know how to make it simpler.

[chenoaspirit, ASN, RN]

ok, shake hands and lets go on. :) I used to have to call pharmacy to find out what the maximum for an IM injection is. If I remember correctly (its been a while) it was 3 ml. I dont know about kids/infants. I HATED giving shots to peds, hated it. I could start an IV on anyone, but I didnt like giving the shots to babies/kids.

[pennyaline]

ok, shake hands and lets go on. :) I used to have to call pharmacy to find out what the maximum for an IM injection is. If I remember correctly (its been a while) it was 3 ml. I dont know about kids/infants. I HATED giving shots to peds, hated it. I could start an IV on anyone, but I didnt like giving the shots to babies/kids.

Okay. Truce.

I hate giving injections to kids, too. Even for little minor shots, their reactions broke my heart every time.

[dianah, ASN]

thread closed for cleanup.

thanks to those who have posted with restraint, resisting the urge to flame, belittle, insult, degrade, and basically call others stupid.

i strongly urge all to review this site's terms of service and use as posting guidelines.

do not engage others but report.

use the ignore feature if another poster consistantly gets under your skin.

[dianah, ASN]

Thread re-opened, thank you for your patience.