About dorsogluteal injection, there's a risk will get in vein, how to avoid this?

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I'm new in dorsogluteal injection and i'm going to inject my patient, so far i only read about dorsogluteal injection from internet, it says that there's a risk the needle will get in vein or "superior gluteal artery" , i'm very scared. And these are my bunch of un-answered questions, please help me!

1. how to avoid the needle will get in vein or "superior gluteal artery" ?

2. Is the vein i mean here the same as "superior gluteal artery" ?

3. How many percent chance the needle will get in vein or "superior gluteal artery" ?

4. If the needle accidently get in vein or "superior gluteal artery" , is it a must to change the needle and the syringe? Can i use them again in differrent injection site without changing with new ones? What is the risk?

5. How can we feel sure when the needle has entered the muscle? Can we feel when entering the needle / injecting?

6. If the injection accidently dont reach the muscle but only go into subcutaneus, will it harm the patient? What is the effect if this muscle reaching not done well?

Your help will very appreciated, thx!

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Specializes in ER.
I'm new in dorsogluteal injection and i'm going to inject my patient, so far i only read about dorsogluteal injection from internet, it says that there's a risk the needle will get in vein or "superior gluteal artery" , i'm very scared. And these are my bunch of un-answered questions, please help me!

1. how to avoid the needle will get in vein or "superior gluteal artery" ?

2. Is the vein i mean here the same as "superior gluteal artery" ?

3. How many percent chance the needle will get in vein or "superior gluteal artery" ?

4. If the needle accidently get in vein or "superior gluteal artery" , is it a must to change the needle and the syringe? Can i use them again in differrent injection site without changing with new ones? What is the risk?

5. How can we feel sure when the needle has entered the muscle? Can we feel when entering the needle / injecting?

6. If the injection accidently dont reach the muscle but only go into subcutaneus, will it harm the patient? What is the effect if this muscle reaching not done well?

Your help will very appreciated, thx!

Can't help with all of your questions but I'll try:) We have been taught to do ventral gluteal only. And, yes, from what I have been taught, an injection intended IM and only going SQ can cause tissue damage.

Just a student here, so nurses weigh in.

T

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There is always a risk of hitting a vein. You poke and then you pull back on the plunger. If no blood appears in the syringe then you are not in the vein and it is safe to inject. If you hit a vein, pull the needle out and apply pressure. Discard the syringe and needle and get a new one.

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Thank's for your participate, anyone want to add ^.^ ?

TazziRN said :

"If you hit a vein, pull the needle out and apply pressure. Discard the syringe and needle and get a new one"

Why do we have to change with new syringe & needle? How about use the one that have aspirate blood? The modecate is expensive

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Also, it's pretty rare for anyone to actually hit a vein. I have seen it ONCE in my entire career, and it was another nurse who did it!

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Actually where is the vein / superior gluteal artery located? How to avoid it?

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Thank's for your participate, anyone want to add ^.^ ?

TazziRN said :

"If you hit a vein, pull the needle out and apply pressure. Discard the syringe and needle and get a new one"

Why do we have to change with new syringe & needle? How about use the one that have aspirate blood? The modecate is expensive

Because if there is already blood in your medication, when you go in again and aspirate, you won't know if you're in a vein or not.

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I am a second year nursing student and we were taught that an injection using the dorsogluteal runs the risk of hitting the sciatic nerve-so they want us to use the ventrogluteal-but that most nurses do not use this site because they are not comfortable doing it. I haven't had to give an injection at this site so far-just the deltoid IM.

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Specializes in ER.
I am a second year nursing student and we were taught that an injection using the dorsogluteal runs the risk of hitting the sciatic nerve-so they want us to use the ventrogluteal-but that most nurses do not use this site because they are not comfortable doing it. I haven't had to give an injection at this site so far-just the deltoid IM.

This is the same reason we were taught not to use the dorslgluteal. But we were also told that the deltoid was also less than desirable because of the risk of hitting a nerve. It is interesting to hear the different opinions.

T

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how many % will it poke in the vein? Is it rare happen?

Actually where is the vein / superior gluteal artery located? How to avoid it?

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Specializes in Vents, Telemetry, Home Care, Home infusion.

good pictures here: safe injection techniques.

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I think it is important to have an experienced nurse observe you.

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