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?
Learn your landmarks and have someone watch you the first few times. Make sure you use a darting motion, don't just "poke" it in.
Also, you would have to change the needle and syringe if you hit blood for two reasons - first (as above) you wouldn't be able to tell if you aspirated the next time and hit blood; second because you want to use the sharpest needle possible; I always draw up with one needle and then switch to the appropriate needle for the IM injection.
Specializes in Specializes in L/D, newborn, GYN, LTC, Dialysis.
I really Strongly recommend referring to a good clinical nursing book that discusses IM injections in depth or a Fundamentals Of Nursing book. These will explain in detail the anatomy of the areas you give injections and how to avoid pitfalls of mis-injected medications, as well as potential complications.
My questions havent been answered, plizzz help me to answer, Mrs. Senior Nurse ^.^ :
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?
7. If the first syringe aspirate blood, can it use again in another spot injection? Is the aspirated blood dangered if the boold injected in muscle?
Also, you would have to change the needle and syringe if you hit blood for two reasons - first (as above) you wouldn't be able to tell if you aspirated the next time and hit blood; second because you want to use the sharpest needle possible; I always draw up with one needle and then switch to the appropriate needle for the IM injection.
I always change needles after drawing up, I realized it helped with sharpness, but also doesn't any of it have to do with sterility? You can restick a person twice with the same needle because after one stick, you take it out it's unsterile and you don't want to go in again in a new site. Is this correct or not really an issue?
My questions havent been answered, plizzz help me to answer, Mrs. Senior Nurse ^.^ :
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?
7. If the first syringe aspirate blood, can it use again in another spot injection? Is the aspirated blood dangered if the boold injected in muscle?
Your help will very appreciated, thx!
Read back over the posts, and follow the link that was posted - it's full of information; your questions have been answered.
my questions havent been answered, plizzz help me to answer, mrs. senior nurse ^.^ :
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?
7. if the first syringe aspirate blood, can it use again in another spot injection? is the aspirated blood dangered if the boold injected in muscle?
your help will very appreciated, thx!
your questions have been answered multiple times by above posters.
1) learn your landmarks. if you inject where you are supposed to, the chances of hitting the vein/artery/nerve are reduced.
2) does it really matter? either way, if you accidentally hit any blood vessel you have to change your needle and hold some pressure.
3) none of us know the percent chance of hitting the above anatomy but again, if you use your landmarks, the chances are low.
4) yes, always change your needle and syringe if you hit a blood vessel. as was stated above, you need to use the sharpest needle (and if it has already entered flesh, it isn't as sharp) and a syringe clear of blood so you can tell if you hit a vessel the next time.
5) i cannot tell you how it "feels" when you get into a muscle; it is a feeling gained over time as you do both sq and im injections.
6) there are meds that are dangerous to sq tissues. there are also drugs that need to be given im to change the amount of time it takes for them to sidperse. sq geodon doesn't work quite as well as im geodon. use the correct size needle for the patient, and use the correct site. don't inject with a 1 inch needle in the dorsalgluteal site of an obese person - it won't get there. use the ventralgluteal instead.
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!
I can't believe that this hasn't been taught in a clinical setting. If you are already working why wouldn't you have some one show you. I would neber do anything I wasn't sure of.
i always change needles after drawing up, i realized it helped with sharpness, but also doesn't any of it have to do with sterility? you can restick a person twice with the same needle because after one stick, you take it out it's unsterile and you don't want to go in again in a new site. is this correct or not really an issue?
not sure i'm completely understanding your questions, but let me try to answer. with regard to sterility of the needle - if you treat your vial/ampule as it should be (snapping the top or swabbing the rubber stopper) then the needle is still as sterile after drawing up the med as it was before. i mainly use different needles to draw and shoot because of the sharpness issue but also because it is really hard to draw meds up through a 21 or 23 g needle!
Specializes in Vents, Telemetry, Home Care, Home infusion.
I glad that others found the link helpful...all the info poster is requesting is contained in the presentation from BD needle manufacturer based on UK Nursing Article.
RunnerRN, BSN, RN
378 Posts
Learn your landmarks and have someone watch you the first few times. Make sure you use a darting motion, don't just "poke" it in.
Also, you would have to change the needle and syringe if you hit blood for two reasons - first (as above) you wouldn't be able to tell if you aspirated the next time and hit blood; second because you want to use the sharpest needle possible; I always draw up with one needle and then switch to the appropriate needle for the IM injection.