Published Jul 6, 2010
Blackheartednurse
1,216 Posts
What is the preferable site for giving B12 injection? I'm a fairly new nurse and I have a pt that is receiving B12 injections. I haven't had much opportunity to practice intramuscular injections. I only gave one to a 3 day old baby in a thigh.
I heard that you can give b12 in the arm, thigh and buttocks.
FNP to be!
6 Posts
I'm actually still in nursing school, but have just been diagnosed with pernicious anemia and started getting B12 shots in the arm (deltoid). Hope this helps!
CNL2B
516 Posts
You know what, I don't know what is preferred for sure. I tried looking it up in a drug book when I had to do it and it didn't say. You can give it both SQ or IM, I do know that, and I don't think the dosage matters as far as that goes.
I had to give this to my grandmother at home a few years ago when she was failing - they had me do it instead of having home health come in 1x/week. I gave it to her IM in the deltoid many times before she died with no issues, so I think it was tolerated fine. Every once in a while I would do it in her hiney but as she became bedbound this was a little harder to do when I was the only one there. I usually let her pick the site.
Yes it helps a bunch!! Cause I gave my first deltoid shot today for the patient and I quess I just wanted reassurance that I choosen the right spot..
You know what, I don't know what is preferred for sure. I tried looking it up in a drug book when I had to do it and it didn't say. You can give it both SQ or IM, I do know that, and I don't think the dosage matters as far as that goes.I had to give this to my grandmother at home a few years ago when she was failing - they had me do it instead of having home health come in 1x/week. I gave it to her IM in the deltoid many times before she died with no issues, so I think it was tolerated fine. Every once in a while I would do it in her hiney but as she became bedbound this was a little harder to do when I was the only one there. I usually let her pick the site.
Yeah next time I will try a different site and give it in the tigh and then buttocks-I'm sooooo afraid to give it in the behind because the kidney are so close and the nerve.
roser13, ASN, RN
6,504 Posts
"I just wanted reassurance that I choosen (sic) a right spot.."
I'm not sure that I would take one patient's advice as golden as to the correct injection site.
Little Panda RN, ASN, RN
816 Posts
I worked family practice for many years and we always gave the B12 in the deltoid.
"I just wanted reassurance that I choosen (sic) a right spot.." I'm not sure that I would take one patient's advice as golden as to the correct injection site.
Thank you!!! Good to know !!
Thanks.I would like to try the tigh next time...
beachbaby31
14 Posts
B12 canbe given either IM or SC but I always do IM in the deltoid, unless my patients want it somewhere else.
I wonder if there are meds that cant be given in the deltoid.
brownbook
3,413 Posts
Am I missing something? You can ? hit the kidneys ? if you give intramuscular injections in the dorsogluteal or ventrogluteal (buttocks)?