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Discussion

Bleeding after injection

Pt was given an injection in dorsogluteal site. I did aspirate and did not notice any blood return. Once i pulled the needle out the pt bleed more than usual I believe. I was wondering if anyone has any thoughts on this. Pt said she felt fine jsut slight burning think from the med. This was the thrid shot this week she had in the glute and i didnt notice this much blood on the others. I dont know im curious and want to make sure everything is fine and no damage was caused. Please help. Thanks

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Don't worry about it.

  • Author

I am just concerned about hitting a vein or injectioning into a vein even if i did aspitate. Since some injection meds are colored its hard to see/tell if any blood returns so what if that happened and you injected into a vein.

how much blood are you talking about?

hit a capillary, arteriole, venule?

leslie

  • Author

Well right when i pulled the needle out a stream of blood came out not gushing but a decent amount it flowed to the lower part of cheeck. A 2x2 gauze was almost filled with the blood. I held it on there about 30 secs or so and the blood did lessen.

By chance is this pt on anticoagulants? That sounds like a bit more than usual bleeding.

A little bleeding is normal. There are lots of little capillaries that can get "scratched" when you inject.

(By the way, the dorsogluteal site is not recommended or taught in nursing school anymore. Too much risk for injury to the sciatic nerve. The ventrogluteal is recommended instead.)

  • Author

No the pt is not on any blood thinners. So i dont understand the bleeding unless is it possible when you pull out the needle after injection if it hit something??

  • Author

Any other suggestions?

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