Dorsogluteal injection tips

klone, MSN, RN · Mar 31, 2019

What are these injections that must be given dorsogluteal? I've never heard of such a thing.

Nat07 · Mar 31, 2019

Sandostatin, faslodex

allnurses Guide · Mar 31, 2019

I just read the instructions for Sandostatin which states it must given into a deep intragluteal injection site Both the ventral and dorso routes would appropriate. Perhaps it is your clinics preference to use the dorso-gluteal sight.

Hppy

JKL33 · Mar 31, 2019

Interesting.

I know you're new there, but it is an issue I would personally look into more, including trying to get additional clarification from the manufacturers.

I can't vouch for the authority of this site, but here is a specific comment regarding fulvestrant and the historical context of nurses having been taught to administer larger-volume injections into the DG.

With regard to Sandostatin, I see the depot administration guide doesn't specifically name the muscle site to be injected in its text, but then does indicate the DG site on the image provided. I think that's odd. VG is also a deep site.

Hmmm.

When you look at anatomical pics, you can see that the sciatic nerve doesn't underlie the area that is supposed to be utilized for a DG injection. I suspect that most of the problem with the DG site is poor injection technique/selection of exact site. When they say upper and outer, they mean upper. And outer. Not "somewhere in the buttock."

Speaking of all of this, is any attention paid to pt body habitus w/ regard to these injections? Or do people just assume that if it is injected in a certain place the medication is going to be deposited into muscle?

amerie89 · Dec 5, 2019

On 3/31/2019 at 1:39 PM, Nat07 said:
Hi all!!!
I have recently started a new position at an outpatient oncology office doing injections. We have several injections that must be given in the dorsogluteal site IM. I know ventrogluteal is the preferred site, however these must be given dorsogluteal. I am having a tough time finding the correct spot to give the injections. I know upper outer quadrant but this is still making me feel scared that I'm going to be to low or too high. Please give me any tips and pointers you may have. I have spent so much time doing research and I still do not feel comfortable. Thank you in advance!

On 3/31/2019 at 5:38 PM, hppygr8ful said:
I just read the instructions for Sandostatin which states it must given into a deep intragluteal injection site Both the ventral and dorso routes would appropriate. Perhaps it is your clinics preference to use the dorso-gluteal sight.
Hppy

I have recently been given conflicting info also. I have seen my colleagues inject haloperidol into the dorso gluteal but their placement is way higher than upper outer quadrant. Once attempted to give an antibiotiv injection in upper outer quadrant and preceptor chided me I was not high enough even though this was definitely the upper outer quadrant for this particular persons anatomy. Recently gave haloperidol deconate into ventrogluteal. Confused. Any advice or even better studies/articles.

Thanks :)