Vitamin B12 injections technique

  1. Can someone refer me to a visual aid or teaching plan for a client needing to self-administer Vit B-12 injections? Are there special considerations for technique other than it needs to be IM? The patient has a complicated case of chronic neuroborreliosis.

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    About bigmamma2

    Joined: Dec '06; Posts: 1
    Specialty: 8 year(s) of experience in L&D, CCNC


  3. by   GingerSue
    in my experience, the nurse gives vitamin B12 (it isn't something that was taught to the patient, as insulin self-admin would be taught)
  4. by   NRSKarenRN
  5. by   Antikigirl
    I would certainly ask the patient if someone can do it for them! It is a dart to the 'butt' so to done by someone that can get a good shot at it then the patient! If not..can the pt go into a clinic just to have the shot? I know of many clinics that have folks come in for shots and not have to see the MD but the RN free of charge for such things!
  6. by   UM Review RN
    I'm not entirely sure about this, but isn't B-12 one of the Z-track injections?
  7. by   Antikigirl
    Yep angio! Total z! So best be done by someone else than pt! How can you hold the glute or ventral glute and do Z? I know what I am doing and couldn't on myself!

    Best to have someone else do it! I mean...I have a nice large glute (LOL!!!!!1) and well...I couldn't do it! And frankly..I have room to work with! Someone like me may try and fail..someone with less of (LOL) no way!
  8. by   S.T.A.C.E.Y
    Ok, dumb student question here, why does it need to be done in the glute? Glute = IM right? Why can't the patient do it in their thigh?
  9. by   StrwbryblndRN
    I am a student and I am asking the same question as Stacey.

    A friend of mine does self-admin b-12 shots in the thigh.

    Was she not supposed to do the B-12 in her thigh much less at home?
  10. by   jimthorp
    The vastus lateralis is an appropritate IM site.
  11. by   cookie102
    we do B12 all the time in home health,,, given in the deltoid, and yes we teach patients to give their own B12 using then thigh,,,, homehealth is a different world