IM injections - divide into 2 or keep as 1?

Nurses Medications

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Okay, I need a bit of good nursing practice know-how. If you have a 2ml IM injection is it better to give it all at once (assuming non-irritating med) or divide it into two, 1ml injections? My thought process is that one injection will only break the skin once but will potentially cause a much larger sore spot, while two injections will be more comfortable for the pt.

I ask because the last pt. I gave 2ml IM to (in the VG) c/o moderate-to-severe pain (non-irritating med). It really scared me how much they were complaining and I went home and looked up all sorts of things about muscle separation, tissue necrosis etc.

Thanks for any help you can give.

Thanks for the input. Rocephin 250mg is reconstituted with 0.9ml and 500mg is reconstitued with 1 ml. so it wasn't over 3 mls. I have searched varies sites on the internet and some say DG is ok for up to 2ml. It definetly isn't a cut and dried route of administration of thie medication IM for children.

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