Vastus Lateralis

[chelynn]

I have always kind of had difficutly landmarking injection sites. The other day we had police bring in a psych pt and she got put in 4 point restraints. When the "b52" was ordered I found it easiest to inject in her vl. Later I tried it on a couple other pts and it seemed to work better not only for me but for them as well. I was just wondering if many of you routinely use this injection sites on adults.

[rotteluvr31, ADN, RN]

Never heard of a B52 - so thanks for that tidbit.

As for the VL - gotta love it

[WonderRN]

So this B52 thing,

mix together in one syringe? Can't imagine them letting you get 3 sticks.

Also, the other day I gave someone a solumedrol injection in the ventrogluteal, did my landmarks- did everything per the book, and the patient complained of severe pain down her leg, barely able to bear weight. Called my preceptor in (I'm a new grad in the ED) and the MD, had the pt ambulate, neither thought it a big deal. I was a bit scared I gave her nerve damage (didn't let the pt see my distress of course)!! and I thought I was being a good nurse cause I DIDN't give it in her dorsogluteal because of the danger of hitting the sciatiac nerve..... any feed back?

[tewdles, RN]

VL is ideal site for many IM injections in many age groups.

[MAISY, RN-ER, BSN, RN]

Use deltoid for 1ml or less

Love Vastus Lateralis use it for all others if patient will allow. I was advised in nursing school there is an association with IM injections and sciatica...not getting sued over that. The patient doesn't have to sleep or sit on a lump. JMHO