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What is the best intramuscular injection site for infants and small children?

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sariileb | eNotes Newbie

Posted March 19, 2010 at 11:04 PM via web

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What is the best intramuscular injection site for infants and small children?

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besure77 | Middle School Teacher | (Level 1) Senior Educator

Posted March 19, 2010 at 11:30 PM (Answer #1)

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There are generally four sites that can be used to give an intramuscular injection. These are the dorsogluteal muscle which is the rear end, the vastus lateralis muscle which is the thigh, the deltoid muscle which is in the upper arm, and the ventrogluteal muscle which is in the hip.

The best muscle to use for infants and small children is the vastus lateralis muscle in the thigh. This is the best choice because this muscle has an adequate amount of muscle mass and fat. If another muscle is used it could be possible that the needle will be over-inserted and one of two things may happen. The first is that the delivery of the vaccination could be compromised and the second is that the needle could hit the bone and this causes severe pain.

A twenty two to twenty five gauge needle is best and the needle needs to be inserted at a ninety degree angle.

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pmv51266 | College Teacher | eNoter

Posted April 2, 2010 at 5:40 PM (Answer #2)

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The best site to inject intramuscularly for small children is the vastus lateralis. It is located at the anterior lateral view within the middle or upper thigh region.

The vastus lateralis is considered the safest site to inject intramuscularly at birth and until 36th month of age; wherein it has an appropriate muscle mass for the needle to penetrate enable to reach in the muscle tissue. Needle to be used must be gauge ranges from 23-25 in 7/8" to 1" in size. All infant will undergone intramuscular injection and it is this site recommended that the drugs should be administered; such as the hepatitis vaccine, and the diphtheria, polio and tetanus vaccine.

When the child reach beyond 36 months of age, deltoid muscles already become dense and massive. It is located above the armpit just the border end of both sides of shoulder. In this site, the intramuscular injection is already considered in administering drugs specifically the tetanus toxoid vaccine. Needle to be used will still be the same gauge range, 23-25 in a 1" to 2" in size.

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pianomanjay1 | Student, Undergraduate | eNotes Newbie

Posted September 27, 2011 at 1:06 AM (Answer #3)

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Often small children and infants are given Intramuscular (IM) injections in the hip / upper leg and also in the backside. The point of a IM injection is to inject medication into a large muscle so it is easily released into the blood stream. If a injection is given shallow, in the fatty part of the the skin, the medicine will sit in a pocket and become very sore. Some medicines are intended to be injected in this area, these are called subcutaneous (Sub-Q) injections.
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patelmilia98 | Student, Grade 9 | Valedictorian

Posted March 17, 2012 at 5:26 AM (Answer #4)

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their upper thigh

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cllebeau | Elementary School Teacher | Honors

Posted September 4, 2011 at 2:20 AM (Answer #5)

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The ventrogluteal.  The ventrogluteal or commonly referred to as the butt muscle involves the gluteus medius and minimus. This is the site preferred for all humans because is away from major nerves and blood vessels.

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spatrickdavis | Middle School Teacher | Honors

Posted September 22, 2011 at 8:26 AM (Answer #6)

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their upper thigh; fatty part

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ella301 | Student, Grade 10 | Salutatorian

Posted September 22, 2011 at 9:06 AM (Answer #7)

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The ventrogluteal. The ventrogluteal or commonly referred to as the butt muscle involves the gluteus medius and minimus. This is the site preferred for all humans because is away from major nerves and blood vessels.

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anitakir2lyne | High School Teacher | Honors

Posted December 2, 2011 at 7:54 PM (Answer #10)

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The best intramuscular injection site for infants is the ventrogluteal, which is a point on the gluteus medias muscle that extends from the iliac crest to the greater trochanter.

To find the ventrogluteal injection site, place you hand palm down and directly over the greater trochanter, with the finger tips just a little lower than the pelvic crest. The patient should be turned on his or her side. Your thumb should be lined at the edge of the thigh.

The ventrogluteal injection site should be somewhere between your index and middle finger.

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loraaa | Student | Valedictorian

Posted December 7, 2011 at 10:30 AM (Answer #11)

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thank you for this Q and A. 

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loraaa | Student | Valedictorian

Posted January 6, 2012 at 8:11 AM (Answer #12)

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I am sorry

 I am support with 1 and 2, good answer.

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peice33 | Student, Undergraduate | eNotes Newbie

Posted April 8, 2012 at 8:23 PM (Answer #13)

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I have 4 children and they have a wonderful pediatrician and nurse, the nurse always administer the medication in the upper thigh , the fattest part she squeezes then injects.

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sujikalai75 | eNotes Newbie

Posted July 8, 2012 at 5:23 PM (Answer #14)

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for infants lateral aspect of the upper thigh,for children outer aspect of the upper gluteal region.

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sobiamujeeb | Student, Undergraduate | eNoter

Posted July 30, 2012 at 3:24 AM (Answer #15)

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their buttocks (thigh muscles area)

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jjrichardson | Student, College Freshman | Valedictorian

Posted August 19, 2012 at 2:43 AM (Answer #16)

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I just wanted to add that the vastus lateralis is the only site that should be used for an infant or toddler that has not been walking for at least 6 months because the gluteals are not developed enough yet, and the deltoid is just too small at this age. I have never seen the dorsal gluteal used in anyone as of yet.

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mrso9706 | Student, Undergraduate | eNoter

Posted October 11, 2012 at 1:39 AM (Answer #20)

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The anterolateral thigh (vastus laterus) is the preferred site for IM injection in infants under 12 months of age. It causes less discomfort and will not hit any nerves. The insertion of the needle should be at a 90 degree angle in relation to the knee in infants and young children. This site is the standard for infants and young children because it is the safest and largest muscle they possess. The size of the needle can be 22 - 25 gauge and the length of the needle can be 5/8 to 1 inch. When choosing needle size consider the person, if they are tiny like an infant would be go with a 5/8 inch needle.  The reason is because even if you find the correct site by locating all of the landmarks associated with the vastus lateralis injection site you could still inject to deeply and hit bone or a nerve. Main advantage of this site is that the muscle is normally well developed even in infants and children.  The amount of fluid should not exceed 2.0ml for children older than 1 year.  Fluid should not exceed 1.0ml in infants. Some disadvantages include the possible formation of a thrombosis in the femol artery.  This is only possible by not locating the landmarks associated with the vastus lateralis injection. Hope it helps.

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rohankapoor | Student, College Freshman | Honors

Posted October 20, 2012 at 5:31 AM (Answer #23)

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anterior part of thigh in the femoral vein

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rohankapoor | Student, College Freshman | Honors

Posted October 20, 2012 at 5:35 AM (Answer #24)

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anterior part of thigh in the femoral vein

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rohankapoor | Student, College Freshman | Honors

Posted October 20, 2012 at 5:39 AM (Answer #25)

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even superolateral gluteal region.........

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rohankapoor | Student, College Freshman | Honors

Posted October 20, 2012 at 5:39 AM (Answer #26)

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gluteal region means hip.....

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rohankapoor | Student, College Freshman | Honors

Posted October 20, 2012 at 5:44 AM (Answer #27)

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injection shud be saline glucose solution.............

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user6393781 | eNotes Newbie

Posted March 4, 2013 at 5:28 PM (Answer #29)

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The safety of intramuscular injection into the gluteal region of infants and children.  In adult medicine the relatively large surface area and bulk of the gluteal muscles make this the preferred site for intramuscular injection.  In other words...the butt and or thigh.

Sources:

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taangerine | Student, Grade 11 | Valedictorian

Posted August 14, 2014 at 4:04 AM (Answer #30)

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For infants and small children, the best intramuscular injection site is the thigh, or anywhere with a large surface. 

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mocking123 | Student, Grade 11 | eNotes Newbie

Posted January 5, 2012 at 1:27 PM (Answer #28)

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their back

 

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