Question: What Is The Difference Between Ventrogluteal And Dorsogluteal?

The dorsogluteal (buttock) site is not recommended for use in any patient population due to its location near major blood vessels and nerves, as well as having inconsistent depth of adipose tissue, with very few injections in this area injected to the correct depth to administer as a true intramuscular injection..

What is Z track technique?

The Z-track method is a type of IM injection technique used to prevent tracking (leakage) of the medication into the subcutaneous tissue (underneath the skin). During the procedure, skin and tissue are pulled and held firmly while a long needle is inserted into the muscle.

Why is the Ventrogluteal the preferred site for an intramuscular injection?

Ventrogluteal site is considered as the most reliable and least painfull site for the injection applications. The reason for this; there is no large blood vessels or nerves and it is far from the bone tissue in ventrogluteal site (Beecroft and Redick 1990, Donaldson and Green, 2005, Nicoll and Hesby, 2002).

Should you rub im injections?

Moderate tactile stimulation (rubbing or stroking the skin) near the injection site before and during the injection process may decrease pain in children age 4 years or older and in adults.

Do you aspirate with Z track?

Holding it taut, quickly and smoothly insert the needle into the muscle at a 90-degree angle. Continue to hold the skin taut with your nondominant hand. With your dominant hand, aspirate for 5 to 10 seconds. If no blood returns with aspiration, slowly inject the medication (10 seconds/ml).

How many ml can go in Ventrogluteal?

3 mlFor the ventrogluteal muscle of an average adult, give up to 3 ml of medication. The vastus lateralis is commonly used for immunizations in children from infants through to toddlers.

Do you need to swab the skin when giving a subcutaneous injection?

Swabbing of the clean skin before giving an injection is unnecessary. If swabbing with an antiseptic is selected for use, use a clean, single-use swab and maintain product-specific recommended contact time.

How do you give a Dorsogluteal injection?

Injections in the buttock area are also called gluteus medius or dorsogluteal injections. Giving an injection in this area of the body requires the help of another person….Inject the MedicationStretch the skin tight.Hold the syringe like a dart. … Give no more than 3 ml (or cc) of medication in this site.More items…

Why is Ventrogluteal considered best practice?

Ventrogluteal injections are considered one of the safest types of IM injection. The tissue around your ventrogluteal site is very thick and far removed from any major blood vessels or nerves. This greatly reduces your risk of accidentally injuring yourself.

What happens if you give an IM injection in the wrong place?

“A vaccine is an immunologically sensitive substance, and if you were to receive an injection too high – in the wrong place – you could get pain, swelling and reduced range of motion in that area,” says Tom Shimabukuro, deputy director of the Centers for Disease Control and Prevention’s immunization safety office.

Do you aspirate before giving im injection?

Aspiration before injection of vaccines or toxoids (i.e., pulling back on the syringe plunger after needle insertion but before injection) is not necessary because no large blood vessels are present at the recommended injection sites, and a process that includes aspiration might be more painful for infants (20).

What meds use Z track method?

THE Z-TRACK METHOD of I.M. injection prevents leakage of irritating and discoloring medications (such as iron dextran) into the subcutaneous tissue. It also may be used in elderly patients who have decreased muscle mass.

Which site is best for IM injection?

The vastus lateralis muscle on the anterior lateral aspect of the thigh has the advantage of not being near major blood vessels or nerves. An appropriate injection site for adults, this muscle is large, easily accessible, and typically well developed.

Do you pinch skin for IM injection?

Insert needle at an 45o angle to the skin. Pinch up on SQ tissue to prevent injecting into muscle. … Multiple injections given in the same extremity should be separated as far as possible (preferably at least 1” apart).

Why are im injections less painful?

Because one of the causes of pain at the injection site is the firmness of the muscle[2] and induction of relaxation to the muscle reduces pain. By this innovative technique, the needle will be inserted completely painless. Meanwhile the patient will have no muscle spasm.

Where do you give an intramuscular injection?

Intramuscular injection sitesDeltoid muscle of the arm. The deltoid muscle is the site most typically used for vaccines. … Vastus lateralis muscle of the thigh. … Ventrogluteal muscle of the hip. … Dorsogluteal muscles of the buttocks.

Where is the Ventrogluteal?

The ventrogluteal intramuscular injection site is located on the hip at the high part of the hip. To locate this site, it takes a bit of medical training, which we will provide you with. To locate it, you will have to place the palm of your hand on the femur on the part that protrudes.

Where is the Dorsogluteal injection site?

The dorsogluteal site is above an imaginary line between the greater trochanter and the posterior superior iliac crest. The injection is administered laterally and superior to this imaginary line.

What does Dorsogluteal mean?

Dorsogluteal definition. upper outer quadrant of the buttocks. Ventrogluteal definition. Most preferred site of IM injections, involves gluteus medius & is situated deep and away from major nerves and blood vessels.

How do I give myself a Ventrogluteal injection?

Giving an IM injection into the ventrogluteal siteFind the trochanter. … Find the anterior iliac crest.Place the palm of your hand over the trochanter. … Give the injection between the knuckles on your index and middle fingers.Stretch the skin tight.Hold the syringe like a pencil or dart.More items…