Intramuscular injection is common yet a complex technique used to deliver medication deep into the large muscles of the body. Intra muscular injection route provides faster drug absorption than the subcutaneous route because the muscles have greater vascularity. There are several factors which influences person experiences of pain during Intra muscular injection for example anxiety, culture, age, gender, and expectation of pain relief. These factors may increase or decrease the experience of pain during Intra muscular injection. Also intramuscular injection are frequently referred to as to as a ‘basic skill’, but involve a complex series of consideration and decision relating to volume of injective, medication to be given , technique, site
Research has shown that there are several organizations and active advocates who are working on pain management problems to face this public health issue. The following establishments involve: The American Academy of Pain Medicine, Institute of Medicine, and American Pain Society and many for-profit and nonprofit organizations are also working at different level towards pain management. Most specifically, the IOM has been devoted to studying pain and its consequences on individuals, the healthcare system, as well as on government (IOM, 2011).
The nurse was correct to perform her medication rights prior to administration. This was done correctly if she verified that this was the exact patient, the right drug, the appropriate dose, the correct route, and the accurate time, appropriate documentation, and accurate response. According to the scenario above the nurse verified the order, the rights of medication, the correct patient, and documented in the medication administration record. The nurse failed to document how the individual tolerated the injection of the hydrocortisone. The nurse administered the injection in the left upper, outer quadrant of the patient’s buttocks. This describing the patients left dorsogluteal. According to ATI Nursing Education the current evidence validates a greater risk for paralysis from sciatic nerve damage with this site. Therefore, the use of the dorsogluteal site for intramuscular injections should be avoided.
Throughout Canada, many individuals unsafely use illicit substances that may result in disease or even death. The government has established safe injection sites in order to prevent addicts from spreading HIV or AIDS and even overdosing. The first safe injection site to be established was built in the Downtown Eastside of Vancouver, Canada. At first, the site was operated under a waiver from the federal government that allowed the clinic to provide its services to drug abusers as part of a research project (Drucker, 2006). Now, based on the research collected, it is apparent that there are both positive and negatives that have risen from the formation of safe injection sites. Canadian society also has both concerns and gratitude from the
Evidence suggests that there are less risks associated to the Ventrogluteal region compared to other IM sites on the body. With the sciatic nerve and multiple major blood and nerve vessels being present in the dorsogluteal muscle, the risk of these vessels getting damaged is at increased risk (Ogsten-Tuck, 2014). Historically nurses have administered IM injections into the Dorsogluteal site, or as it is better known as the upper outer quadrant. This site poses an increased quantity of unacceptable risks linked to injury’s suffered as a result of a harmful injection (Zimmermann, 2010). Therefore the Ventrogluteal muscle should be used wherever possible. This muscle boasts the largest thickness relating to muscle in the gluteal region. Unlike the Dorsogluteal muscle, the Ventrogluteal lacks major blood and nerve vessel, consequently reducing the risk of complications of injury. This muscle is also able to absorb larger volumes of substances at a faster rate (Government of Western Australia, 2014). In relation to Mrs Jones’s case, the best possible muscle to give an intramuscular injection to would be the Ventrogluteal muscle. The risk associated with the dorsogluteal muscle are far greater compared to the Ventrogluteal. A nurse would shape the way in which they administer a medication their patient. Taking into consideration all Mrs Jones’s requirements, a nurse would identify that they were able to administer into the Ventrogluteal and they should be able to do this in a manner that has no or minimal risk to their
There are many things that happen internally and externally in our bodies every day. Exocytosis and neuromuscular junction help us understand how Botox works. Exocytosis is the process where secretory proteins are transported out of the cell (Alberts, et al., 2014). In addition to this, neurotransmitters are released. Neuromuscular Junction is a synapse that is formed between a muscle fiber and motor neuron which causes the muscle to contract (Alberts, et al., 2014). Botox is a drug made from a neurotoxin. An example of this would be Botulinum neurotoxin type A. Overall, the process of exocytosis, the neuromuscular junctions, and Botox can help with muscular conditions.
This essay will aim to look at the main principles of cancer pain management on an acute medical ward in a hospital setting. My rational for choosing to look at this is to expend my knowledge of the chosen area. Within this pieces of work I will look to include physiological, psychological and sociological aspects of pain management.
The experiment was conducted on 75 healthy University of Sydney medical science students of both sexes and varying ages and body types. which involved two different types of induction of pain. The independent variable was the type of drug analgesic (paracetamol or combined with codeine) and the dependent variable was the pain response whilst taking the drug. All participants were given ethical and safety awareness of the experiment, and had a choice to participate. Their medical conditions (i.e. allergies) and any previous morning medication taken were considered prior to allowing them to participate.
Currently, one of the critical are an ongoing problem that encountered in the recovery room is regarding the use of patients controlled analgesia (PCA). Momeni (2006) found that PCA is a delivery system controlled by an infusion pump, the patient himself will press the button every time in pain by dose and time specified. PCA is widely now used at the standard protocol for major postoperative surgery such an operation laparotomy, orthopaedic and another major surgery. Expert of evidence clean that, the used of PCA extremities is very useful for pain control during 24-hour. It widely used in clinical practice.
• You may give an injection under your skin or into your muscle on the outer side of your thigh. Do not inject epinephrine into your buttocks or any other part of your body.
The major concepts of this theory are defined theoretically since the use of these definitions is from a broader theoretic concept. Therefore, an operational concept could be developed from them. There is consistency in the use of these concepts throughout the theory of acute pain management with examples given using the same language as well as maintaining the integrity of the concepts.
According to John Hopkins Medicine (n.d.), pain is an uncomfortable feeling that tells you something may be wrong. It can be fixed, throbbing, stabbing, aching, pinching, or described in many other ways. Pain is categorized as either acute or chronic. Acute pain is usually severe and brief, and is often a signal that your body has been injured. Chronic pain can vary from mild to severe and is there for long periods of time (John Hopkins Medicine, n.d). This paper will discuss a scenario that entails which person is experiencing the most pain, how two people can have the same procedure experience different levels of pain, factors that contribute to each person’s pain level, and two complementary/alternative methods of pain control.
I believe that the intramuscular parenteral route is the easiest to administer. Only because they usually just have to pinch the site and stick you. This can be in the buttocks, shoulder, and thigh. This technique is used to inject medicine deep into the muscles, and
Group C which included 30 patients of either gender who were given intra muscular injection of 75mg at deltoid or gluteus muscle once daily for 2 days using sterile and aseptic precautions.
Peripheral intravenous device insertion is the most commonly performed invasive procedure in hospitalized patients, with an estimated 150 million placed each year in North America alone (Rickard, McCann, Munnings & McGrail, 2010). They are important for maintaining hydration, administering medications, providing blood and blood products and even nutrition to the patient, but are not without their complications. These complications include thrombophlebitis, infiltration and blood stream infection. Thrombophlebitis is among the most common complications of having intravenous access. Symptoms of phlebitis include pain, redness, tenderness upon palpation, swelling and warmth at the IV site and are all related to the inflammation of the vein (Uslusoy & Mete, 2008). Several studies were completed with the aim to determine predisposing factors that lead to a patient developing phlebitis. The other research articles discussed looks at the acceptance of a policy that is supposed to prevent phlebitis and other complications associated with IV access.
Intramuscular injection is used for the delivery of certain drugs not recommended for other routes of administration, for instance intravenous, oral, or subcutaneous. The intramuscular route offers a faster rate of absorption than the subcutaneous route, and muscle tissue can often hold a larger volume of fluid without discomfort. In contrast, medication injected into muscle tissues is absorbed less rapidly and takes effect more slowly that medication that is injected intravenously. This is favorable