Give in the central and thickest portion of the deltoid muscle – above the level of the armpit Find the anterior iliac crest. 2 A small amount of pain or redness is expected with an intramuscular (IM) or subcutaneous injection, and a warning to this effect is included in the Vaccine Information Statement … The hip is a good place to give an injection to adults and children older than 7 months. Put the heel of your hand where the thigh meets the buttocks. Typical injection: 0.5 ml (range: 0.5 to 2.0 ml) Vastus Lateralis Site: Typically, an injection-site reaction is considered to be any pain, swelling, rash, bleeding, or redness that occurs at the site of an injection, although, serious reactions can occur (see sidebar 1). Drugs administered by the intramuscular (IM) route are deposited into vascular muscle tissue, which allows for rapid absorption into the circulation (Dougherty and Lister, 2015; Ogston-Tuck, 2014). Alternate the injection site each time you inject to avoid soreness at any one sight. Learning to give an intramuscular (IM) injection may become a necessity if you, or a family member, suffer from an illness that requires injections of medication. The deltoid muscle is usually the best site to administer injections in adults, but medications with volumes greater than 2 ml should be injected in a large muscle groups like the ventrogluteal. Insert the needle 1” to 2” below the acromial process, usually two or three fingerbreadths. Point the first or index finger toward the anterior iliac crest. Injection Site Vastus lateralis muscle in the thigh: Choose this site if are injecting to yourself, or if a caregiver gives you the injection. The nurse will help you find the bone landmarks. It is about the size of a golf ball. Hip site for IM injection Find the trochanter. IM injection sites should be rotated to decrease the risk of hypertrophy. Deltoid Site: Find the lower edge of the acromial process and the point on the lateral arm in line with the axilla. The following are sites for injections. Place the palm of your hand over the trocanter. Have the person lie on the side. https://www.wisegeek.com/what-are-intramuscular-injection-sites.htm It is the knobby top portion of the long bone in the upper leg. Intramuscular (IM) injection site for infants and toddlers. The injection will go in outer middle third. It is the knobbly top portion of the long bone in the upper leg (femur). Inadvertent intravenous (IV) access. Look at your thigh and divide it horizontally into 3 equal parts. Giving an IM injection into the ventrogluteal site: Find the trochanter. The doctor will make this decision as they provide medical care and the doctor or nurse will explain to the caregiver how to give an intramuscular injection. IM injection site (shaded area) Insert needle at a 90° angle into the anterolateral thigh muscle. Select the best site to administer the intramuscular injection. Intramuscular (IM) injection site for children and adults. Your thumb should point to the person's groin and your fingers point to the person's head. WHAT ARE INJECTION-SITE REACTIONS? It is about the size of a golf ball; Find the anterior iliac crest; Place the palm of your hand over the trochanter.