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  2. Injection site Deltoid: Give in the central and thickest portion of the deltoid muscle — above the level of the armpit and approximately 2–3 fingerbreadths (~2") below the acromion process (see diagram 1). To avoid causing an injury, do not inject too high (near the acromion process) or too low.

  3. For more information on how to administer an IM injection in the anterolateral thigh of an adult, see www.immunize.org/catg.d/p2030.pdf. Use a needle long enough to reach deep into the muscle. Insert needle at a 90° angle to the skin with a quick thrust.

  4. Inject the medication Whilst keeping traction on the skin, inject the medication at a rate of 1ml per 10 seconds You must inject the medication slowly as this minimises pain and allows the muscle fibres to stretch to accommodate the fluid.

  5. This chapter assimilates the best practices for delivering injections in health-care and related facilities. It is based on a range of evidence and expands the scope of the WHO publication Best infection control practices for intradermal, subcutaneous, and intramuscular needle injection (7).

  6. Give intramuscular injections into a muscle. To give yourself an injection you will use your thigh. 9. Use the middle outer part of the thigh to inject. The best area is one hand length below the hip and one hand length above the knee. Use a 20-22 gauge, 1-11⁄2 needle. See the shaded area on the figure. 10.

  7. What is an Intramuscular Injection? An intramuscular injection, as illustrated in the figure below, delivers medication deep into the muscle tissue. This allows the medication to be quickly absorbed into the bloodstream for action. Step 1: Setting Up for the Injection . Find a comfortable, well lit working place and inject at the same time each ...

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