Emergency Medicine Book

http://www.fpnotebook.com/

Intramuscular Injection

Aka: Intramuscular Injection
  1. See Also
    1. Injectable Drug Delivery Route
    2. Emergency Medication Delivery
    3. Subcutaneous Injection
    4. Intravascular Injection
  2. Technique: Location
    1. Deltoid muscle
    2. Outer thigh (Vastus lateralis muscle)
    3. Upper, outer aspect of buttock
      1. Avoid sciatic nerve at inferior medial aspect
  3. Precautions
    1. Avoid frequent site reuse due to injection site fibrosis risk
  4. Efficacy
    1. Many standard IM medication uses are no more effective than their oral counterparts
      1. Vitamin B12 Replacement
      2. Ketorlac (Toradol)
      3. Corticosteroids
      4. Ceftriaxone in cases of refractory Otitis Media or Urinary Tract Infections in children
      5. Shatsky (2009) Am Fam Physician 79(4):297-300 [PubMed]
  5. Contraindications
    1. Bleeding Diathesis (e.g. coagulopathy or Thrombocytopenia)
  6. Indications
    1. Analgesics
      1. Morphine
    2. Sedative-Hypnotics
      1. Diazepam
      2. Ketamine
    3. Vaccinations
      1. GardasilVaccine
      2. Hepatitis A Vaccine
      3. Hepatitis B Vaccine
      4. Rabies Vaccine
    4. Sex Hormones
      1. Testosterone
      2. Estradiol
      3. Depo Provera
      4. Lupron
    5. Antibiotics
      1. Penicillin
      2. Ceftriaxone
    6. Miscellaneous
      1. Interferon Beta (Multiple Sclerosis)

You are currently viewing the original 'fpnotebook.com\legacy' version of this website. Internet Explorer 8.0 and older will automatically be redirected to this legacy version.

If you are using a modern web browser, you may instead navigate to the newer desktop version of fpnotebook. Another, mobile version is also available which should function on both newer and older web browsers.

Please Contact Me as you run across problems with any of these versions on the website.

Navigation Tree