Intramuscular injection increase the activity of the following enzyme:
[A] GPT
[B] CPK
[C] CPK-MB
[D] LDH
Answer [C]
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Intramuscular injection is a technique used to apply a medicine inside a muscle, and can be applied to the buttocks, arms or thigh, and can be given both cattle and medications such as Voltaren, Benzetacil or Vitamin B complex.
This type of injection allows the medication to be absorbed into the bloodstream more quickly, because the muscle tissue has a very good blood supply, making the effect quick and effective.
How to apply an intramuscular injection:
To apply it you must follow the steps mentioned below:
- Wash your hands with soap and water to prevent infection;
- Keep everything you need at your fingertips, this includes a sterilized syringe, a second sterilized needle, gauze, alcohol and of course the medication to be injected;
- Place the person in the proper position according to the place where the injection will be applied, such as: if it is in the arm, it must be sitting, while if it is in the buttocks, it must be lying on its stomach or side ;
- Locate the region where the injection will be done;
- Clean the area with gauze impregnated with alcohol. This cleaning should be done with circular movements from the inside out to drag the 'dirt';
- Open the blister (in case of glass) very carefully, in case of rubber it must clean the lid with alcohol;
- Breathe air with the syringe still empty and then throw it away;
- Insert the syringe needle into the medicine, it is recommended to have 2 needles because in the bottles that have a rubber cap, or in those medicines that come in powder and must be returned, the needle is usually damaged and must be replaced by another before injecting the person;
- Remove the air and bubbles from the syringe, for this you can give a little tap with your fingers;
- Make a fold in the skin with the thumb and the indicator;
- Insert the needle at a 90ยบ angle, keeping the fold, and when completely inside, release the fold;
- Push the syringe plunger slowly;
- Remove the syringe slowly and press with a clean gauze for 30 seconds;
- Place a band-aid at the site of the injection application.
If the injection of blood is observed in the syringe, it should be withdrawn and reintroduced a little more to the side, since the presence of blood indicates that a blood vessel was touched and that the injection will not be made in the muscle.
Intramuscular injections, especially in infants or young children, should only be applied by a trained nurse or pharmacist to avoid serious complications such as infection, abscess or paralysis.
How to choose the site to inject:
Intramuscular injection can be applied to the buttocks, arms or thighs, depending on the type of medication and the amount that will be administered. In addition to this, depending on the region, some techniques must be followed to know the exact site where the injection will be applied.
1- Injection in the buttock:
To know the exact place of the application of intramuscular injection in the gluteus, the buttock should be divided into 4 equal parts and place 3 fingers, diagonally, in the upper right quadrant, next to the intersection of the imaginary lines . In this way it is possible to avoid injuring the sciatic nerve that can cause leg paralysis.
When it should be administered in the buttock: it is the most used place in the injection of very thick medications or with more than 3 ml such as Voltaren, Coltrax, Vitamin B Complex or Benzetacil.
2- Injection in the arm:
The place of intramuscular injection in the arm is the triangle indicated in the image below:
When it should be administered in the arm: it is generally used to administer vaccines or medications with less than 3 ml.
3- Injection in the thigh:
For injection in the thigh, the place of application is located on the outer lateral part, a palm above the knee and a palm under the thigh bone, as the image below shows:
When it should be administered in the thigh: this injection site is the safest, since the risk of reaching a nerve or a blood vessel is lower, so it should be preferred for those who have little practice in the application of injections.
[A] GPT
[B] CPK
[C] CPK-MB
[D] LDH
Answer [C]
------------------------------
Intramuscular injection is a technique used to apply a medicine inside a muscle, and can be applied to the buttocks, arms or thigh, and can be given both cattle and medications such as Voltaren, Benzetacil or Vitamin B complex.
This type of injection allows the medication to be absorbed into the bloodstream more quickly, because the muscle tissue has a very good blood supply, making the effect quick and effective.
How to apply an intramuscular injection:
To apply it you must follow the steps mentioned below:
- Wash your hands with soap and water to prevent infection;
- Keep everything you need at your fingertips, this includes a sterilized syringe, a second sterilized needle, gauze, alcohol and of course the medication to be injected;
- Place the person in the proper position according to the place where the injection will be applied, such as: if it is in the arm, it must be sitting, while if it is in the buttocks, it must be lying on its stomach or side ;
- Locate the region where the injection will be done;
- Clean the area with gauze impregnated with alcohol. This cleaning should be done with circular movements from the inside out to drag the 'dirt';
- Open the blister (in case of glass) very carefully, in case of rubber it must clean the lid with alcohol;
- Breathe air with the syringe still empty and then throw it away;
- Insert the syringe needle into the medicine, it is recommended to have 2 needles because in the bottles that have a rubber cap, or in those medicines that come in powder and must be returned, the needle is usually damaged and must be replaced by another before injecting the person;
- Remove the air and bubbles from the syringe, for this you can give a little tap with your fingers;
- Make a fold in the skin with the thumb and the indicator;
- Insert the needle at a 90ยบ angle, keeping the fold, and when completely inside, release the fold;
- Push the syringe plunger slowly;
- Remove the syringe slowly and press with a clean gauze for 30 seconds;
- Place a band-aid at the site of the injection application.
If the injection of blood is observed in the syringe, it should be withdrawn and reintroduced a little more to the side, since the presence of blood indicates that a blood vessel was touched and that the injection will not be made in the muscle.
Intramuscular injections, especially in infants or young children, should only be applied by a trained nurse or pharmacist to avoid serious complications such as infection, abscess or paralysis.
How to choose the site to inject:
Intramuscular injection can be applied to the buttocks, arms or thighs, depending on the type of medication and the amount that will be administered. In addition to this, depending on the region, some techniques must be followed to know the exact site where the injection will be applied.
1- Injection in the buttock:
To know the exact place of the application of intramuscular injection in the gluteus, the buttock should be divided into 4 equal parts and place 3 fingers, diagonally, in the upper right quadrant, next to the intersection of the imaginary lines . In this way it is possible to avoid injuring the sciatic nerve that can cause leg paralysis.
When it should be administered in the buttock: it is the most used place in the injection of very thick medications or with more than 3 ml such as Voltaren, Coltrax, Vitamin B Complex or Benzetacil.
2- Injection in the arm:
The place of intramuscular injection in the arm is the triangle indicated in the image below:
When it should be administered in the arm: it is generally used to administer vaccines or medications with less than 3 ml.
3- Injection in the thigh:
For injection in the thigh, the place of application is located on the outer lateral part, a palm above the knee and a palm under the thigh bone, as the image below shows:
When it should be administered in the thigh: this injection site is the safest, since the risk of reaching a nerve or a blood vessel is lower, so it should be preferred for those who have little practice in the application of injections.
What happens if the injection is poorly applied?
Intramuscular injection when applied poorly can cause:
- Intense pain and hardening of the place where the injection was applied;
- Redness of the skin;
- Decreased sensitivity at the site of application;
- Inflammation of the region where the injection was applied;
- Paralysis or necrosis, which is the death of the muscle.
In this way, it is very important that the injection be applied, preferably, by a trained nurse or pharmacist, to avoid these complications that, in severe cases, can endanger the person's life.
