Child/Adult Intramuscular Shot - Texas · IM sites •Ejemplo de dos sitios IM Lugar: Deltoideo...
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Intramuscular injections to children and adults are usually given in the upper arm. The deltoid muscle is found about 3 fingers below the acromion, above the level of the armpit. Use 23–25 gauge, 1” needle. Insert entire needle at 90º angle. A 1 1 /2” needle may be needed for large adults. Intramuscular shots in infants and toddlers are usually given in the anterolateral thigh. The vastus lateralis muscle is on the outside of the leg in the mid- to upper-thigh. Use 23–25 gauge, 1” needle. Insert entire needle at 90º angle. Site: Vastus Lateralis • Example of two IM sites • Example of two IM sites Site: Deltoid 90º INTRAMUSCULAR (IM) Age: 0–36 months Age: 3 years–Adult Infant/Toddler Intramuscular Shot Child/Adult Intramuscular Shot Vaccines given intramuscularly (IM): Intramuscular (IM) Needle Size: 23–25 gauge Needle Length: 1” • Diphtheria-Tetanus-Pertussis • Haemophilus influenzae, type b • Hepatitis A • Hepatitis B • Influenza • Meningococcal Conjugate • Pneumococcal Conjugate Subcutaneous shots in infants and toddlers are given either in the upper arm or in the fatty area of the thigh. The tissue is “pinched” up between the thumb and index finger. Use 25 gauge, 5 /8” needle. Insert entire needle at 45º angle. Given in the upper arm. The tissue on the back of the upper arm is “pinched” up between the thumb and index finger. Use 25 gauge, 5 /8” needle. Insert entire needle at 45º angle. Vaccines given subcutaneously (SC): • Inactivated Polio Vaccine* • Measles-Mumps-Rubella • Pneumococcal Polysaccharide* • Varicella *Can also be given IM 45º Safe•Effective•Caring O Site: Outer Aspect • Example of two SC sites Site: Outer Aspect • Example of two SC sites SUBCUTANEOUS (SC) Subcutaneous (SC) Needle Size: 25 gauge Needle Length: 5 / 8” Infant/Toddler Subcutaneous Shot Age: 0–36 months Age: 3 years–Adult Child/Adult Subcutaneous Shot Medical Illustrations by Lynne Larson, www.biovisuals.com. All rights reserved. This chart is based on extensive review of the scientific literature including recom- mendations of the Advisory Committee on Immunization Practices (MMWR 1994; 43RR-1, 1-38) and the American Academy of Pediatrics (Red Book 2000). The pur- pose of this chart is to present the most customarily recommended vaccine injection sites and needle sizes. For alternatives or additional information, please refer to the vaccine manufacturer’s package insert and the cited references. Devices illustrated are available with engineered sharps injury prevention mechanisms. Produced by the Immunization Branch, California Department of Health Services. Reproduced with permission from the California Department of Public Health, Immunization Branch Texas Depatment of State Health Services - Immunization Branch 6-27P (09/07)
Transcript of Child/Adult Intramuscular Shot - Texas · IM sites •Ejemplo de dos sitios IM Lugar: Deltoideo...
Intramuscular injections tochildren and adults areusually given in the upperarm. The deltoid muscle isfound about 3 fingers belowthe acromion, above the levelof the armpit.
Use 23–25 gauge, 1” needle.Insert entire needle at 90ºangle. A 11/2” needle may beneeded for large adults.
Intramuscular shots ininfants and toddlers areusually given in theanterolateral thigh. Thevastus lateralis muscle is onthe outside of the leg in themid- to upper-thigh.
Use 23–25 gauge, 1” needle.Insert entire needle at 90ºangle.
Site:Vastus Lateralis
• Example of two IM sites
• Example oftwo IM sites
Site:Deltoid
90º
INTRAMUSCULAR (IM)
Age: 0–36 months
Age: 3 years–Adult
Infant/Toddler Intramuscular Shot
Child/Adult Intramuscular Shot
Vaccines given intramuscularly (IM):Intramuscular
(IM) Needle Size:23–25 gaugeNeedle Length:
1”
• Diphtheria-Tetanus-Pertussis • Haemophilus influenzae, type b• Hepatitis A • Hepatitis B • Influenza• Meningococcal Conjugate • Pneumococcal Conjugate
Subcutaneous shots ininfants and toddlers aregiven either in the upperarm or in the fatty area ofthe thigh. The tissue is“pinched” up between thethumb and index finger.
Use 25 gauge, 5/8” needle.Insert entire needle at 45ºangle.
Given in the upper arm.The tissue on the back of theupper arm is “pinched”up between the thumb andindex finger.
Use 25 gauge, 5/8” needle.Insert entire needle at 45ºangle.
Vaccines given subcutaneously (SC):• Inactivated Polio Vaccine*• Measles-Mumps-Rubella • Pneumococcal Polysaccharide*• Varicella
*Can also be given IM
45º
S a f e • E f f e c t i v e • C a r i n g
O
Site:Outer Aspect
• Example of two SC sites
Site:Outer Aspect
• Example of two SC sites
SUBCUTANEOUS (SC)
Subcutaneous(SC) Needle Size:
25 gaugeNeedle Length:
5/8”
Infant/Toddler Subcutaneous Shot Age: 0–36 months
Age: 3 years–AdultChild/Adult Subcutaneous Shot
Medical Illustrations by Lynne Larson, www.biovisuals.com. All rights reserved. This chart is based on extensive review of the scientific literature including recom-mendations of the Advisory Committee on Immunization Practices (MMWR 1994; 43RR-1, 1-38) and the American Academy of Pediatrics (Red Book 2000). The pur-pose of this chart is to present the most customarily recommended vaccine injection sites and needle sizes. For alternatives or additional information, please refer tothe vaccine manufacturer’s package insert and the cited references. Devices illustrated are available with engineered sharps injury prevention mechanisms. Produced by the Immunization Branch, California Department of Health Services.
Reproduced with permission from the CaliforniaDepartment of Public Health, Immunization Branch
Texas Depatment of State Health Services - Immunization Branch
6-27P (09/07)
Las inyecciones intramuscu-lares se aplican generalmentea niños y adultos en el brazo.El músculo deltoideo se hallaa unos 3 dedos debajo delacromion, por encima delnivel de la axila.
Use una aguja calibre 23 a 25de 1”. Introduzca la agujaentera a un ángulo de 90º. Enadultos de mayor tamaño sepuede requerir una aguja 11/2”.
Las inyecciones intramuscu-lares se aplican generalmentea bebés y niños pequeños enel muslo anterolateral. Elmúsculo vastus lateralis estáen la parte externa de la pier-na, en la parte media a supe-rior del muslo.
Use una aguja calibre 23 a 25de 1”. Introduzca la agujaentera a un ángulo de 90º.
Site:Vastus Lateralis
• Example of two IM sites
• Ejemplo dedos sitios IM
Lugar:Deltoideo
90º
INTRAMUSCULAR (IM)
Edad: 0 a 36 meses
Edad: 3 años a adulto
Inyección intramuscular para bebés y niños pequeños
Inyección intramuscular para niños y adultos
Vacunas que se aplican intramuscularmente (IM): Tamaño de la aguja
intramuscular (IM):Calibre 23 a 25Longitud de la aguja:
1”
• Difteria-Tétano-Tos Ferina• Haemophilus influenzae, tipo b• Hepatitis A • Hepatitis B • Influenza• Meningocócica conjugada • Neumocócica conjugada
Las inyecciones subcutáneasse aplican generalmente abebés y niños pequeños en elbrazo o en la parte adiposadel muslo. El tejido se “pel-lizca” entre los dedos índicey pulgar.
Use una aguja calibre 25 de5/8”. Introduzca la aguja enteraa un ángulo de 45º.
Se aplica en el brazo.El tejido de la parte traseradel brazo se “pellizca” entrelos dedos pulgar e índice.
Use una aguja calibre 25 de5/8”. Introduzca la aguja enteraa un ángulo de 45º.
Vacunas que se aplican subcutáneamente (SC):
• Vacuna de poliomielitis desactivada*• Sarampión, Paperas, Rubéola• Neumocócica polisacárida*• Varicela
*También se puede aplicar IM
45º
Lugar:Aspectoexterno
• Ejemplo dedos sitios SC
Lugar:Aspectoexterno
• Ejemplo dedos sitios SC
SUBCUTANEA (SC)
Tamaño de la aguja
subcutánea (SC):
Calibre 25Longitud de la aguja:
5/8”
Inyección subcutánea para bebés y niños pequeños Edad: 0 a 36 meses
Edad: 3 años a adultoInyección subcutánea para niños y adultos
Ilustraciones médicas de Lynne Larson, www.biovisuals.com. Todos los derechos reservados. Esta tabla se basa en una extensa revisión de publicaciones científicas,incluyendo las recomendaciones del Advisory Committee on Immunization Practices (MMWR 1994; 43RR-1, 1-38) y de la American Academy of Pediatrics (RedBook 2000). El propósito de esta tabla es presentar los sitios de inyección y los tamaños de aguja que se recomiendan usualmente. Para alternativas o informaciónadicional, consulte el prospecto del fabricante que viene con la vacuna y la bibliografía citada. Los dispositivos ilustrados se hallan disponibles con mecanismos dis-eñados para prevenir lesiones causadas por objetos punzantes. Producido por la Rama de Vacunación del Departamento de Servicios de Salud de California.
Reproduced with permission from the CaliforniaDepartment of Public Health, Immunization Branch
Texas Depatment of State Health Services - Immunization Branch
6-27P (09/07)
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