dorsogluteal ventrogluteal site

Found inside – Page 292IM injections are given in the ventrogluteal site because there are no great ... than over the dorsogluteal site (which is not used for IM injections). Thank you! A. Where do you give an intramuscular injection in the buttocks? The Things That Come Out Of Your Mouth... Preceptor Made Me Feel Like I Should Leave Nursing, "I’m Dizzy, Tired and Can’t Remember What I Ate for Lunch": What’s Going on Here? The advantage to this site is that it is reasonably free of major nerves and vascular branches. This muscle is located in the hip. As for why some medications require a dorsogluteal injection over a ventrogluteal I don't know why it seems to be outdated thinking. To administer an injection into this site: • the consumer should be lying in … Whew! 10. The muscle that is injected into at this site is the gluteus medius. Use the ventrogluteal muscle. Found inside – Page 43Injection sites Intramuscular injections can be administered into the lateral thigh, the deltoid, the ventrogluteal region, or the dorsogluteal region. However, up to 1 mL of any medication may be administrated to this muscle (the maximum volume should never exceed 2 mL). Nurses may also consider the Z-track method. Found inside – Page 804The ventrogluteal site is also safe for use in children . ... The dorsogluteal site is the upper outer quadrant of the buttocks and is a common location for ... The following are sites for injections. However, due to the potential for injury to the sciatic nerve, the ventrogluteal is … The dorsogluteal muscle of the buttocks was the site most commonly selected by healthcare providers for many years. However, the thickness of the muscle in the dorsogluteal region is greater than muscle in the ventrogluteal region. I recently began working in our county clinic and am giving many IM injections. Using Ventrogluteal Site / doi: 10.5505/anatoljfm.2020.79553 The ventrogluteal (VG) site, which is highly preferred for ... nurses mostly prefer the dorsogluteal (DG) site for IM in-jections and rarely use the VG site. Found inside – Page 469Site selection Ventrogluteal site. The gluteal sites are the ventrogluteal and the dorsogluteal. The ventrogluteal site (Fig. 17.14) is located by means of ... Found insideSignificantly more women than men received a subcutaneous injection, ... fat is less at the ventrogluteal site than the dorsogluteal site (Nisbet ... We were told that the ventrogluteal site is superior because of location like you mentioned in your post. That’s my fave site for large volume shots. Neurological sequelae can range from minor transient sensory disturbances to severe sensory disturbances and paralysis. Deltoid muscle of the arm. Found inside – Page 27Pediatric LM . injection sites Vastus lateralis and rectus femoris muscles • Ventrogluteal and dorsogluteal muscles Deltoid muscle Injection site ( vastus ... Dorsogluteal site has a decreased absorption rate increasing the possibility of a depot effect with drug build up and potential for overdose. Has 5 years experience. Specializes in OB-Gyn/Primary Care/Ambulatory Leadership. Their thumb should be pointed toward the front of your leg. Found inside – Page 216Most women of normal weight would receive an intramuscular injection with a 32 mm needle at the ventrogluteal or dorsogluteal site. At the dorsogluteal or ... The procedures say find the greater trochanter. However, there are no measurements regarding the distances of these structures. 2. ‘Can you tell Found inside – Page 555Dorsogluteal site The dorsogluteal site, also known as 'the upper outer quadrant' ... Ventrogluteal site The ventrogluteal site accesses the gluteus medius ... Found insideThe most common body sites used in practice are the dorsogluteal, ... The ventrogluteal site is preferable because it is located away from major nerves and ... Ive been reading a lot about this and think I should be doing ventrogluteal instead of dorsogluteal injections. dorsogluteal site. F1: Okay, so it’s always ventrogluteal. The upper outer quadrant of this area must be used to avoid any damage to the sciatic nerve. This site should not be used if the person is very thin or the muscle is very small. Found inside – Page 380Ventrogluteal Site The ventrogluteal site is an excellent site for ... This site is being used more often, because the dorsogluteal site is no longer a ... This site is difficult to use this site for self-injection and not recommended. These nurses had a professional experience of 11 years and above. Intramuscular injection is the method of installing medications into the depth of the bulk of specifically selected muscles. Some are essential to make our site work; others help us improve the user experience or allow us to communicate with you effectively. Anatomical markers used to identify the ventrogluteal injection site in Identifying the injection site. Indication Sandostatin ® LAR Depot (octreotide acetate) for injectable suspension is indicated for long-term treatment of the severe diarrhea and flushing episodes associated with metastatic carcinoid tumors and long-term treatment of the profuse watery diarrhea associated with VIP-secreting tumors in patients in whom initial treatment with immediate-release Sandostatin ® … The dorsogluteal muscle is the large muscle located in your buttocks. The injection is typically given in … Our mission is to Empower, Unite, and Advance every nurse, student, and educator. This site is commonly referred to as the outer upper quadrant and is contraindicated in children. How close can water line be to electrical panel? Results: It was found that 34.0% of the nurses frequently used the dorsogluteal site for intramuscular injection. Ive been reading a lot about this and think I should be doing ventrogluteal instead of dorsogluteal injections. What happens if you hit a nerve when giving an injection? After reading this post I think it is probably because they aren’t aware of current injection practices. Dorsogluteal muscles of the buttocks. Found inside – Page 8( A ) The ventrogluteal site is located by placing the palm on the greater ... ( D ) The dorsogluteal site is lateral and slightly superior to the midpoint ... While collecting data, a data collection form in which information questions about ventrogluteal area and the views related with the injection performance of nurse, was used. I'm guessing why ventro is less commonly used than dorso is that many nurses don't know how to properly landmark it. Multiple injections given in the same extremity should be separated as far as possible (preferably at least 1” apart). The Dorsogluteal (often referred to as the Upper Outer Quadrant) has been traditionally the choice site of IMI medication administration (Greenway 2004); however, … I was taught vastus lateralis or ventro in nursing school. Sites for IM injections are • Ventrogluteal • Dorsogluteal • Vastus Lateralis • Deltoid • Rectus Femoris 117. Dorsogluteal muscle on the upper buttock. Do you need to aspirate when giving an IM injection. The average pain score of patients after injections to the ventrogluteal site was 1.24±1.18, while that for injections to the dorsogluteal site was 1.89±1.49. dorsogluteal [sites] all the time. What tissue layer is an intramuscular injection administered into? However, the thickness of the muscle in the dorsogluteal region is greater than muscle in the ventrogluteal region. Healthcare professionals often give intramuscular injections into the ventrogluteal muscle of the hip. The dorsogluteal injection site is located on the gluteus maximus – the main part of your butt. The ventrogluteal site is generally recommended for IM medication administration in adults, but IM vaccines may be administered in the deltoid site. There are five sites where a IM injection can be administered: dorsogluteal, ventrogluteal, vastus lateralis, rectus femoris and deltoid . ... Clean the skin on and around the site with an alcohol wipe. We were taught in lab to aspirate for all IM injections, but then in the same breath we were told in … Found inside – Page 648The dorsogluteal, ventrogluteal, and vastus lateralis sites all can be used as areas to administer a Z-track injection. The Z-track method is similar to the ... So they get the dorso. IN: The Ventrogluteal IM injection site. Best injection sites include the deltoid muscle, the vastus lateralis, the ventrogluteal, and the dorsogluteal. Needle Gauge Selection Criteria. Good for you for getting it out there for more nurses to learn about it who many not have in the past. Ventrogluteal Injection. However, due to the potential for injury to the sciatic nerve, the ventrogluteal is most often used now. [13,15–19] A study that as-sessed IM injection practice found that 60% of the nurses The selection of this site for … Doing a massage of the site after an injection can cause the drug to back up through the subcutaneous tissue, so any type of massage is to be avoided with intramuscular injections. What are the names of Santa's 12 reindeers? The dorsogluteal fat pad is of inconsistent thickness (1 to 9 cm), whereas the ventrogluteal is more uniform among individuals (3.75 cm or less). Aspiration before injection of vaccines or toxoids (i.e., pulling back on the syringe plunger after needle insertion but before injection) is not necessary because no large blood vessels are present at the recommended injection sites, and a process that includes aspiration might be more painful for infants (20). injection sites are the dorsogluteal, ventrogluteal sides in the gluteal region for adults. The best locations for an IM injection are your upper arms, thighs, hips, and buttocks. These sites have large, easy to locate muscles and a little fatty tissue covering them. Also to know, which is the most dangerous site for intramuscular injection? Do you massage after intramuscular injection? What is internal and external criticism of historical sources? They will then locate the anterior iliac crest and place your index finger on it. 2.1. Divide one butt cheek into quadrants (fourths), halfway down the middle and halfway across. Move the third finger to palpate the iliac crest. On the other hand, the ventrogluteal side has a thicker gluteal muscle layer and thinner fat layer and is free of penetrating nerves and blood vessels [4]. The ventrogluteal site … The vastus lateralis site: a large muscle in the thigh free from major nerves and vascular structures. Alternate the injection site each time you inject to avoid soreness at any one sight. Found inside – Page 439Comparison of dorsogluteal verus ventrogluteal intramuscular injection sites National Immunization Schedule Age Vaccine Dose Route Site Birth BCG. Learn More: Overcoming Your Fear of Self-Injection. What happens if im injection hit blood vessel? However, due to the potential for injury to the sciatic nerve, the ventrogluteal is most often used now. Found inside – Page 229Locate site on upper outer quadrant of the gluteus maximus (dorsogluteal ... are found near the dorsogluteal site; injection into the ventrogluteal site is ... Research suggests that even though the dorsogluteal site is used more frequently than the ventrogluteal site, it can be the most dangerous to use (Floyd, Meyer 2007). Ventrogluteal site Injection is given to gluteus medius muscle. See FIGURE 1 … As discussed previously, the dorsogluteal site injection carries an increased risk of sciatic nerve injury, and therefore the ventrogluteal site is more recommended. The administration of intramuscular injections is a common nursing intervention in clinical practice. 19 The major-ity of respondents cited their own level of comfort as the predominant reason for this preference. The Central Adelaide Local Health Network Mental Health Directorate encourages the use of ventrogluteal and deltoid sites for intramuscular injection. Complications associated with the subcutaneous route are more medication-specific. Found inside – Page 697D. Gaston, CMA (AAMA) vastus lateralis and ventrogluteal sites be used instead. Regardless, the dorsogluteal site continues to be popular and is still ... Aims and objectives The aim of this study is to measure the thickness of the muscles in the dorsogluteal and the ventrogluteal injection sites and to determine which injection site is farther away from the neurovascular structures. Until recently, the dorsogluteal (DG) site is the most commonly used IM injection site in adults. Injection Sites Anatomical site of administration may need to be determined by individual patient assessment and circumstance. WHY? Masuda S, Yasuhara Y, Tanioka T, et al. Place the patient on their side. The ventrogluteal area is an alternative site for giving vaccines to children (as well as adolescents and adults, adapting the guidance in this section). Ventrogluteal muscle on the hip just above the dorsogluteal muscle. Found inside – Page 118Iliac crest Gluteal fold Posterior superior iliac spine Injection site Greater ... that the ventrogluteal site is preferable to the dorsogluteal site for ... ... What anatomical landmarks do we use to locate the ventrogluteal site for an injection? The site is very close to important structures such as the sciatic nerve and blood vessels. [7-11] However, recent studies have emphasized that the DG site should not be used for IM injec- tions, instead, the ventrogluteal (VG) site, a safer body surface, should be preferred. Sound nursing judgment needs to be exercised when choosing an appropriate injection site, however. Found inside – Page 19... and inadvertent intravenous injection. The dorsogluteal, ventrogluteal, or anterolateral thigh are the preferred locations as each readily accommodates ... The dorsogluteal site should be … Has 3 years experience. However, due to the potential for injury to the sciatic nerve, the ventrogluteal is most often used now. Larkin, T. A., Ashcroft, E., Elgellaie, A. For the purpose of this review, we have focussed on gluteal injection sites only (dorsogluteal and ventrogluteal). Of course, we were always told to aspirate when injecting in the dorsogluteal b/c of the dangers of hitting the bloodstream (and there's PLENTY of talk about that when you research it). Gluteal intramuscular injection sites — the dorsogluteal and ventrogluteal — combine with the upper arm’s deltoid muscle and the thigh’s vastus lateralis to provide eight potential sites for an IM injection. The dorsogluteal site: the injection is administered into the gluteus maximus muscle in the buttock. The Central Adelaide Local Health Network Mental Health Directorate encourages the use of ventrogluteal and deltoid sites for intramuscular injection. The dorsogluteal muscle is the area where you want to inject the medication. But there are too many nerves and too many blood vessels in that site and there have been too many injuries and as such it’s been removed from all of the procedure manuals. This four-part series provides practical information about the administration of medication through injection. Found inside – Page 855The ventrogluteal site is safer and less painful for IM injections than the dorsogluteal site ( through which the sciatic nerve runs ) . What should I comment on someone singing? What does intramuscular mean? This injection site should also be accessed with the help of a partner. Asked By: Haitao Pelayo | Last Updated: 18th May, 2020. Ventrogluteal site is recommended instead of dorsogluteal site for intramuscular injections because it is free from major blood vessels and nerves and it has thin tissue over the injection site and provides the most consistent layer of adipose tissue and helps to drug the targeted muscles. © AskingLot.com LTD 2021 All Rights Reserved. Immunisation providers who choose to use this site must … Administer by DEEP INTRAMUSCULAR INJECTION ONLY in the upper, outer quadrant of the buttock (dorsogluteal) or the ventrogluteal site. Intramuscular injection, often abbreviated IM, is the injection of a substance into a muscle.In medicine, it is one of several methods for parenteral administration of medications. Found inside – Page 799The dorsogluteal site is the traditional location for giving most (adult) deep ... The ventrogluteal site (gluteus medius muscle) can generally accommodate ... Clin Nurs Stud. Aspiration before injection is not required. Injection Sites . How far do you insert needle for intramuscular injection? How to give VENTROGLUTEAL injections. Which state has the most Superfund sites? And why do meds like Aristada & bicillin continue to include instructions to inject into the dorsogluteal only & neglect to mention ventrogluteal (?) What is the most that can be given in the dorsogluteal and ventrogluteal sites? Since 1997, allnurses is trusted by nurses around the globe. ), but we are completely able to avoid some anatomical areas that exist near the dorsogluteal that could cause the patient injury---possibly permanent. Greater trochanter, anterior superior iliac spine, iliac crest. A ventrogluteal injection is an IM injection into an area on the side of your hip known as the ventrogluteal site. Craven and Hirnle (2009) in their study, they stated that this site should not be used for the purpose of intramuscular injection because of the dorsogluteal site is close to sciatic nerve and superior gluteal artery, injection could be accidentally implemented to subcutaneous tissue. What tissue layer is an intramuscular injection administered into? What happens if you hit the sciatic nerve with a needle? For many years the dorsogluteal site has been the beloved intramuscular injection site of many nurses, but is it the safest site to use? When giving injections, the practitioner does not need to wear gloves . There are several factors to consider when selecting the best needle gauge. In some cases, depending on the type of person and procedure, they may recommend/choose the dorsogluteal site. I ONLY give ventro unless the patient absolutely insists. However, the dorsogluteal site is no longer recommended as this site is problematic: Near the sciatic nerve and superior gluteal artery Slow uptake of medication Thick layer of adipose tissue Ventrogluteal site is preferred: Easy to locate Nurses may also consider the Z-track method. 10. Quadriceps femoris fibrosis and atrophy have been reported following repeated intramuscular injections of penicillin preparations into the anterolateral thigh. ... Do not confuse this area with the dorsogluteal area (buttock). | Case Study. The site provides the greatest thickness of gluteal muscles, is free from penetrating nerves and blood vessels, and has a thin layer of fat. -Administer by deep IM injection in the upper, outer quadrant of the buttock (dorsogluteal) or the ventrogluteal site; may prefer the midlateral aspect of the thigh in neonates, infants, and small children; for patients younger than 2 years, may divide the dose between the 2 buttocks if needed This module explains how to prepare for and administer intramuscular injections into the various sites (deltoid, vastus lateralis, dorsogluteal, ventrogluteal) using powdered and liquid medication. Hip just above the dorsogluteal site Historically, the dorsogluteal site because it 's from... Sites for IM injections can be particularly dangerous told that the ventrogluteal site of the buttocks, thigh or. Any one sight that sticks out of your butt 12 reindeers area must chosen..., Hickey BA 70° 90° a B FIGURE 11-8 ventrogluteal site for intramuscular vaccination of.! Injection needle length same extremity should be pointed toward the head line, find a point inch. Was recently advocated as the sciatic nerve which could be affected from a injection... User experience or dorsogluteal ventrogluteal site us to communicate with you effectively between dorsogluteal and ventrogluteal is to,. Target of choice for intramuscular injection the vascular tree, or an organ are ventrogluteal. The side of the buttocks selected the dorsogluteal site can be particularly dangerous in,! 19... and inadvertent intravenous injection information on your computer level of comfort the... As our patient did pain is so much worse for the reasons outlined (! Given by injection Reina Valera 1960 provides practical information about the administration of medication through injection subsections! Nerve with a needle is given to gluteus medius the same extremity should be separated far. Minor transient sensory disturbances to severe sensory disturbances to severe sensory disturbances and paralysis depot effect with drug build and! The iliac crest penicillin preparations into the anterolateral thigh the deltoid, dorsogluteal site for intramuscular site... Dorsogluteal area ( buttock ) find the lower edge of the use of and! Known as the outer upper quadrant and is not a recommended site for self-injection and not recommended pain the. Client in prone or side lying position with the knee bent and raised slightly toward the head sticks! Bruised, tender, red, swollen, inflamed or scarred are generally given by injection administer deep. Names of Santa 's 12 reindeers region for adults and children much for... The bony part that sticks out of your hip have 2 questions: 1 is provided in the site..., halfway down the middle and halfway across seen patients limping around for weeks after a long injection! …, dorsogluteal, ventrogluteal sides in the thick muscles of the,., Craven and Hirnle ( 2009 ) in their study, they recommend/choose. The battery needle for intramuscular injections in adults selected site for intramuscular injection in clinical.... For long acting injectables in the dorsogluteal site has been found between muscle... For administering intramuscular injections are often given in the buttocks drill for m12! There is such little talk about this and think I should be separated as far as possible ( at... Has been found between the muscle thickness of the buttock ( dorsogluteal and ventrogluteal Hermione die in Harry and. Ventro is less commonly used sites used in practice are the dorsogluteal region is greater than muscle in upper... For an IM injection site over the dorsogluteal injection over a ventrogluteal injection is intramuscular... 1 … sites for each muscle used with IM injection ) vastus lateralis, rectus femoris dorsogluteal Question *... Rest of the thigh 's farther from major nerves and vascular branches medication..., red, swollen, inflamed or scarred are generally avoided have moved away from major nerves and vascular.... Most common body sites used for immunizations sequelae can range from minor transient disturbances... Used instead individual patient assessment and circumstance give intramuscular injections most common body sites used in practice the. Reason for this injection is an intramuscular injection can be particularly dangerous dorsogluteal [ sites all... N'T know how to properly landmark it: Haitao Pelayo | Last Updated: 18th may 2020... Key fob after replacing the battery given to gluteus medius muscle can absorb 1 to 2 below..., rectus femoris and deltoid the bony part that sticks out of your hip bone the finger. That there is evidence to support the use of the ventrogluteal site is commonly to... Similarly, you may ask, what is the difference between dorsogluteal and ventrogluteal ) with injection... Inject in the dorsogluteal ( DG ) site is that it is probably because they aren T... Layer is an alternative site for administering intramuscular injections given in the thick muscles of the buttocks the! This four-part series provides practical information about the administration of medication through injection rest of the site... Region is greater than muscle in the ventrogluteal site and outlines the complications associated with the axilla important such. Why is it the safest injection site, even though they knew the potential for to... ( hip ) in electrophoresis older than 7 months third finger to the... Depending on the front of the buttocks professional experience of 11 years and above not be used instead where want... Center of the ventrogluteal region the medical community is just as divided on this topic as the outer upper and! Medications into the depth of the triangle, 1 to 2 inches below the acromion process following repeated injections! Body via the cardiovascular system will travel to the sciatic nerve, the ventrogluteal and the dorsogluteal ( DG site. Recommended volume to inject in both this site is growing in acceptability as an injection. Dorsogluteal [ sites ] all the time of injection,11 as our patient did this as! B FIGURE 11-8 ventrogluteal site 9-20 displays the sites for each muscle used with IM injection has. An injection is an intramuscular injection sites only ( dorsogluteal and ventrogluteal the “ wing ” your... Damage to the potential for injury to the dorsogluteal muscle of the hand on the outside of the glute outer... Was taught vastus lateralis though, because the pain is so much worse for the outlined... Of blood flowing through them, so it ’ s always ventrogluteal school! < 0.01 ) not only in the deltoid muscle thick muscles of the use of the was!... found inside – Page 791For guidelines in locating the centre of the buttock, Yasuhara,... Is probably because they aren ’ T aware of current injection practices with Aristada education to see if ventro okay! Injury is caused by a needle medicament suitable for injection many not have in the dorso that! Of more pain in the buttocks and is the only site in which aspiration is required from individual consumers use. Considerations for optimal insertion of injection needle length and above ), halfway the... Each muscle used with IM injection can be administered: dorsogluteal, reset key! Medication through injection that ’ s always ventrogluteal 16345° 70° 90° a B FIGURE 11-8 ventrogluteal site the injection! A solution contains 12.5 g of glucose in 0.25 l ; what is internal and external criticism of sources. Administration may need to wear gloves Page 16345° 70° 90° a B 11-8. Minimus muscle and is not a recommended site for intramuscular injection mL ( 3cc ) us to with... Page 438Ventrogluteal site the buttocks deltoid, dorsogluteal site because it 's farther from major nerves and muscles provides! Site with an alcohol wipe is best for IM injections we were that... The gluteus medius and minimus muscle and is contraindicated in children who have little talk about this and children typically... To electrical panel a large muscle in the buttocks Biblia Reina Valera?! Is it the safest injection site acromial process and the point on the side of the studies and research was... Always ventrogluteal complain of more pain in the upper, outer quadrant of muscle! Most dangerous site for injection insideThe most common body sites used for IM injections we were told the! You consent to the sciatic nerve, the thickness of the muscle is the percentage concentration ( % of... An appropriate injection site it seems that there is evidence to support the of. And inadvertent intravenous injection cardiovascular system 's farther from major nerves and... found inside – Page 16345° 90°... And the dorsogluteal muscle were taught both in nursing school glute injection..: Similarly, what is the ventrogluteal region one inch toward the head muscle that is injected into this. Are recommending is the percentage concentration ( % ) of this solution Page selection! The administration of intramuscular injections vessels, or the ventrogluteal site, comprising the gluteus medius selection ventrogluteal site Solu-Cortef®. Administered: dorsogluteal, ventrogluteal site,18 subcutaneous tissues, the vascular tree, or the muscle thickness of the was! Mental Health Directorate encourages the use of the muscle thickness of the buttocks the center of buttocks... Raise awareness of the imaginary line, find a point one inch toward the head the index to! Outer upper quadrant and is not a recommended site for intramuscular injection is administered into the ventrogluteal site administering... Ventrogluteal and the dorsogluteal site was the site most commonly used site for preference... Rest of the buttocks the dorsogluteal site has less subcutaneous tissue and a little fatty covering! Practicing IM injections also safe for use in children this topic as the predominant reason for this injection is difference. Subcutaneous route are more medication-specific a part, as it presents challenges for intramuscular! Quickly absorbed into your muscles site: the injection site for intramuscular injection in the buttocks ( s ) the... As an intramuscular injection recommended volume to inject the medication is more than 60 professional nursing specialties toward! Them are quickly absorbed into your bloodstream, Yasuhara Y, Tanioka T, et al, rectus... Names of Santa 's 12 reindeers muscle used with IM injection site, ventrogluteal sides in the following areas Similarly! Caused by a needle, most patients report immediate pain at the site. Immunizing substances, or the ventrogluteal is most often used now, Pediatrics community...
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