Slowly pull back on the syringe for about three seconds to aspirate the needle. If any blood comes into the syringe, you will need to remove the needle and find a new injection site. Blood is a sign that you have hit a blood vessel or artery, and should not proceed with an injection.
A broken blood vessel causes internal bleeding within the muscle. When a blood vessel breaks, scar tissue or blood clots can form and if a blood clot starts to wander and reaches the heart or lungs, the consequences can be life-threatening. Injections that hit an artery can be particularly dangerous.
Secondly, are you supposed to aspirate when giving an injection? 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).
Consequently, is Bleeding After im injection normal?
Use a piece of gauze to apply light pressure to the injection site. You can even massage the area to help the medicine be absorbed into the muscle. It’s normal to see slight bleeding.
What is the significance of the presence of blood during aspiration?
When injecting into a blood vessel (for example during intravenous sedation) it is essential to aspirate blood into the syringe prior to drug administration to ensure that the tip of the needle is lying within a vein.
What happens if an injection hits a nerve?
Post-injection nerve damage can result from direct needle trauma, chemical irritation, toxic action of the injected solution, and neuritis (or fibrotic changes). When a nerve injury is caused by a needle, most patients report immediate pain at the time of injection,11 as our patient did.
What happens if you accidentally inject air into muscle?
Injecting a small air bubble into the skin or a muscle is usually harmless. But it might mean you aren’t getting the full dose of medicine, because the air takes up space in the syringe.
Can you hit a nerve with an injection?
Extreme Pain at the Injection Site In some cases, the pain may be extreme but not particularly dangerous (such as when an intramuscular injection accidentally hits the sciatic nerve). 1? But, at other times, it may be due to an infection that might only get worse if left untreated.
Which is the most dangerous site for intramuscular injection?
For many years the dorsogluteal site has been the beloved intramuscular injection site of many nurses, but is it the safest site to use? 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).
What happens if there is air in a needle?
An air embolism, also called a gas embolism, occurs when one or more air bubbles enter a vein or artery and block it. These air bubbles can travel to your brain, heart, or lungs and cause a heart attack, stroke, or respiratory failure.
How do you give an intramuscular injection in the buttocks?
IM injection into the Gluteus medius site (buttock) Find the trochanter. Find the posterior iliac crest. Draw an imaginary line between the two bones. After locating the centre of the imaginary line, find a point one inch toward the head. Stretch the skin tight. Hold the syringe like a pencil or dart.
Can you die from an air bubble in a syringe?
Bubbles of air in the circulating blood can cause death or brain damage, if the air bubble cuts off the blood supply to your brain. However, according to Dr.
Why would an injection site bleed?
Bleeding from the injection site occurs when the needle punctures a small blood vessel. This is somewhat common and shouldn’t compromise the insulin’s ability to get into your bloodstream and lower your blood sugar effectively.
Do you massage after intramuscular injection?
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 is the site of intramuscular injection?
Where should an intramuscular (IM) injection be given? Nurses learn there are four possible sites: the arm (deltoid); thigh (vastus lateralis); upper outer posterior buttock (gluteus maximus), also referred to as the dorsogluteal site; and the lateral hip (gluteus medius), also called the ventrogluteal site.
What happens if you bleed after steroid injection?
Side effects of steroid injections temporary bruising or a collection of blood under the skin. flushing of the face for a few hours. an infection, causing redness, swelling and pain – get medical advice as soon as possible if you have these symptoms.
How far do you insert needle for intramuscular injection?
Needle insertion Insert needle at an 45o angle to the skin. Pinch up on SQ tissue to prevent injecting into muscle. Aspiration before injection is not required. Multiple injections given in the same extremity should be separated as far as possible (preferably at least 1” apart).
Where is the Dorsogluteal injection site?
The vastus lateralis site is in the lateral middle third of the thigh between the greater trochanter and the knee. When injecting, lift the vastus lateralis muscle away from the bone. The dorsogluteal site is above an imaginary line between the greater trochanter and the posterior superior iliac crest.