What is the difference between intramuscular and intradermal

You have successfully created a MyAccess Profile for alertsuccessName. Home Books Current Procedures: Pediatrics. Previous Chapter. Next Chapter. Dietz, Renee, and Sandra M. Chapter Intramuscular, Subcutaneous, and Intradermal Injections.

Goodman D. Denise M. Goodman, et al. Current Procedures: Pediatrics. McGraw Hill; Accessed November 12, McGraw Hill. Download citation file: RIS Zotero. Share This Book Share on Twitter.

Disclaimer: Always review and follow your hospital policy regarding this specific skill. Safety Considerations: Do not aspirate. It is not necessary to aspirate because the dermis is relatively without vessels.

Always take steps to eliminate interruptions and distractions during medication preparation. If the patient expresses concerns about the medication or procedure, stop and explore the concerns. Re-verify order with physician if appropriate. Additional Information. Prepare medication or solution as per agency policy. Ensure all medication is properly identified. Properly identifying medication decreases risk of inadvertently administering the wrong medication.

Preparing medications ensures patient safety with medication administration. Compare physician orders and MAR Prepare medication from a vial. Perform hand hygiene. Gather all supplies: medication syringe, non-sterile gloves, alcohol swab and sterile gauze, Band-Aid if required. Required supplies. Enter room and introduce yourself, explain procedure and the medication, and allow patient time to ask questions.

Close the door or pull the bedside curtains. Compare MAR to patient wristband and verify this is the correct patient using two identifiers. This ensures accuracy of the medication or solution and prevents errors.

Two patient identifiers are patient name and date of birth. Compare MAR with patient wristband. Assess patient for any contraindications to the medications. Assessment is a prerequisite for every medication given.

Select appropriate site for administration. Assist the patient to the appropriate position as required. Site should be free from lesions, rashes, and moles. Selecting the correct site allows for accurate reading of the test site at the appropriate time. Assess site for ID injection. Perform hand hygiene and apply non-sterile gloves. Gloves help prevent exposure to contaminants. Apply non-sterile gloves. Clean the site with an alcohol swab or antiseptic swab.

Use a firm, circular motion. Allow the site to dry. Pathogens from the skin can be forced into the tissues by the needle. Allowing the skin to dry prevents introducing alcohol into the tissue, which can be irritating and uncomfortable.

Clean injection site. Remove needle from cap by pulling it off in a straight motion. This decreases risk of accidental needle-stick injury. Remove needle from cap. Using non-dominant hand, spread the skin taut over the injection site. Taut skin provides easy entrance for the needle. Hold skin taut prior to injection.

Hold the syringe in the dominant hand between the thumb and forefinger, with the bevel of the needle up.

This allows for easy handling of the syringe. Hold needle with bevel up. Hold syringe at a 5- to degree angle from the site. Keeping the bevel side up allows for smooth piercing of the skin and induction of the medication into the dermis.

ID injection. Once syringe is in place, slowly inject the solution while watching for a small weal or bleb to appear. The presence of the weal or bleb indicates that the medication is in the dermis. Presence of a bleb white raised circle. Withdraw the needle at the same angle as insertion, engage safety shield or needle guard, and discard in a sharps container.

Proper needle disposal prevents needle-stick injuries. Discard syringe in sharps container Massaging the area may spread the solution to the underlying subcutaneous tissue.

Draw circle around injection site. Discard remaining supplies, remove gloves, and perform hand hygiene. This prevents the spread of microorganisms.

Hand hygiene with ABHR. Document the procedure and findings according to agency policy. Proper documentation helps ensure patient safety. Document time, date, location, and type of medication injected. Evaluate the patient response to injection within appropriate time frame. The patient will need to be evaluated for therapeutic and adverse effects of the medication or solution.

Special care must be taken to ensure the correct amount of medication and type of insulin is administered, at the correct time. It is highly recommended to always get your insulin dosages double-checked by another health care provider.

Always follow the standard for medication preparation at your agency. Insulin is only administered using an insulin syringe. Insulin is the only drug with its own type of syringe with a needle attached. Insulin is always ordered and administered in units, based on a blood sugar reading and a diabetic insulin protocol or sliding scale. Some hospitals have preprinted physician orders, and some hospitals have handwritten orders.

Insulin syringes can come in , , or unit measurements. Always read the increments calibration carefully. However, the intradermal injection was more painful. Conclusion: Intradermal injection of botulinum toxin is a safe and effective method to improve forehead rhytides. Abstract Background: The intradermal technique to inject botulinum toxin is a popular procedure in upper facial rejuvenation to minimize side effects, such as brow ptosis, and can sometimes result in a lifting effect.