What should I pay attention to when injecting into the buttocks muscle?

In many cases, the human body needs to be injected intramuscularly to achieve the effect of causing disease. However, intramuscular injection is not suitable for all people. Especially when injecting into the buttocks, there are many things that need to be paid attention to. For example, the injection site must not have nodules and infections. At the same time, relevant drugs must be prepared in advance. So what should be paid attention to when injecting into the buttocks?

First, what should be paid attention to during gluteal intramuscular injection? Operation procedure: (1) Prepare all the materials and bring them to the bedside, check them, and explain to the patient to obtain cooperation. (2) Help the patient to assume an appropriate position, disinfect the skin with 2% iodine tincture and 70% ethanol or 3% complex iodine alone, and wait for it to dry. (3) Expel all the air from the syringe used to extract the drug. (4) Use the thumb and index finger of your left hand to separate the skin. Hold the needle with your right hand like holding a pen and secure the needle plug with your middle finger. The needle and injection site should be inserted quickly into the muscle, usually about 2.5 to 3 cm (2/3 of the needle, reduce the distance for emaciated patients and sick children). (5) Release your left hand and pull the piston. If there is no blood return, fix the needle and inject the medicine. After the injection, press the needle insertion site with a dry cotton swab and quickly remove the needle. (6) Help the patient to lie in a comfortable position. Cleaning supplies.

Second, two drug solutions need to be injected at the same time, and attention should be paid to incompatibility contraindications. (2) Drugs may be injected only when no blood returns during aspiration. (3) The injection site is suitable for the individual. Gluteus maximus injection should not be used for infants and children under 2 years old. Gluteus medius and gluteus minimus injection should be used instead. Because young children's gluteal muscles are generally not well developed before they are able to walk independently, gluteus maximus injections carry the risk of damaging the sciatic nerve. (4) Accurate positioning, especially when injecting into the gluteus maximus muscle, should avoid damaging the sciatic nerve. (5) Do not insert the needle all the way in to prevent the needle from breaking off at the joint. Once the needle breaks, keep the local area and limb still, and quickly clamp the broken end with a vascular clamp and pull it out. If all the stumps have entered the muscle, surgery is performed to remove them. (6) For patients who require long-term intramuscular injections, the injection site should be changed frequently to prevent the formation of local nodules. If nodules occur, they can be treated with hot water bottles, hot compresses, physical therapy, etc.

What should be paid attention to during gluteal muscle injection? The most commonly used injection part for intramuscular injection is the gluteus maximus, followed by the gluteus medius, gluteus minimus, vastus lateralis and deltoid muscle. Precise positioning of the injection site is very important for intramuscular injection. Cross method for gluteus maximus injection positioning: draw a horizontal line from the apex of the gluteal cleft to the left or right, and make a vertical bisector from the highest point of the iliac crest downward to divide the buttocks into four quadrants, of which the upper outer quadrant avoiding the inner corner is the injection area. Line method: The outer third of the line from the anterior superior iliac spine to the coccyx is the injection site. The injection positioning of the gluteus medius and gluteus minimus muscles is increasingly widespread because there are fewer blood vessels and nerves and the fat tissue is thinner. There are two positioning methods: a. Place the tips of the index and middle fingers on the anterior superior iliac spine and the lower edge of the iliac crest, forming a triangular area between the iliac crest, index finger, and middle finger. The injection site is within the angle formed by the index and middle fingers. b Three finger widths lateral to the anterior superior iliac spine. The width of the patient's finger should be used as the standard.