ACTIVITY 3

BAUTISTA, Ayeicza- Activity 3

BAUTISTA, Ayeicza- Activity 3

by Ayeicza Bautista -
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 ACTIVITY 3

1) It is immunization day at the health center. The first patient is a 2-month old well female infant who is scheduled for the following vaccinations: pneumococcal conjugate vaccine (PCV), pentavalent vaccine (Penta) and oral polio vaccine. PCV and Penta are given via intramuscular route. Where are the sites of injection? What muscle is targeted in the injection? Write down its origin, insertion and action. How do you locate this area?

  • Injection site: Vastus lateralis- it is preferred that IM injections are through these sites for newborns. 

  • Origin: Greater trochanter and linea aspera of femur. 

  • Insertion: patella through quadriceps tendon and then tibial tuberosity through patellar ligament. 

  • How to locate area (instruction cited through Cocoman and Murray, n.d.): 

  1. To find the thigh injection site, make an imaginary box on the upper leg. Find the groin. One hand’s width below the groin becomes the upper border of the box

  2. Find the top of the knee. One hand’s width above the top of the knee becomes the lower border of the box

  3. Stretch the skin to make it tight

  4. Insert the needle at a right angle to the skin (90°) straight in

  5. Up to 2ml of fluid may be given into this site

 

2) The baby’s 65-year-old grandfather also came to the center because influenza vaccine is being offered to senior citizens. The flu vaccine is given intramuscularly. Which muscle is the preferred site for IM injection in this case? Write down its origin, insertion and action. How do you locate this area?

  • Injection site: Deltoid- it is preferred for adults to deliver injections in these sites. 

  • Origin: acromial extremity of clavicle, scapula and spine of scapula. 

  • Insertion: Deltoid tuberosity of humerus. 

  • How to locate area (instruction cited through Cocoman and Murray, n.d.): 

  1. Find the knobbly top of the arm

  2. The top border of an inverted triangle is two finger widths down from the acromion process

  3. Stretch the skin and then bunch up the muscle

  4. Insert the needle at a right angle to the skin in the center of the inverted triangle

 

Citation from: 

Cocoman and Murray (n.d.). Clinical Practice - IM injections: How’s your technique? Retrieved

from: https://www.inmo.ie/MagazineArticle/PrintArticle/5676 

 

Tortora, & Derrickson. (2012). Chapter 10: Muscular tissue. In Principles of anatomy and

physiology (13th ed.).