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?
Site-Anterolateral thigh of each leg
Targeted muscle - Vastus Lateralis
Origin-Intertrochanteric line, greater trochanter, gluteal tuberosity, linea aspera of femur
Insertion- Tibial tuberosity, patella
Action - Extend lower lege and allow the body to rise uup from squatting position
How to locate? -
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Locate greater trochanter of the femur
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One hand width below the groin is where the top border of the vastus lateralis is located
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The bottom border is located one hand width above the knee
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The side borders are from the mid anterior thigh to the mid lateral thigh
youtube.com/watch?v=XFog6uSwbuw
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?
Site - Upper arm
Targeted muscle - Deltoid
Origin - Lateral ⅓ of clavicle, acromion, spine of scapula
Insertion - Deltoid tuberosity of humerus
Action - Arm abduction
How to locate?-
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Locate the lower edge of the acromion process
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Make a triangle between the acromion and lateral aspect
https://www.youtube.com/watch?v=x27LYoXVLOI