ACTIVITY 3

TEÑIDO, Jeneah Mei V. - Activity 3

TEÑIDO, Jeneah Mei V. - Activity 3

by Jeneah Mei Teñido -
Number of replies: 0

  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.

    • Site of injection: The preferred site for infants and young children is the vastus lateralis muscle in the anterolateral thigh

    • Muscle targeted: Vastus lateralis muscle

    • Origin: [proximal attachments]: Greater trochanter; It also attaches to the lateral lip of the linea aspera of femur.

    • Insertion: [distal attachments]: Quadriceps tendon to base of patella and onto tibial tuberosity via the patellar ligament

    • Action: Extends leg at knee (part of quadriceps group)

    • How to locate: located on the anterolateral side of the thigh and part of the quadriceps femoris. Position the patient lying down or being held by a parent. Palpate the muscle below the greater trochanter and above the lateral femoral condyle (knee joint).

 

  1. 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.

    • Site of injection: Deltoid muscle in the arm

    • Muscle targeted: Deltoid muscle

    • Origin: Lateral ⅓ of Clavicle (clavicular part); Acromion (acromial part); Spine of scapula (spinal part)

    • Insertion: Deltoid tuberosity of humerus

    • Action:

      1. Clavicular part: flexion and internal rotation of the arm

      2. Acromial part: abduction of the arm beyond the initial 15 degrees

      3. Spinal part: extension and external rotation of the arm

    • How to locate: Form an imaginary upside-down triangle on the patient’s arm by placing 2-3 fingers down from the acromion process. This forms the base of the triangle. The bottom point or the peak of the triangle is located at the level of the axilla

 

 

References:

Influenza (flu) vaccine for people aged 65 years and over. (n.d.). https://www.healthywa.wa.gov.au/Articles/F_I/Flu-vaccine-for-people-aged-65-years-and-over

Saling, J. (2009, September 24). Pneumococcal vaccine. WebMD. https://www.webmd.com/children/vaccines/pneumococcal-vaccine-1