1. Infant - PCV and Penta vaccines
- Site of injection: Anterolateral thigh
- Target muscle: Vastus lateralis
- Origin: intertrochanteric line, greater trochanter, lateral aspect of the linea aspera, gluteal tuberosity, and the lateral intermuscular septum
- Insertion: lateral aspect of the patella and tibial tuberosity via the patellar tendon
- Action: Extension of the knee joint
- How to locate area: Divide the muscle into thirds, and inject into the middle third, in the outer anterolateral aspect, lateral to the midpoint of the thigh
2. 65-year old - Influenza vaccine
- Site of injection: Upper arm
- Target muscle: Deltoid muscle
- Origin: clavicle, acromion and spine of scapula
- Insertion: deltoid tuberosity of humerus
- Action: produce abduction of shoulder joint, lifting arms frontward, sideward, and backward
- How to locate area: Palpate the acromion, and trace an imaginary inverted triangle below the shoulder. Injection site is in the middle of the imaginary triangle.
References
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Biondi, N. L., & Varacallo, M. (2023, August 8). Anatomy, bony pelvis and lower limb: vastus lateralis muscle. StatPearls - NCBI Bookshelf. https://www.ncbi.nlm.nih.gov/books/NBK532309/#:~:text=Structure%20and%20Function&text=The%20fibers%20of%20this%20muscle,known%20as%20the%20fascia%20lata.
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Administering Pneumococcal Vaccines. (n.d.). Centers for Disease Control and Prevention. https://www.cdc.gov/vaccines/vpd/pneumo/hcp/administering-vaccine.html#:~:text=Administer%20pneumococcal%20conjugate%20vaccines%20(PCV13,muscle%20in%20the%20anterolateral%20thigh.
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Pirie, E. (2023, September 8). Deltoid muscle. Kenhub. https://www.kenhub.com/en/library/anatomy/the-deltoid-muscle
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Seasonal Influenza Vaccine Dosage & Administration. (n.d.). Centers for Disease Control and Prevention. https://www.cdc.gov/flu/about/qa/vaxadmin.htm
- Clinical guidelines (Nursing) : Intramuscular injections. (n.d.). https://www.rch.org.au/rchcpg/hospital_clinical_guideline_index/Intramuscular_Injections/#:~:text=To%20landmark%20the%20vastus%20lateralis,femoral%20condyle%20(knee%20joint).