ACTIVITY 3

ACTIVITY 3

ACTIVITY 3

by Kendrick Samson -
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. 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?

  • For a 2-month old well female infant, the site of injection for her immunization would be in the thigh, specifically the target muscle would be the vastus lateralis.

The following is the origin, insertion, and action of VASTUS LATERALIS:

  1. Origin: Lateral border of the femur, extending from the greater trochanter to the distal third of the femur

  2. Insertion: Tibial tuberosity

  3. Action: Extends the knee

In locating the Vastus Lateralis:

  • Step 1: Place your hand on the child’s thigh, just below the hip joint.

  • Step 2: Spread your fingers laterally, feeling for outer edge of the thigh

  • Step 3: Divide the outer thigh into thirds

  • Step 4: Inject the vaccine into the middle third of the vastus lateralis

 

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?

  • For a 65-year-old grandfather, the site for his immunization would be in the deltoid muscle, the large fleshy muscle in the upper arm

The following is the origin, insertion, and action of DELTOID MUSCLE:

  1. Origin: Acromion process of the scapula, clavicle, and coracoid process of the scapula.

  2. Insertion: Deltoid tuberosity on the humerus.

  3. Action: Abducts, flexes, and extends the shoulder.

In locating the Deltoid Muscle:

  • Step 1: Find the bony prominence on the shoulder, known as the acromion process

  • Step 2: Measure two to three inches (5-7.5 cm) down from the acromion process

  • Step 3: Administer the vaccine into the middle of the deltoid muscle