April , Volume Number 4 , page 53 - [Free]. Join NursingCenter to get uninterrupted access to this Article. Where should an intramuscular IM injection be given? Nurses learn there are four possible sites: the arm deltoid ; thigh vastus lateralis ; upper outer posterior buttock gluteus maximus , also referred to as the dorsogluteal site; and the lateral hip gluteus medius , also called the ventrogluteal site.
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PDF of Feature Intramuscular IM injection is one of many routes for administering medications, including antibiotics, vaccines, hormonal therapies, and corticosteroids. In addition, some medications contain components that can irritate subcutaneous tissue but not muscle tissue, which also can tolerate larger fluid volumes with minimal discomfort. Large-volume injections 3 mL or greater , however, are not frequently administered; and many clinicians may not be familiar with their appropriate use, possible side effects, and potential efficacy.