Giving an Intramuscular Injection - Newborn Care Series скачать в хорошем качестве

Giving an Intramuscular Injection - Newborn Care Series

By Global Health Media Project. Download link: http://globalhealthmedia.org/videos/ An intramuscular or IM injection delivers medicine directly into a muscle. Treatment levels are reached quickly making it an effective route to give medicines to very sick babies. This video shows how to safely draw up and give an intramuscular injection. The intended audience is frontline health workers in the developing world. Copyright © 2016, Global Health Media Project Script follows: Giving an Intramuscular Injection An intramuscular or IM injection delivers medicine directly into a muscle. Treatment levels are reached quickly making it an effective route to give medicines to very sick babies. This video will show how to safely draw up and give an intramuscular injection. The sick baby needs his first dose of gentamicin. Let the mother know that the medicine will help her baby get well. Show her you’ll be giving it in the baby’s upper outer thigh -- the safest place to give an IM injection in a baby. First wash your hands. Then, gather a vial of gentamicin, a sterile needle and syringe, and some cotton balls. Use a small syringe between 1 and 3 milliliters to accurately measure the dose. The needle should be narrow: 23 to 25 Gauge and long enough to reach the baby’s muscle, 5/8 to one inch long. Check that the medicine has not expired. Then determine the baby’s dose. The preparation of gentamicin is 40 milligram per 2 milliliter. Using the dosage chart, our 3 kilo baby needs point 8 milliliter once daily. Now draw up the medicine. First draw air into the syringe equal to the dose you need. Then, inject the air into the vial. Turn it upside down, keeping the tip of the needle in the fluid. Drawing up your dose is now easy because the air you added to the vial counteracts a vacuum. Tap the syringe to let any remaining bubbles rise to the top and gently push the plunger to clear them. Check that you have the right dose of point 8 milliliters. Cap the needle with the one-handed method to avoid a finger prick. Show the mother how to hold her baby still: her arm goes across her baby’s upper body holding his arms and her hand holds the baby’s leg. Breastfeeding will comfort the baby during the injection. Clean the skin with clean water. Put a second cotton ball close by. Hold the baby’s thigh muscle firmly throughout the injection. Then with one quick motion, insert the needle at a 90 degree angle straight into the outer thigh muscle. Inject steadily. Withdraw the needle and apply gentle pressure with a cotton ball. The needle goes safely into the sharps container. Here are several tips: • Current guidelines advise it is safe to inject without drawing back on the syringe to check for blood – since there are no major blood vessels in the outer thigh of a baby. • NEVER INJECT into the buttocks of a baby where large nerves and blood vessels are found. • Pushing the needle slowly through the skin is not wrong but if it is done with one quick movement, it hurts less. • To reduce the pain of an injection, don’t inject more than 2 milliliters of medicine into a baby’s muscle. • If the dosage is more than 2 milliliters divide the volume into 2 injections one in each thigh. Remember: An IM injection goes in the outer thigh of the baby. The injection goes straight in. A quick darting motion is less painful.