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    Default Testosterone Intramuscular (IM) Injection , Deltoids, Quad Shots

    Testosterone
    Intramuscular (IM) Injection


    What is an Intramuscular Injection?
    An intramuscular injection, (illustration
    on right) delivers medication deep into
    the muscle tissue. This allows the
    medication to be quickly absorbed into
    the bloodstream.
    Intramuscular shots are given at 90
    degree angle. Needle for IM injections can
    be 22-23 Gauge, 1-1.5 inches in length,
    adjusted for thickness of site.
    WHERE TO INJECT MUSCLE

    Step 1: Setting Up for the Injection
    Find a comfortable, well lit working place and inject at the same time each day.

    1. Clean your work area.
    2. Remove medication from the refrigerator and let it reach room temperature.
    3. Make sure it is the medication your doctor prescribed. Check the expiration
    date on the vial. Do not use a medication with particles, medication that is
    discolored or is expired. Wash your hands. Hand
    washing is one of the most important things you
    can do to prevent infection.

    Assemble supplies:
    1. Medication in a vial
    2. Disposable syringe and needles, one 18 G
    needle to draw up medication then switch
    to injection needle (22-23 G; 1-1.5 inch)
    3. Alcohol swabs
    4. Puncture proof disposal containerStep 2: Selecting and Preparing the
    Adapted from
    https://www.immunize.org/catg.d/p3084.pdf on
    3/16/2013. We thank the Immunization Action
    Coalition.
    A syringe with a needle and a vial
    iStockphoto/Thinkstock
    Ambulatory Care Services

    How to Give Yourself a Testosterone IM Injection
    – 2 –
    Injection Site
    Vastus lateralis muscle in the thigh:
    Choose this site if are injecting to yourself, or if a caregiver gives you the
    injection. Look at your thigh and divide it horizontally into 3 equal parts. The
    injection will go in outer middle third. The thigh is a good place to give yourself
    an injection because it is easy to see.
    When another person is giving the
    injection (picture on the right), the
    injection location does not change.
    Form a V with your fingers by
    separating your first finger from the
    other 3 fingers. Place the heel of your
    hand on the bone (femur) that ends
    before the knee bends and aim the
    injection right above the V in the center
    of the thigh.
    Gluteus Maximus muscle in the buttocks:
    You may choose this site only if a caregiver gives you
    the injection. To find the correct location for injecting
    into the Gluteus maximus muscle, expose the
    buttocks and divide (in your mind) each buttock into
    four parts. Aim the injection into the upper quarter
    of the buttock (X on the diagram), towards the hip
    bone portion.

    The picture below shows
    the position for self-injection.







    Ambulatory Care Services
    How to Give Yourself a Testosterone IM Injection
    – 3 –


    Step 3: Preparing the Injection Dose

    1. Take the cap off the vial. Clean the rubber stopper with one alcohol swab.
    Allow to dry.

    2. Check the package containing the syringe, if the package has been opened or
    damaged, do not use that syringe.

    3. Pull the 18 G needle cover straight off the syringe. Then, pull back the
    plunger and draw air into the syringe. The amount of air drawn into the
    syringe should be the same amount (mL or cc) as the dose that your doctor
    prescribed. Do not let the needle touch any surfaces.

    4. Keep the vial on your flat working surface and insert the
    needle straight down through the center of the rubber
    stopper.
    Do not put the needle through the rubber stopper more
    than once.

    5. Push the plunger of the syringe down and push the air
    from the syringe into the vial.

    6. Keeping the needle in the vial, turn the vial upside
    down. Position the needle so the liquid is covering
    the tip of the needle.

    7. Keeping the vial upside down, slowly pull back on the
    plunger to fill the syringe with the medication to the
    number (mL or cc) that matches the dose your doctor
    ordered.

    8. Keeping the needle in the vial, check for air bubbles
    in the syringe. If there are air bubbles, gently tap the
    syringe with your fingers until the air bubbles rise
    to the top of the syringe. Then slowly push the
    plunger up to force the air bubbles out of the
    syringe without removing the needle from the
    bottle.

    9. After air bubbles are gone, pull the plunger back
    to the number (ml or cc) marking on the syringe
    that matches your dose. Remove the 18 G needle
    and replace it with the IM needle.

    10.Check to make sure that you have the correct
    dose in the syringe. It is VERY important that you
    use the exact dose prescribed by your doctor.

    11.Remove the syringe from the vial but do not lay
    it down or let the needle touch anything.


    Step 4: Give the Injection
    1. Clean the injection site skin with an alcohol swab; let it air dry.
    2. Hold the skin around the injection site in the manner described above.
    3. Insert the IM needle into the muscle at a 90 degree angle with one quick
    and firm motion.
    4. After you inserting the needle into the muscle take your hand off the
    skin.
    5. Gently pull back on the plunger of the syringe to check for blood.
    If you see blood in the needle, do not inject the medicine and remove the
    needle immediately.
    If you do not see any blood in the needle, you can complete the injection
    by pushing the medication slowly into the muscle. You may feel some
    iStockphoto/Thinkstock
    Hemera/Thinkstock



    How to Give Yourself a Testosterone IM Injection
    – 5 –
    Disclaimer: This document contains information and/or instructional materials developed by the
    University of Michigan Health System (UMHS) for the typical patient with your condition. It may
    include links to online content that was not created by UMHS and for which UMHS does not assume
    responsibility. It does not replace medical advice from your health care provider because your
    experience may differ from that of the typical patient. Talk to your health care provider if you have
    any questions about this document, your condition or your treatment plan.
    Authors: Kathy Herman RN ; Connie Hill, RN
    Patient Education by University of Michigan Health System is licensed under a Creative Commons
    Attribution-NonCommercial-ShareAlike 3.0 Unported License. Thinkstock images in this resource are
    licensed for use solely by the University of Michigan. Other uses such as republication,
    retransmission, and reproduction are not allowed. Last revised: 6/8/2016
    burning or pressure as the medicine enters your muscle.
    6. When you finish injecting the full dose of the medication into the muscle,
    remove the needle.
    7. Gently press an alcohol swab on the injection site. Hold pressure on site
    until there is no bleeding. You can place a band aid on injection site if
    needed.
    Tips for Reducing Injection Pain


    •  Inject medicine that is at room temperature.
    •  Remove all air bubbles from the syringe before injection.
    •  Let the skin dry after using alcohol wipes before injecting.
    •  Keep the muscles in the injection area relaxed.
    •  Break through the skin quickly with the needle.
    •  Don’t change the direction of the needle as it goes in or comes out.
    •  Do not reuse disposable needles.



    Instructions for Disposing of “Sharps”:

    Improper disposal of syringes and other sharp objects can pose a health risk
    and damage the environment. The majority of the counties in Michigan offer
    residents a safe needle disposal program through county solid waste divisions
    in each county.

    Deltoid I.M. Injections





    Quad I.M. Injections




    Best Subcutaneous & I.M. Injection Spots
    Likes jimbosmith316 liked this post
     
    Testosterone Intramuscular (IM) Injection , Deltoids, Quad Shots

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    Default

    Quote Originally Posted by Presser View Post
    Testosterone
    Intramuscular (IM) Injection


    What is an Intramuscular Injection?
    An intramuscular injection, (illustration
    on right) delivers medication deep into
    the muscle tissue. This allows the
    medication to be quickly absorbed into
    the bloodstream.
    Intramuscular shots are given at 90
    degree angle. Needle for IM injections can
    be 22-23 Gauge, 1-1.5 inches in length,
    adjusted for thickness of site.
    WHERE TO INJECT MUSCLE

    Step 1: Setting Up for the Injection
    Find a comfortable, well lit working place and inject at the same time each day.

    1. Clean your work area.
    2. Remove medication from the refrigerator and let it reach room temperature.
    3. Make sure it is the medication your doctor prescribed. Check the expiration
    date on the vial. Do not use a medication with particles, medication that is
    discolored or is expired. Wash your hands. Hand
    washing is one of the most important things you
    can do to prevent infection.

    Assemble supplies:
    1. Medication in a vial
    2. Disposable syringe and needles, one 18 G
    needle to draw up medication then switch
    to injection needle (22-23 G; 1-1.5 inch)
    3. Alcohol swabs
    4. Puncture proof disposal containerStep 2: Selecting and Preparing the
    Adapted from
    https://www.immunize.org/catg.d/p3084.pdf on
    3/16/2013. We thank the Immunization Action
    Coalition.
    A syringe with a needle and a vial
    iStockphoto/Thinkstock
    Ambulatory Care Services

    How to Give Yourself a Testosterone IM Injection
    – 2 –
    Injection Site
    Vastus lateralis muscle in the thigh:
    Choose this site if are injecting to yourself, or if a caregiver gives you the
    injection. Look at your thigh and divide it horizontally into 3 equal parts. The
    injection will go in outer middle third. The thigh is a good place to give yourself
    an injection because it is easy to see.
    When another person is giving the
    injection (picture on the right), the
    injection location does not change.
    Form a V with your fingers by
    separating your first finger from the
    other 3 fingers. Place the heel of your
    hand on the bone (femur) that ends
    before the knee bends and aim the
    injection right above the V in the center
    of the thigh.
    Gluteus Maximus muscle in the buttocks:
    You may choose this site only if a caregiver gives you
    the injection. To find the correct location for injecting
    into the Gluteus maximus muscle, expose the
    buttocks and divide (in your mind) each buttock into
    four parts. Aim the injection into the upper quarter
    of the buttock (X on the diagram), towards the hip
    bone portion.

    The picture below shows
    the position for self-injection.







    Ambulatory Care Services
    How to Give Yourself a Testosterone IM Injection
    – 3 –


    Step 3: Preparing the Injection Dose

    1. Take the cap off the vial. Clean the rubber stopper with one alcohol swab.
    Allow to dry.

    2. Check the package containing the syringe, if the package has been opened or
    damaged, do not use that syringe.

    3. Pull the 18 G needle cover straight off the syringe. Then, pull back the
    plunger and draw air into the syringe. The amount of air drawn into the
    syringe should be the same amount (mL or cc) as the dose that your doctor
    prescribed. Do not let the needle touch any surfaces.

    4. Keep the vial on your flat working surface and insert the
    needle straight down through the center of the rubber
    stopper.
    Do not put the needle through the rubber stopper more
    than once.

    5. Push the plunger of the syringe down and push the air
    from the syringe into the vial.

    6. Keeping the needle in the vial, turn the vial upside
    down. Position the needle so the liquid is covering
    the tip of the needle.

    7. Keeping the vial upside down, slowly pull back on the
    plunger to fill the syringe with the medication to the
    number (mL or cc) that matches the dose your doctor
    ordered.

    8. Keeping the needle in the vial, check for air bubbles
    in the syringe. If there are air bubbles, gently tap the
    syringe with your fingers until the air bubbles rise
    to the top of the syringe. Then slowly push the
    plunger up to force the air bubbles out of the
    syringe without removing the needle from the
    bottle.

    9. After air bubbles are gone, pull the plunger back
    to the number (ml or cc) marking on the syringe
    that matches your dose. Remove the 18 G needle
    and replace it with the IM needle.

    10.Check to make sure that you have the correct
    dose in the syringe. It is VERY important that you
    use the exact dose prescribed by your doctor.

    11.Remove the syringe from the vial but do not lay
    it down or let the needle touch anything.


    Step 4: Give the Injection
    1. Clean the injection site skin with an alcohol swab; let it air dry.
    2. Hold the skin around the injection site in the manner described above.
    3. Insert the IM needle into the muscle at a 90 degree angle with one quick
    and firm motion.
    4. After you inserting the needle into the muscle take your hand off the
    skin.
    5. Gently pull back on the plunger of the syringe to check for blood.
    If you see blood in the needle, do not inject the medicine and remove the
    needle immediately.
    If you do not see any blood in the needle, you can complete the injection
    by pushing the medication slowly into the muscle. You may feel some
    iStockphoto/Thinkstock
    Hemera/Thinkstock



    How to Give Yourself a Testosterone IM Injection
    – 5 –
    Disclaimer: This document contains information and/or instructional materials developed by the
    University of Michigan Health System (UMHS) for the typical patient with your condition. It may
    include links to online content that was not created by UMHS and for which UMHS does not assume
    responsibility. It does not replace medical advice from your health care provider because your
    experience may differ from that of the typical patient. Talk to your health care provider if you have
    any questions about this document, your condition or your treatment plan.
    Authors: Kathy Herman RN ; Connie Hill, RN
    Patient Education by University of Michigan Health System is licensed under a Creative Commons
    Attribution-NonCommercial-ShareAlike 3.0 Unported License. Thinkstock images in this resource are
    licensed for use solely by the University of Michigan. Other uses such as republication,
    retransmission, and reproduction are not allowed. Last revised: 6/8/2016
    burning or pressure as the medicine enters your muscle.
    6. When you finish injecting the full dose of the medication into the muscle,
    remove the needle.
    7. Gently press an alcohol swab on the injection site. Hold pressure on site
    until there is no bleeding. You can place a band aid on injection site if
    needed.
    Tips for Reducing Injection Pain


    •  Inject medicine that is at room temperature.
    •  Remove all air bubbles from the syringe before injection.
    •  Let the skin dry after using alcohol wipes before injecting.
    •  Keep the muscles in the injection area relaxed.
    •  Break through the skin quickly with the needle.
    •  Don’t change the direction of the needle as it goes in or comes out.
    •  Do not reuse disposable needles.



    Instructions for Disposing of “Sharps”:

    Improper disposal of syringes and other sharp objects can pose a health risk
    and damage the environment. The majority of the counties in Michigan offer
    residents a safe needle disposal program through county solid waste divisions
    in each county.

    Deltoid I.M. Injections





    Quad I.M. Injections




    Best Subcutaneous & I.M. Injection Spots
    Great post!
     

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