Activate the needle safety device per the manufacturers instructions. NOTE: Values are in ml/kg unless otherwise specified. What is it called when lawyers question witnesses? Children above 5 kg: 10 micrograms/kg (0.1 ml/kg of Adrenaline 1:10,000 solution) is given into a vein or into a bone every 3-5 minutes every 3-5 minutes until the heart starts to work. Position the patient and initiate developmentally appropriate distraction measures. Other persons at increased risk for influenza complications can administer LAIV. 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. A medication administered into a muscle is known as an intramuscular (IM) injection. Maximum volume is 3 mL in adults, 2mL for ages between 6-13 years, 1.5 mL for between 3-6 years, and 1 mL for ages between 1 - 3 years. What is the maximum volume for subcutaneous injection? Children (3-11 years) Deltoid Anterolateral thigh 5/8" - 1" needle for deltoid 1" - 1" needle for thigh 23-25 gauge needle . Label all medications, medication containers, and other solutions. Rarely, nerves or blood vessels around the injection site can be damaged, resulting in severe pain or paralysis. (0.5-1 ml maximum), are . Document the procedure in the patients record. management in all ages. . 18.6: Administering Intramuscular Medications - Medicine LibreTexts Intramuscular Injections in Children - American Academy of Pediatrics Office of Research Acceptable Volumes for Drug Administration - Office Your deltoid muscle is the large muscle in your upper arm, just below your shoulder. If administering an IM injection into a child under age 2, the maximum amount that should be administered is 1 mL. Retrieved May 23, 2022, from. Using reduced doses administered at multiple vaccination visits that equal a full dose or using smaller divided doses is not recommended (4).