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Use the correct needle length based on the patient’s sex and weight 1) a 5⁄8 needle in adults weighing less than 130 lbs (<60 kg) for im injection in the deltoid muscle only, or 2) a 1 needle for administration in the thigh muscle for adults of any weight. For more information and illustrations on where to give im injections, see www.immunize.org/catg.d/ p2020.pdf

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With your dominant hand, insert the needle at a 90° angle to the skin with a 90° angle quick thrust. Alternate needle lengths may be used if the skin is stretched tightly and subcutaneous tissues are not bunched, as follows Vaccines given im (intramuscular) route

Dtap, dt, hib, hepa, hepb, hpv, iiv, mcv, pcv, rabies, td, tdap and rzv (shingrix)

Administer ipv and ppsv vaccines either via im or sq (subcutaneous) route. Do not give the injection in an area where the skin is burned, hardened, inflamed, swollen, or damaged by a previous injection. What is an intramuscular injection An intramuscular (im) injection, (illustration on right) delivers medication deep into the muscle tissue

This allows the medication to be quickly absorbed into the bloodstream If administering more than one im injection Use the vastus lateralis muscle in the anterolateral thigh for young children This muscle is preferred for young children because of its larger muscle mass.