Intramuscular Injections

 

With Injection products it's very important to follow safe guidelines, practices and procedures to minimise the risk of any danger or adverse outcome. It's important that you know how to administer an intramuscular injection safely and properly.

The contents that follows is for educational purposes only and is designed to inform you how this process is done properly. The information contained on this page is not designed for diagnosing a health problem, prescribing a medication, or administrating any substance or substances. By continuing to read and view the site, you acknowledge that the contents therin provided are for educational purposes only, and do not represent nor replace the advice of your own GP or other medical professionals. H2 LABS International has not produced or has anything to do with the production of the videos and any links therin, they are simply gathered from the web and included for entertainment purposes only.

All that being said, all the information needed to preform a successful and 100% safe intramuscular injection are explained to you below. Intramuscular injection are when medicines are administered into a muscle ONLY and not into a vein. It is simple and easy to preform an safe and sterile intramuscular injection it's not rocket science and unless you're completely stupid than there is not much that can go wrong even in the worst circumstances. If you got a friend or buddy that can show you how to do it properly then that's fine also, provided they teach you properly! If you don't then all you need is the information below. Once you have taken the time to read and understand all the below information, you have all the knowledge you need to preform a successful injection. At this point you need the confidence and the courage to follow through with it. The basic principal is that everything needs to be kept sterile and clean in order to avoid an infection, if youv'e ever been to the doctors office or surgery then you will understand. Once you follow the rules below than your fine! Just Do It! 

Step-by-Step Videos and Instructions

 

STEP 1/10
WASH YOUR HANDS CAREFULLY WITH WARM WATER AND SOAP, DRY WITH CLEAN TOWEL.
STEP 2/10
CLEAN THE DIAPHRAGM OF YOUR VIAL WITH ALCOHOL WIPE AND ALLOW TO DRY. DISCARD THE WIPE INTO THE TRASH. (missing from video)
STEP 3/10
ONCE DRY, REMOVE THE CAP FROM THE NEEDLE. PULL DOWN PLUNGER OF SYRINGE UNTIL THE SYRINGE CONTAINS THE SAME VOLUME OF AIR AS LIQUID YOU ARE GOING TO GIVE.
STEP 4/10
HOLD THE VIAL UPSIDE-DOWN ON THE EYE LEVEL. WITHOUT TOUCHING THE NEEDLE INSERT IT THROUGH THE DIAPHRAGM OF THE VIAL. KEEP THE TIP OF THE NEEDLE BELOW THE LEVEL OF THE LIQUID. THEN PRESS THE PLUNGER TO INJECT THE AIR INTO THE VIAL.
STEP 5/10
HOLD THE SYRINGE VERTICALLY AND FLICK IT WITH A FINGERNAIL TO MAKE ANY AIR BUBBLES TO FLIP TO THE TOP UNDER THE NEEDLE.
STEP 6/10
DEPRESS THE PLUNGER TO PUSH THE AIR OUT UNTIL THE FIRST DROP OF THE LIQUID COMES OUT.
STEP 7/10
CLEAN THE INJECTION SIDE WITH ALCOHOL WIPES. PREPARE AN AREA OF 2-3 INCHES (5-7 CM) IN DIAMETER AROUND THE INJECTION SITE. LET THE ALCOHOL DRY AND DISCARD THE WIPE INTO THE TRASH.
STEP 8/10
INSERT THE NEEDLE INTO SKIN AT 90 DEGREE ANGLE SO THE TIP OF THE NEEDLE IS IN THE MUSCLE LAYER.
GENTLY PULL BACK ON THE PLUNGER TO MAKE SHURE THAT THE TIP OF THE NEEDLE IS NOT IN THE BLOOD VESSEL.
THEN GENTLY INJECT THE LIQUID.
WHEN ALL LIQUID IS INJECTED, PULL THE NEEDLE OUT AND HOLD A STERILE SWAB AT THE INJECTION SITE. MASSAGE GENTLY FOR A MINUTE.
IF BLOOD APPEARS IN SYRINGE WHEN YOU PULL THE PLUNGER BACK - PULL THE NEEDLE OUT AND CHOOSE A NEW LOCATION.
STEP 9/10
WASH AND DRY YOUR HANDS. RECAP THE NEEDLE. DISCARD NEEDLE.
STEP 10/10
THE INJECTION SITE SHOULD ALWAYS BE ROTATED.

      

Glutes Injection

The glutes (the buttocks) is a common and easiest site to inject into as it is a large deep muscle, with fewer nerve endings. When we inject into the glute, we want to inject into the upper outer region of the muscle, as this has the least amount of nerves and blood vessels.

Rotation of the glutes would be effective if injecting biweekly, injecting one glute on Monday, and the other on the Thursday, for example.
The glute injection can be difficult as it requires you to twist around to inject, but this is usually something you can get used to, and will likely find your own ways to make it easier as you become more experienced with injecting.

Draw with a separate new needle

Inject with a separate new needle -Blue 1.25' (23g)

Discard both after use!

 

Thigh Injection

The thigh is a site that many people like to use as it is obviously very simple to execute as you can use both hands and the site is right in front of you.
The thighs can be rotated easily, and also used as the volume of injections increase, along with the glutes. For example, right glute, left thigh, left glute, right thigh, and so on. You will find that you will have personal preference on what sites you like to use. Some people like thigh injections very much and think they are the easiest to execute, others do not particularly like them. There are a few nerves located nearby but it's not a big deal if you end up accidentally hitting them, you'll just feel a bit of a twinge so just remove the pin and pick pick another location a tiny bit further apart!

Draw with a separate new needle

Inject with a separate new needle -Blue 1.25' (23g) 

Discard both after use!

 

 Deltoid Injection

The deltoid (shoulder) is another option for injections. Inject into the thickest and central region of the deltoid, above the level of the armpit, in the lateral head. It's fairly easy to execute just try to keep steady while injecting in order to avoid muscle scarring, you don't want to be shaking the needle around too much. As always, remember to work your way up in volume to find the limits your muscle can handle and adapt to. Begin with 1/2 cc or 1cc. Experienced users can handle up to 3ml or 3cc per deltoid.

Draw with a separate new needle

Inject with a separate new needle -Blue 1.25' (23g)

Discard both after use!

 

Pec  Injection

The chest is an injection that is not commonly used by the inexperienced user, but is an easy injection spot for many users once they bite the bullet and give it ago. The more sites we have open to use, the more rotation is possible and therefore the less scar tissue we will have to build up when we increase injection volume and cycle dosages!
Inject into the fullest and deepest area of the chest. Making sure the arm is brought down and slightly across the body will make the chest easier to inject as there is more tissue to inject into.

Draw with a separate new needle

Inject with a separate new needle -Blue 1.25' (23g)

Discard both after use!

 

Biceps Injection

Inject into the fullest area of the biceps brachii, half way between the insertion and origin points. This injection is best avoided by the inexperienced. You may be surprised as it isn't difficult to perform once you know the right location, if it feels wrong then just pull out and inject somewhere else. Call it OCD but i never perform the first injection of a new vial into a small muscle group, i prefer go somewhere like the glute so i know if when theres no issues with the first injection then its good to go into a more 'delicate' area.

Draw with a separate new needle

Inject with a separate new needle -Blue 1.25' (23g)

Discard both after use!

Triceps injections

(Very similar to the bicep injection)
Inject into the fullest area of the triceps brachii, at the upper region of the lateral head. Flex the triceps and see where the largest head appears. This is the spot you are looking for. Again, its not that difficult just remember as always to have the target muscle relaxed and not flexed!

Draw with a sepatate new needle

Inject with a separate new needle -Blue 1.25' (23g)

Discard both after use

 

SubQ Injection

A SubQ injection, as it is commonly known, is a shortened term used to describe a subcutaneous injection. A subcutaneous injection is an injection that is given into the area between the skin and muscle, known as the subcutaneous tissue.

Many medicines may have to administered in this manner. The dose of the drug, how fast acting it is, and the type of drug may all be reasons why a drug has to be shot SubQ.
Drugs administrated SubQ will usually be injected using a insulin syringe (also known as 'slin pin'). The insulin syringe holds a maximum of 1ml, and has small increments for when dealing with small volumes of medicine. The increments go up in 10's, all the way up to 100, which is one ml. So, '50' on the barrel is half a ml, and '100' on the barrel is one ml.
It is possible to give a SubQ shot 90 degrees to the skin, however this is only used if there is enough subcutaneous tissue present. Injecting at 45 degrees is just as effective and can be administered in those will less subcutaneous tissue, which we may expect when dealing with bodybuilders and athletes who are carrying less body fat levels then your average person.
It is possible to inject into the following areas; abdomen, thigh, lower back, and upper arm. However, many athletes will prefer to use the abdomen as it is easy to administer solo, plus many of the other areas will likely carry less subcutaneous tissue. It is worth noting that some medicines are preferred to be shot in certain areas within the medical world.
Rotation of sites is preferred to minimise the risk of building up scar tissue. If using the same body region then it is advised to leave a one inch gap between injection sites if possible.
For an abdomen injection we want to administer between the top of the hip to the waist, and two inches from the middle of the waist (we want to avoid the belly button, the umbilicus) to where the body rounds at the sides.
Wipe the injection site with alcohol wipes.
Let the area dry.
Hold the syringe in your preferred hand, with the end plastic covering off. Hold the syringe in-between your thumb and index fingers, similar to as if you were holding a pen.
Grasp the skin and pull back, penetrate through the skin. Different skin types will require different amounts of force to penetrate through.
Once needle is in, inject the medicine.
Pull needle out through the same route it went in.
Hold a sterile swab over the injection site for a minute or so.

Downloads
 

Signs of Infection or Post Injection Worries 

To download the complete guide - Infections Iritations and Injections just right click on the PDF preview to the left. It covers everything from injection technique to infections and abcess's. Topics covered are; Infections and Irritations, Complacency, Complications, Leakage, Bleading, Nerve Injury, Pain, Abcess Formation, Necrosis, Scar Formation, Contracture of Joints, Malignancy, Complications of IM injections, Avoidance of IM injection site complications, What is an intramuscular (IM) injection?, Where to Inject, Questions and Answers, and more. 10 pages.

Delt, Glute and Thigh Injections, Extra Reading 

Detailed Injection Procedures Guide,  Extra Reading