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2012-01-18 13:16:52 GMT 2012-01-20 13:00:00 (GMT -05:00) Eastern Time (US & Canada) Yes (click here to learn more about ) Closed 0 0 1 direct invitation(s) have been sent by the voice seeker resulting in 0 audition(s) and/or proposal(s) so far. Voice123 SmartCast is seeking 50 auditions and/or proposals for this project (approx.) Invitations sent by SmartCast have resulted in 0 audition(s) and/or proposal(s) so far.
• Audio files must be delivered via email
To prepare the patient for administration, clean the injection site with an alcohol swab. Insert the needle fully into the right or left gluteus. Slowly draw back the plunger rod to check that no blood vessel has been penetrated. If a blood vessel has been penetrated,
change the needle position. Using steady pressure, slowly depress the plunger rod to inject the entire dose. Then withdraw the needle from the injection site. Once the injection is complete, activate the safety guard on the needle using a singlehanded technique. This can be done using either of 2 methods. For the first method, press the hinged section of the safety guard down onto a rigid
surface, such as a table. Alternatively, you may push the hinge forward with your forefinger, taking care to keep all
fingers behind the needle tip. An audible click confirms proper activation of the safety mechanism.Conversely, in patients with loss of muscle mass, such as older, debilitated, or immobilized
patients, pinch the skin to raise the underlying muscle tissue. This is done by gathering tissue between the thumb and forefingers.4 In addition, the ventrogluteal site is often preferred over the dorsal gluteal site for patients who have lost muscle mass, as it typically has more muscle for safe IM injections. Lastly, scar tissue can become a concern for patients receiving chronic injections. To help
reduce the development of scar tissue, avoid using the dorsogluteal site, as it may be harder to reach the muscle. When the IM injection does not reach the muscle, granular formation can result, leading to fat necrosis and dystrotrophic calcification. Also, use of the Z-track method can help prevent the backflow of medicines and subsequent scar tissue formation.
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