Blood spurt after im injection

The incidence of the adrenaline rush after epinephrine injection has not been documented, to our knowledge. 13. Many patients also faint (vasovagal response) at the sight of a needle, the removal of a bandage, or even the discussion of a surgical procedure. Fainting is easily avoided and treated as described in this article.

Wash any cuts or needlesticks with soap and water right away. If any water splashes on your nose, mouth, or skin while cleaning your injury, clean that area off, as well. If water splashes into ...We would like to show you a description here but the site won’t allow us.Procedures involved in the administration of the injection include the following: selecting an injection site, aspirating tissue to verify that the needle has not been placed in a blood vessel, managing a bloody aspirate, positioning of the extremity distal to the injection site, determining the speed with which the injection is administered ...Sarcoma after intramuscular iron injection. Sarcoma after intramuscular iron injection. Br Med J. 1976 Jun 19;1 (6024):1508-9. doi: 10.1136/bmj.1.6024.1508-a.WHO Library Cataloguing-in-Publication Data WHO best practices for injections and related procedures toolkit. WHO/EHT/10.02 1.Injections - adverse effects. 2.Injections - standards. 3.Needlestick injuries - prevention andMar 17, 2021 · After signing the consent form, the subjects were randomly assigned to receive two intramuscular injections of 1 ml of either Sustanon® 250 (30-mg TP, 60-mg TPP, 60-mg TI, and 100-mg TD per ml) (n = 9) or placebo (n = 10), separated by 3 weeks. Fingerprick DBS samples were collected twice pre-injection, at least 5 days apart, and on days 1, 3 ...Introduction. Intramuscular injection (IMI) is a common clinical procedure with 16 billion injections administered globally every year [] in a wide variety of healthcare settings [].The widespread use of IMI reflects the range of medications that can be delivered via this route including sedatives, hormonal therapies, vaccines, tumour immunotherapy, …

A medication administered into a muscle is known as an intramuscular (IM) injection. The IM route allows for rapid absorption of specific medications. Choosing a muscle is dependent on the medication volume and the age or size of the patient. Poor technique and incorrect landmarking of the injection site can lead to site reactions, sub-optimal ...ALERT. Intramuscular (IM) injections have been associated with adverse effects and pain, and this route of medication injection should be used as a last resort. Consider contacting the practitioner for an alternative, preferred route of medication administration. Take extra care with a patient who takes medications that increase the risk for ...Jet of Blood (Jet de Sang), also known as Spurt of Blood, is an extremely short play by the French theatre practitioner, Antonin Artaud, who was also the founder of the "Theatre of Cruelty" movement. Jet of Blood was completed in Paris, on January 17, 1925, perhaps in its entirety on that day alone. The original title was Jet de Sang ou la Boule de Verre, but the second half of the title was ...1. Introduction. Worldwide, clinicians are using dry needling (DN) to reduce pain [1, 2], increase range of motion and flexibility [], enhance performance [], reduce spasticity [], or improve fascial and scar tissue mobility [6, 7].Dry needling is a safe and cost-effective treatment approach [8-11], but there is no literature informing clinicians whether DN can be applied safely in patients ...Abnormally elevated intramuscular pressure impairs muscle blood flow at rest after exercise Scand J Med Sci Sports. 2004 Aug;14(4):215-20. doi: 10.1111/j.1600-0838.2004.00362.x. Authors Q Zhang 1 , J Styf. Affiliation 1 Department of Orthopaedics ...Intramuscular Route (IM): Intramuscular injections are administered into the muscle through the skin and subcutaneous tissue. The recommended site is based on age. Use the correct needle length and gauge based on the age, weight, and gender of the recipient. A video demonstrating administering a vaccine by intramuscular injection can be found here.

Abstract. The World Health Organization and Centers for Disease Control and Prevention no longer recommend aspiration during intramuscular (IM) injections. The purpose of this study was to investigate the technique registered nurses (RNs) use during IM injections and incidence of blood aspiration. This descriptive study surveyed 164 RNs.When comparing SC and IM levels, one can see that both serum and follicular fluid hCG levels, when measured 36 hours after injection, are higher when administered SC than when administered IM. It can then be concluded that SC administration achieves serum and follicular fluid levels adequate to obtain the desired clinical effects with less ...Irritation where this drug is given. Feeling tired or weak. These are not all of the side effects that may occur. If you have questions about side effects, call your doctor. Call your doctor for medical advice about side effects. You may report side effects to the FDA at 1-800-332-1088. You may also report side effects at https://www.fda.gov ...Causes of Blood Spurt After Intramuscular Injection. There are several potential causes for a blood spurt after an intramuscular injection. These include: Hitting a blood vessel: Sometimes, the needle may accidentally puncture a blood vessel during the injection process, leading to a blood spurt. High blood pressure: Individuals with high blood ...Sep 7, 2020 · Intramuscular injection (IM) is installing medications into the depth of specifically selected muscles.[1] The bulky muscles have good vascularity, and therefore the injected drug quickly reaches the systemic circulation and thereafter into the specific region of action, bypassing the first-pass metabolism.[2] It is one of the most common medical procedures to be performed annually.[3] However ...

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After completing this section you should be able to understand: ... After completing this section ... Re-advance but stop if becomes painful. Spurt of blood on ...Have blood work checked as you have been told by the doctor. Talk with the doctor. This medicine may affect certain lab tests. Tell all of your health care providers and lab workers that you take testosterone cypionate injection. Blood clots have happened with testosterone cypionate injection. Tell your doctor if you have ever had a blood clot.Blood concentrations of penicillin were maintained at measurable levels for as long as seven or eight hours following single intramuscular injections of penicillin in the dog and in patients by means of vehicles containing 6 per cent. to 20 per cent. ossein gelatin and a long-acting vasoconstrictor drug.Procedures involved in the administration of the injection include the following: selecting an injection site, aspirating tissue to verify that the needle has not been placed in a blood vessel, managing a bloody aspirate, positioning of the extremity distal to the injection site, determining the speed with which the injection is administered ...The IM injection route deposits medication into deep muscle tissue, which has a rich blood supply, allowing medication to be absorbed faster than it would be by the subcutaneous route. This rich blood supply, however, increases the …

Urine samples and blood samples were collected twice pre-treatment, at least 5 days apart, and on days 1, 3, 5, 10 and 14 post-injections to assess steroidal and haematological biomarkers of the ABP. The steroidal profile was flagged suspicious in all Sustanon®-treated subjects, whereas the haematological profile was flagged suspicious in six ...Abstract. Intramuscular pressure and muscle blood flow was measured in the supraspinatus muscle in 6 healthy subjects. The recordings were performed at rest, during isometric exercise, during an isometric muscle contraction of 5.6 kPa (42 mm Hg) and 10.4 kPa (78 mm Hg) and at rest after the contraction. Intramuscular pressure was measured by ...100 mg/kg/day IV/IM in single daily dose or divided q12hr for 7-14 days; not to exceed 4 g/day. Serious Infections Other Than Meningitis. 50-75 mg/kg/day IV/IM divided q12hr for 7-14 days. Skin/Skin Structure Infections. >12 years: 1-2 g/day IV/IM in single daily dose or divided q12hr for 7-14 days, depending on type and severity of infection.Epinephrine injection is used for emergency treatment of severe allergic reactions (including anaphylaxis) to insect bites or stings, medicines, foods, or other substances. It is also used to treat anaphylaxis caused by unknown substances or triggered by exercise. Epinephrine injection is also used to increase blood pressure in adult patients ...Incorrect intramuscular injections can be caused by a variety of factors, including improper site selection, inappropriate needle length, and incorrect injection technique. These errors may lead to complications such as pain, infection, tissue damage, or suboptimal medication absorption, highlighting the importance of precise adherence to ...Weakness on 1 side of the body, trouble speaking or thinking, change in balance, drooping on one side of the face, or blurred eyesight. Shortness of breath, a big weight gain, or swelling in the arms or legs. Trouble walking. Very bad dizziness or passing out.You will most likely receive this injection into your deltoid muscle, which is at the top of your arm, to your non-dominant arm i.e. if you are right handed your left arm will be injected. We are advising patients to ice this area before and after injection. You will need to bring your own ice pack. This will cause the bloodIntramuscular injection (IM) is installing medications into the depth of specifically selected muscles.[1] The bulky muscles have good vascularity, and therefore the injected drug quickly reaches the systemic circulation and thereafter into the specific region of action, bypassing the first-pass metabolism.[2] It is one of the most common medical procedures to be performed annually.[3]To further characterize immune responses and to assess for potential stimuli of innate inflammation, ultrasensitive single-molecule array antigen assays were used to measure the vaccine-stimulated production of both the full-length SARS-CoV-2 spike protein and its cleaved subunit, S1, in the blood after intramuscular vaccination.Nasopharyngitis, upper respiratory tract infections, influenza, back pain, injection site reactions (such as pain, redness, or swelling), urinary tract infections, sinusitis, headache, muscle pain, dizziness, pain, high blood pressure, diarrhea, and gastroenteritis are the most commonly reported side effects. The dosage varies depending on its use.Herein, the bioavailability of hCG was compared after intramuscular (i.m.) or subcutaneous (s.c.) injection in obese and non‐obese women. METHODS: Twenty four Chinese women, 12 with a body mass index (BMI) ≥28 kg/m 2 and 12 with a BMI of 20–25 kg/m 2 were recruited as the obese and non‐obese groups respectively.

Nicolau syndrome (NS) is a type of adverse skin reaction occurring after parenteral drug injection. In certain conditions, it can cause ischemic necrosis of the skin and the underlying adipose tissue. The actual cause of NS is not clear though inflammation, vasospasm, and thromboembolic occlusion of blood vessels have been proposed.

How to Give the IM Injection. To give an IM injection: Make sure you have the right amount of the right medicine in the syringe. Wash your hands well with soap and water. Dry them. Carefully find the spot where you will give the injection. Clean the skin at that spot with an alcohol wipe.Investigating the cause of excessive bleeding after an insulin demonstration. A man 79 years of age was referred to me to start insulin. As a diabetes educator, I don't always have a full history and comprehensive labs from the PCP. I met the patient and his family, who told me his history, medications, lifestyle, etc.intramuscular rather than subcutaneous space. These stu-dies primarily examined the outcomes of redness and swel-ling, rather than a subcutaneous nodule. It is likely that the route of administration plays a similar role for all these local AEFIs. The suggested underlying physiology was poor blood flow within the subcutaneous space, leading to ...Intramuscular injection of BoNT-A causes muscle denervation, paresis, and atrophy. This clinical effect of botulinum toxin A lasts 3 to 6 months, and injected muscle eventually regains muscle mass and recovers muscle function. The goal of the present study was to characterize the molecular and cellular mechanisms leading to neuromuscular ...The walls of the bathroom where Mrs. Lamson died were spattered with blood. Did the blood spurt there from the tub, in which her husband claimed she had fallen and fatally cut the back of her head? Or was the prosecution right in contending that the blood got on the walls as Mr. Lamson repeatedly bashed in the back of his wife's...Results: Diagnostic block was performed through the unilateral S1-S2-S3 sacral foramina with 22-G spinal needle by 5 mL 1% lidocaine into each foramen. NRS scores decreased to 1, 2, 2, 2 and 1, respectively. One week later, the patients were administered 80 mg methylprednisolone with 1% lidocaine in 15 mL solution shared equally in each foramen ...Allergic reactions—skin rash, itching, hives, swelling of the face, lips, tongue, or throat. CNS depression—slow or shallow breathing, shortness of breath, feeling faint, dizziness, confusion, trouble staying awake. Low blood pressure—dizziness, feeling faint or lightheaded, blurry vision. Tremors or shaking.The IM injection route deposits medication into deep muscle tissue, which has a rich blood supply, allowing medication to be absorbed faster than it would be by the subcutaneous route. This rich blood supply, however, increases the risk for injecting drugs directly into blood vessels. Any factor that interferes with local tissue blood flow ...

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Onset time of sedative effects after IM administration in adults is 15 minutes, with peak sedation occurring 30 to 60 minutes following injection. In one adult study, when tested the following day, 73% of the patients who received midazolam intramuscularly had no recall of memory cards shown 30 minutes following drug administration; 40% had no ...Now stretch the skin flat. Hold the syringe at a 90-degree angle to your skin so it's standing straight out— right above the place where you'll give the shot. Quickly insert the needle all the way into the flattened skin. Now, if your doctor told you to, you'll need to look for blood in the syringe before you inject the medicine. Here's how.Medicine has made significant progress in understanding circulation in the past few hundred years. For millennia medicine believed in the "four humors" and used bloodletting as a treatment. In the 1600s, William Harvey demonstrated how the circulatory system functioned. Shortly after that, scientists became interested in transfusion, initially transfusing animal blood into humans. Dr. Philip ...In sensitivity analyses, the unadjusted rates of recurrent ICH were similar between patients resuming antiplatelet treatment between 1-14 days (n=556; 4.5%), 15-30 days (n=287; 4.9%), and 31-365 days (n=741; 3.4%) following their ICH and virtually identical after propensity score matching. All-cause mortality was lower in patients that ...Enoxaparin is used to prevent blood clots in the leg in patients who are on bedrest or who are having hip replacement, knee replacement, or stomach surgery. It is used in combination with aspirin to prevent complications from angina (chest pain) and heart attacks. It is also used in combination with warfarin to treat blood clots in the leg.Messages. 11. Jun 19, 2012. #1. I just pricked my finger to test before bed and blood squirted out like a fountain for a few seconds and nearly hit me in the face! :lol: I'm not really phazed by blood but this kind of shocked me as it's never happened to me before.The incidence of the adrenaline rush after epinephrine injection has not been documented, to our knowledge. 13. Many patients also faint (vasovagal response) at the sight of a needle, the removal of a bandage, or even the discussion of a surgical procedure. Fainting is easily avoided and treated as described in this article.The medicine needs to go into muscle. You do not want to hit a nerve or a blood vessel. So show your health care provider how you will choose where you will put the needle, to make sure you can find a safe spot. Thigh: The thigh is a good place to give an injection to yourself or a child less than 3 years old.It makes the insulin you take work better, and it removes the sugar, or glucose, from your blood. It also helps you lose weight, which can lower blood sugar. Try to build up to at least 30 minutes ...For people age 3 years and older, a correctly placed IM injection is given in the upper arm, in the deltoid muscle, into its middle and thickest part, at a 90-degree angle to the skin. The CDC has helpful instructional handouts for vaccinating children age 7 through 18 and adults that illustrate the anatomical landmarks for where to inject into ... ….

Watch what you eat. Limit sweets, white bread, rice, pasta, and potatoes. They tend to trigger post-meal spikes. The type of fat you eat may play a role, as well. One study shows you may be able ...Intramuscular injection, often abbreviated IM, is the injection of a substance into a muscle.In medicine, it is one of several methods for parenteral administration of medications. Intramuscular injection may be preferred because muscles have larger and more numerous blood vessels than subcutaneous tissue, leading to faster absorption than subcutaneous or intradermal injections.Heparin will not dissolve blood clots that have already formed, but it may prevent the clots from becoming larger and causing more serious problems. Heparin is used to prevent or treat certain blood vessel, heart, and lung conditions. Heparin is also used to prevent blood clotting during open-heart surgery, bypass surgery, kidney dialysis, and ...Iron - The need for iron increases between ages 11 and 18. In boys, extra iron helps to fuel their rapidly expanding body mass. For girls, it is important to meet daily iron requirements to counteract blood loss from monthly menstrual cycles. Whole grains - At least half of teens' grains should be whole grains.Injection technique. Your injection technique is important, and it can make a big difference to your blood glucose levels for a number of reasons: Longer needle length: Using a needle longer than 4mm can lead to insulin being injected into the muscle, rather than the fatty (subcutaneous) layer. This will lead to the insulin being absorbed more ...In July 2021, we started intravenous (IV) iron treatment. About 30 minutes after the first administration (125 mg of ferric gluconate diluted in 250 mL saline over 1 hour), the patient developed mild knee and wrist pain with spontaneous resolution within a few hours. We halted the infusions until October 2021, at which point we decided to ...Thus rAAV can be used to direct stable expression of therapeutic levels of F.IX after intramuscular injection and is a feasible strategy for treatment of patients with hemophilia B. ... Stable gene transfer and expression of human blood coagulation factor IX after intramuscular injection of recombinant adeno-associated virus. Proceedings of the ...Literature on the IM injection procedure when administering other ... One study (N = 164) surveyed nurses on the occurrence of aspirating for blood return during an IM injection (Thomas et al., 2016). The reported frequency of aspiration was 48% (79/164) aspirated every time, while 26% (42/164) aspirated about 90% of the time. The remainder Blood spurt after im injection, Most post-injection inflammation is mild. It goes away on its own in a few hours or days. If treatment is needed, it may include: Cold packs. These help reduce swelling, itching, and pain. Over-the-counter pain medicines. These help reduce pain and inflammation. Prescription medicine. These treat infection., Have cancer of the cervix, vagina, or uterus. Use douche products. Because vaginal dryness can cause bleeding after sex, you may be more likely to bleed if you: Are going through menopause or ..., If blood is present, the needle may be situated in a blood vessel. Allowing at least 5 seconds for aspiration will show whether there is a back-flow of blood even if the needle is in a small blood vessel (Taylor & Lillis, 1997). If the needle is in a blood vessel and the medication is given, the injection will be an intravenous one., The appropriate needle gauge and length are determined by a number of factors, including the target tissue, injection formulation, and patient population. For example, venipuncture requires the use of needles typically as large as 22-21 gauge inserted to depths of 25-38 mm to withdraw milliliters of blood. 3 In contrast, vaccines usually ..., In July 2021, we started intravenous (IV) iron treatment. About 30 minutes after the first administration (125 mg of ferric gluconate diluted in 250 mL saline over 1 hour), the patient developed mild knee and wrist pain with spontaneous resolution within a few hours. We halted the infusions until October 2021, at which point we decided to ..., Yep 23g. You’ll probably have a nasty bruise from that injection and a lot of soreness, but don’t worry about it. I’d recommend getting your hands on at least 25g needles (higher number = smaller needle = less chance of hitting a …, because this location is associated with an increased risk of hitting a blood vessel, nerve, or bone. This video will focus on the essential steps that every nurse should follow in order to correctly prepare and administer an IM injection. Procedure 1. Similar to any other route of administration, preparing and administering IM medications, Introduction. Postpartum hemorrhage (PPH), defined by the American College of Obstetricians and Gynecologists' (ACOG) reVITALize initiative as cumulative blood loss of >1000 mL (irrespective of route of delivery) or blood loss accompanied by signs or symptoms of hypovolemia within 24 hours after the birth process, is the leading cause of maternal morbidity and mortality worldwide. 1,2 ..., The most common complications noted following CCH injection are edema (75%), ecchymosis (23%), and skin lacerations (9.2%), with rare reports of flexor tendon rupture (0.3%) and complex regional pain (0.1%). 10 Overall, the rate of major complications is similar to or lower than the rates associated with surgical intervention. 3, 10., Messages. 11. Jun 19, 2012. #1. I just pricked my finger to test before bed and blood squirted out like a fountain for a few seconds and nearly hit me in the face! :lol: I'm not really phazed by blood but this kind of shocked me as it's never happened to me before., Substantial gene expression from liver following IM administration of AAV8 vectors in mice. AAV8 vector expressing firefly luciferase (ffLuc) from the ubiquitous CMV promoter was injected IM into C57BL/6 mice at a dose of 10 10 genome copies (GC) per mouse (Figure 1A).Vector was administered as one 10 µl injection into the right …, Messages. 11. Jun 19, 2012. #1. I just pricked my finger to test before bed and blood squirted out like a fountain for a few seconds and nearly hit me in the face! :lol: I'm not really phazed by blood but this kind of shocked me as it's never happened to me before., Symptoms from improperly administered vaccinations - known as SIRVA, for "shoulder injury related to vaccine administration'' - include chronic pain, limited range of motion, nerve damage, frozen ..., Unknown artist "Toulouse Canvas" - Trajectory of blood spurt is parabolic. When the owners of a house near Toulouse, France went to fix a leak in the ceiling, they discovered a well-preserved canvas depicting the biblical beheading of General Holofernes by Judith. Experts believe the canvas was painted between 1600 and 1610, and that it could ..., Methods. Patients (N = 346) with diabetes from 18 ambulatory centers throughout northern Italy who had been injecting insulin ≥ four years answered a questionnaire about their IT.The nurse then examined the patient's injection sites for the presence of lipohypertrophy (LH), followed by an individualized training session in which sub-optimal IT practices highlighted in the questionnaire were ..., Most post-injection inflammation is mild. It goes away on its own in a few hours or days. If treatment is needed, it may include: Cold packs. These help reduce swelling, itching, and pain. Over-the-counter pain medicines. These help reduce pain and inflammation. Prescription medicine. These treat infection., Ketorolac, a nonsteroidal anti-inflammatory drug, is an option for the management of acute moderate-to-severe pain. Ketorolac is available in various forms, including oral, nasal spray, IV, or IM administration. Widely employed in postoperative scenarios for pain control, ketorolac is particularly effective when combined with opioids, …, Methods: Three different studies were performed in healthy dogs to evaluate the biodistribution pattern of radiolabelled equine peripheral blood-derived mesenchymal stem cells following intravenous, intramuscular and subcutaneous administration in comparison with free 99m Technetium. The labelling of the equine peripheral blood-derived ..., Apr 30, 2017 ... Careful monitoring of the injection site for hours is required for early detection of nerve injury. Keywords: Intramuscular injections; Median ..., Diagnosis. ISNs are defined as a firm, discrete or well-demarcated soft-tissue lump at the site of vaccination, in the absence of heat, erythema (redness) or signs of abscess (e.g. pus, pain). They are often described by parents and caregivers as a pea-size lump under the skin. Diagnosis is generally based on a healthcare provider’s clinical ..., Most post-injection inflammation is mild. It goes away on its own in a few hours or days. If treatment is needed, it may include: Cold packs. These help reduce swelling, itching, and pain. Over-the-counter pain medicines. These help reduce pain and inflammation. Prescription medicine. These treat infection., Specializes in Med/Surg, Ortho. It depends on the patient. If the patient is on coumadin, or takes large doses of asprin, getting subq heparin, or an active alcoholic they could bleed at the injection site without having accessed a vein. It could be the needle went through a vein and bled out some after the injection even though the medication ..., Epinephrine is lifesaving in the treatment of anaphylaxis. It is recommended to give an intramuscular injection of epinephrine 1:1000 up to a maximum dose of 0.5 mg over 5 minutes and to repeat doses after 15 minutes if there is no clinical improvement. 4 Epinephrine is considered safe for the management of anaphylaxis when given at the correct ..., The blood vessel would have been above the point you injected into so unlikely to be able to carry out any of the medicine. Even if it did, a slight reduction in dosing for one week wouldn't make a significant difference., The most common route of vaccine administration is SC or IM injection. This approach is excellent for small numbers of animals and for diseases in which systemic immunity is important. In addition, the veterinarian can be sure an animal has received the appropriate dose of vaccine. However, local immunity is sometimes more important than ..., Some medications can be injected in more than one way. EpiPens (epinephrine) used to treat severe allergic reactions can be given via IM or SC injection, for example. Epogen (epoetin alfa) on the other hand, which is used to treat anemia, can be given by IV or SC injection. Depending on the condition you are treating, Botox may be administered as an IM, ID or intradetrusor injection., It happens on occasion, no biggie. As long as it's not shooting out blood, you should be okay. Sounds like you were clear and careful with the injection. I do IM and I have never had blood "shoot out", meaning like go in the air. I have had a lot of blood build up on the injection site and start to pool there., kittensofchaos. • 5 yr. ago. You probably just nicked a blood vessel on your way in. The odds of actually injecting into one is really low but it's more likely that you could nick one while inserting the needle. The bleeding stopped quickly so no harm done, although it definitely is scary the first time! 2., An adhesive bandage is placed over the puncture site after the procedure. The best way to prevent bruising is to apply firm, steady pressure on the site for 3 to 5 minutes after the catheter or needle is removed. When blood is drawn from an artery, pressure is applied for a longer period than for a needle stick. If bruising occurs at a puncture ..., Herein, the bioavailability of hCG was compared after intramuscular (i.m.) or subcutaneous (s.c.) injection in obese and non‐obese women. METHODS: Twenty four Chinese women, 12 with a body mass index ... Blood was taken at intervals (12, 24, 36, 48, 72, 96 and 120 h) for determination of hCG concentration by immunoassay using direct ..., Testosterone cypionate injection, USP, for intramuscular injection ... Androgens have been reported to stimulate production of red blood cells by enhancing ..., The mean maximum PA ICG concentrations (2-8 mg litre-1), the mean times at which they occurred (7-18 s after injection) and the time lags before ICG was detected in the PA (4-9 s), were inversely related to cardiac output, but linearly related to the time over which the injection was made., Intramuscular (IM) injections have been associated with adverse reactions and pain. This route of medication injection is used as a last resort. Consider contacting the practitioner for an alternative, preferred route of medication administration. Take steps to eliminate interruptions and distractions during medication preparation.