Which is the maximum volume of an intramuscular injection recommended for a preschool aged child?

Which is the maximum volume of an intramuscular injection recommended for a preschool aged child?
Parenteral Manual

Maximum volumes to be injected intramuscularly:

0.5 mL in a small infant <1month

1 mL in an older infant >1month

2 ml  in a school-age child

3 mL in an adolescent 

Maximum volumes to be injected subcutaneously:

Recommended maximum volumes to be injected subcutaneously may range from 0.5 mL to 2 mL depending on your patient.

Note: larger subcutaneous volumes will cause more discomfort

Please be advised that the on-line CHEOnet version of this manual is the most up to date version. All directors responsible for the area need to ensure that the most up to date information is printed and placed in the manual.

The information contained on this website is provided for informational purposes only, as a guide to assist physicians, nurses and other healthcare providers in deciding on the appropriate care required for a particular patient. At all times, physicians, nurses and other healthcare providers must exercise their independent clinical judgment, based on their knowledge, training and experience, taking into account the specific facts and circumstances of each patient, when deciding on the appropriate course of investigation and/or treatment to recommend in a particular clinical situation.

CHEO has made every effort to ensure that the information contained on this website is as current and accurate as possible. However, changes can occur due to ongoing research and the constant influx of new information. Where possible, hospitals and healthcare practitioners should verify the information before acting on it.

Reliance on any information in this website is at the user's own risk. CHEO is not responsible or liable for any harm, loss or other consequences from the use or misuse of the information on this website.

What is the maximum volume for intramuscular injection?

For a well-developed adult, no more than 5 ml of medication should be administered in a single IM injection because the muscle tissue does not absorb it well. For “deep” IM injections, the recommended volume ranges from 2 to 5 ml.

Which is the ideal site for injecting an intramuscular medication in children less than 3 years of age quizlet?

For most infants, the vastus lateralis muscle in the anterolateral thigh is the recommended site for injection because it provides a large muscle mass.

What is the preferred intramuscular injection for infants and children?

The most appropriate sites for IM injections are the vastus lateralis (anterolateral thigh) for infants and toddlers and the deltoid muscle for pediatric patients 18 months old or older. Selection of the injection site is based on the patient's age, muscle mass, medication volume, and medication viscosity.

Where do you give a 2 year old IM injection?

For toddlers, the anterolateral thigh muscle is preferred, and when this site is used, the needle should be at least 1 inch long. The deltoid muscle can be used if the muscle mass is adequate. If 2 vaccines are to be administered in a single limb, they should be spaced an inch apart (4, 24).