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									<p style="text-align: justify;">La administración de medicación por vía <strong>intramuscular</strong> (IM) es una actuación de Enfermería encaminada a la administración de un fármaco en una masa muscular voluminosa.</p><p>Lugares anatómicos donde administrar la medicación</p><script async src="https://pagead2.googlesyndication.com/pagead/js/adsbygoogle.js?client=ca-pub-4254951495333536" 
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</script><ul><li style="text-align: justify;">Músculo dorsogluteal (nalgas): localizada en el cuadrante supero-externo de la nalga, evitando así poder dañar el nervio ciático. Lugar que más fármaco admite, hasta 7 ml. Debe de evitarse su uso en menores de 3 años.</li><li style="text-align: justify;">Músculo deltoides (músculo del brazo): ubicada en la cara externa del deltoides. Hemos de tener especial cuidado con el nervio radial, que pasa cerca de la zona. Esta zona admite hasta 2 ml de volumen.}</li><li style="text-align: justify;">Músculo ventroglútea (cadera): zona más segura, ya que no tiene ningún punto conflictivo cerca. Situamos al paciente en decúbito lateral o en decúbito supino, colocaremos nuestra mano en la base del trocánter mayor del fémur del lado elegido. Posteriormente abriremos los dedos de la mano y pincharemos en el espacio que queda entre los dedos índice y medio. Esta zona admite hasta 5 ml de fármaco. Esta zona, junto con la dorsoglútea, son de elección para los niños mayores de tres años.</li><li style="text-align: justify;">Músculo vasto lateral (muslo): zona de elección para niños menores de 3 años. Admite hasta 5 ml de fármaco. La zona de punción se encuentra entre el trocánter mayor y la rótula, en el punto medio entre ambas.</li></ul>								</div>
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									<p> </p><ol><li>Historia clínica</li><li>Hoja de prescripción del fármaco</li><li>Medicamento</li><li>jeringa</li><li>Aguja</li><li>Algodón</li><li>Solución antiséptica</li><li>Riñón</li></ol>								</div>
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									<p data-path-to-node="0">La administración de medicamentos por vía intramuscular (IM) requiere una técnica precisa para asegurar que el fármaco llegue al tejido muscular profundo, donde la vascularización permite una absorción óptima.</p><h3 data-path-to-node="1">Ángulo de Punción</h3><p data-path-to-node="2">El <a href="https://prevencionsaludproactiv.com/2024/08/08/via-intramuscular-sitios-y-angulos-de-puncion/">ángulo correcto para una inyección intramuscular</a> es de <b data-path-to-node="2" data-index-in-node="58">90°</b>.</p><p data-path-to-node="3">Este <a href="https://prevencionsaludproactiv.com/category/angulos-de-puncion-2/">ángulo</a> perpendicular permite que la aguja atraviese la epidermis, la dermis y el tejido subcutáneo hasta depositar el líquido en el vientre del músculo.</p><h3 data-path-to-node="5">Consideraciones Técnicas Importantes</h3><p data-path-to-node="6">Para garantizar la seguridad del paciente y la eficacia del procedimiento, se deben seguir estas pautas:</p><ul data-path-to-node="7"><li><p data-path-to-node="7,0,0"><b data-path-to-node="7,0,0" data-index-in-node="0">Longitud de la aguja:</b> Debe seleccionarse según la masa muscular del paciente y la zona elegida. Una aguja demasiado corta podría dejar el medicamento en el tejido adiposo (subcutáneo), variando la velocidad de absorción.</p></li><li><p data-path-to-node="7,1,0"><b data-path-to-node="7,1,0" data-index-in-node="0">Técnica en &#8220;Z&#8221;:</b> Se recomienda desplazar la piel y el tejido subcutáneo lateralmente antes de insertar la aguja. Al terminar y soltar la piel, el canal de la punción se sella, evitando el reflujo del medicamento.</p></li><li><p data-path-to-node="7,2,0"><b data-path-to-node="7,2,0" data-index-in-node="0">Zonas de punción comunes:</b></p><b data-path-to-node="7,2,1,0,0" data-index-in-node="0">Músculo Deltoides:</b> Brazo (máximo 2 ml).<b data-path-to-node="7,2,1,1,0" data-index-in-node="0">Vasto Lateral:</b> Cara externa del muslo (común en pediatría).<b data-path-to-node="7,2,1,2,0" data-index-in-node="0">Dorso-glúteo:</b> Cuadrante superior externo del glúteo (zona clásica, precaución con el nervio ciático).<b data-path-to-node="7,2,1,3,0" data-index-in-node="0">Ventro-glúteo:</b> Zona de la cadera (considerada la más segura por estar alejada de grandes vasos y nervios).</li></ul>								</div>
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															<img width="447" height="447" src="https://i0.wp.com/prevencionsaludproactiv.com/wp-content/uploads/2021/11/IM.png?fit=447%2C447&;ssl=1" class="attachment-large size-large wp-image-18791" alt="" srcset="https://i0.wp.com/prevencionsaludproactiv.com/wp-content/uploads/2021/11/IM.png?w=447&;ssl=1 447w, https://i0.wp.com/prevencionsaludproactiv.com/wp-content/uploads/2021/11/IM.png?resize=300%2C300&;ssl=1 300w, https://i0.wp.com/prevencionsaludproactiv.com/wp-content/uploads/2021/11/IM.png?resize=150%2C150&;ssl=1 150w, https://i0.wp.com/prevencionsaludproactiv.com/wp-content/uploads/2021/11/IM.png?resize=75%2C75&;ssl=1 75w, https://i0.wp.com/prevencionsaludproactiv.com/wp-content/uploads/2021/11/IM.png?resize=400%2C400&;ssl=1 400w, https://i0.wp.com/prevencionsaludproactiv.com/wp-content/uploads/2021/11/IM.png?resize=200%2C200&;ssl=1 200w, https://i0.wp.com/prevencionsaludproactiv.com/wp-content/uploads/2021/11/IM.png?resize=100%2C100&;ssl=1 100w" sizes="(max-width: 447px) 100vw, 447px" data-attachment-id="18791" data-permalink="https://prevencionsaludproactiv.com/2021/11/28/via-intramuscular/im-2/" data-orig-file="https://i0.wp.com/prevencionsaludproactiv.com/wp-content/uploads/2021/11/IM.png?fit=447%2C447&;ssl=1" data-orig-size="447,447" data-comments-opened="1" data-image-meta="{";aperture";:";0";,";credit";:";";,";camera";:";";,";caption";:";";,";created_timestamp";:";0";,";copyright";:";";,";focal_length";:";0";,";iso";:";0";,";shutter_speed";:";0";,";title";:";";,";orientation";:";0";}" data-image-title="via-intramuscular-sitios-de-puncion-y-angulos-de-puncion" data-image-description="" data-image-caption="" data-large-file="https://i0.wp.com/prevencionsaludproactiv.com/wp-content/uploads/2021/11/IM.png?fit=447%2C447&;ssl=1" />															</div>
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									<p> </p><ul><li>Comprobar que el medicamento, la hora, la vía de administración y la dosis son los establecidos en la prescripción médica.</li><li>Realizar higiene de manos y colocar guantes.</li><li>Aplicar antiséptico en la zona y limpiar con movimientos espirales.</li><li>Introducir la aguja conectada a la jeringa con un <a href="https://prevencionsaludproactiv.com/category/angulos-de-puncion-2/">ángulo</a> de 90º, con un movimiento firme y seguro en un solo acto.</li><li>Aspirar con la jeringa. Si se aspira sangre, retiraremos la aguja y pinchamos nuevamente en otro lugar. Si la sangre se mezclara con el medicamento en la jeringuilla, debemos de desechar todo el material y prepararlo de nuevo.</li><li>Inyectar el medicamento lentamente, para evitar que el procedimiento sea menos doloroso.</li><li>Una vez administrado todo el medicamento, introducir la pequeña cantidad de aire que se aspiró, esto evitará que al retirar la aguja, se deposite medicamento en otros tejidos no deseados.</li><li>Retirar la aguja y la jeringa con un movimiento rápido, evitando desplazamientos laterales, aplicar una suave presión con una gasa sobre la zona de punción, friccionando suavemente para evitar que el medicamento se acumule y favorecer así su absorción.</li><li>Acomodar al paciente, recoger y desechar el material utilizado en contenedor especial para material cortopunzante.</li></ul>								</div>
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					<h2 class="elementor-heading-title elementor-size-default">Cuidados de enfermería</h2>				</div>
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									<div align="center"> </div><div style="text-align: left;" align="center"><ul><li>Vigilar las posibles reacciones que puedan producirse a los fármacos que han sido administrados y avisar al médico, si fuera necesario.</li><li>Dependiendo del fármaco administrado, valorar los signos vitales, nivel de consciencia, durante y tras su administración.</li><li>Controlar los lugares de punción por la posible aparición de hematomas, equimosis, induraciones, etc.</li></ul></div>								</div>
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					<h2 class="elementor-heading-title elementor-size-default">Diferencias en administración de vía IM en brazo y glúteo</h2>				</div>
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									<p>La elección entre el brazo (músculo deltoides) y el glúteo (dorso-glúteo o ventro-glúteo) no es al azar; depende principalmente del <b data-path-to-node="0" data-index-in-node="132">volumen del líquido</b>, el <b data-path-to-node="0" data-index-in-node="156">tipo de fármaco</b> y la <b data-path-to-node="0" data-index-in-node="177">edad del paciente</b>.</p>								</div>
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									<h2 data-path-to-node="3">1. Inyección en el brazo (músculo deltoides)</h2><p data-path-to-node="4">Es el sitio preferido para volúmenes pequeños y absorción rápida debido a la gran vascularización de la zona.</p><p data-path-to-node="5,0,0"><b data-path-to-node="5,0,0" data-index-in-node="0">Capacidad:</b> Máximo <b data-path-to-node="5,0,0" data-index-in-node="18">1 ml a 2 ml</b> (en adultos con buena masa muscular). No se recomienda para volúmenes mayores porque puede causar dolor intenso o daño tisular.</p><p data-path-to-node="5,1,0"><b data-path-to-node="5,1,0" data-index-in-node="0">Cuándo se usa:</b></p><p data-path-to-node="5,1,1,0,0"><b data-path-to-node="5,1,1,0,0" data-index-in-node="0">Vacunas:</b> La gran mayoría (Gripe, COVID-19, Tétanos).</p><p data-path-to-node="5,1,1,1,0"><b data-path-to-node="5,1,1,1,0" data-index-in-node="0">Medicamentos de bajo volumen:</b> Analgésicos rápidos.</p><p data-path-to-node="5,2,0"><b data-path-to-node="5,2,0" data-index-in-node="0">Ventajas:</b> Es de fácil acceso (no hay que desvestirse) y tiene una absorción muy eficiente.</p><p data-path-to-node="5,3,0"><b data-path-to-node="5,3,0" data-index-in-node="0">Riesgo:</b> El nervio radial y la arteria braquial pasan cerca, por lo que la técnica debe ser precisa (dos o tres dedos por debajo del acromion).</p><h2 data-path-to-node="7">2. Inyección en el glúteo</h2><p data-path-to-node="8">Se utiliza para volúmenes más grandes o fármacos que requieren una liberación más lenta.</p><p data-path-to-node="9,0,0"><b data-path-to-node="9,0,0" data-index-in-node="0">Capacidad:</b> De <b data-path-to-node="9,0,0" data-index-in-node="14">3 ml hasta 5 ml</b>. Es un músculo mucho más grande y capaz de tolerar sustancias más densas o irritantes.</p><p data-path-to-node="9,1,0"><b data-path-to-node="9,1,0" data-index-in-node="0">Cuándo se usa:</b></p><p data-path-to-node="9,1,1,0,0"><b data-path-to-node="9,1,1,0,0" data-index-in-node="0">Antibióticos:</b> Como la penicilina (que suele ser espesa).</p><p data-path-to-node="9,1,1,1,0"><b data-path-to-node="9,1,1,1,0" data-index-in-node="0">Corticoides o anticonceptivos inyectables.</b></p><p data-path-to-node="9,1,1,2,0"><b data-path-to-node="9,1,1,2,0" data-index-in-node="0">Tratamientos de depósitos: </b>Medicamentos diseñados para absorberse lentamente durante días o semanas.</p><p data-path-to-node="9,2,0"><b data-path-to-node="9,2,0" data-index-in-node="0">Variantes:</b></p><p data-path-to-node="9,2,1,0,0"><b data-path-to-node="9,2,1,0,0" data-index-in-node="0">Dorso-glúteo (cuadrante superior externo):</b> El método tradicional, aunque requiere cuidado para no tocar el <b data-path-to-node="9,2,1,0,0" data-index-in-node="107">nervio ciático</b>.</p><p data-path-to-node="9,2,1,1,0"><b data-path-to-node="9,2,1,1,0" data-index-in-node="0">Ventro-glúteo (cadera):</b> Considerada actualmente la zona más segura por estar lejos de vasos sanguíneos importantes y nervios.</p><p data-path-to-node="9,3,0"><b data-path-to-node="9,3,0" data-index-in-node="0">Riesgo:</b> Si se aplica mal en la zona dorso-glútea, existe el riesgo de neuropatía del ciático.</p>								</div>
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									<h2 data-path-to-node="9,3,0">Bibliografía:</h2><h3 data-path-to-node="2">1. Potter y Perry: Fundamentos de Enfermería</h3><p data-path-to-node="3">Es, posiblemente, el libro más utilizado a nivel mundial en las facultades de enfermería.</p><ul data-path-to-node="4"><li><p data-path-to-node="4,0,0"><b data-path-to-node="4,0,0" data-index-in-node="0">Qué buscar:</b> El capítulo sobre &#8220;Administración de medicamentos&#8221;.</p></li><li><p data-path-to-node="4,1,0"><b data-path-to-node="4,1,0" data-index-in-node="0">Detalle:</b> Explica con precisión los ángulos de inserción, los volúmenes máximos por zona (los 1-2 ml en deltoides y hasta 5 ml en glúteo) y la técnica de la &#8220;Z&#8221; para evitar reflujo de líquidos irritantes.</p></li></ul><h3 data-path-to-node="5">2. Kozier y Erb: Fundamentos de Enfermería</h3><p data-path-to-node="6">Otro pilar de la educación clínica.</p><ul data-path-to-node="7"><li><p data-path-to-node="7,0,0"><b data-path-to-node="7,0,0" data-index-in-node="0">Qué buscar:</b> Sección de &#8220;Vías de administración parenteral&#8221;.</p></li><li><p data-path-to-node="7,1,0"><b data-path-to-node="7,1,0" data-index-in-node="0">Detalle:</b> Este libro es excelente para entender por qué la zona <b data-path-to-node="7,1,0" data-index-in-node="63">ventro-glútea</b> es ahora preferida sobre la dorso-glútea, basándose en la seguridad anatómica (distancia del nervio ciático).</p></li></ul><h3 data-path-to-node="8">3. Taylor, Lillis y Lynn: Fundamentos de Enfermería: El Arte y la Ciencia del Cuidado</h3><ul data-path-to-node="9"><li><p data-path-to-node="9,0,0"><b data-path-to-node="9,0,0" data-index-in-node="0">Qué buscar:</b> Guías de procedimientos clínicos.</p></li><li><p data-path-to-node="9,1,0"><b data-path-to-node="9,1,0" data-index-in-node="0">Detalle:</b> Incluye tablas comparativas muy detalladas sobre las agujas recomendadas según el músculo elegido (calibre y longitud).</p></li></ul><h3 data-path-to-node="10">4. Anatomía Humana (Netter o Rouvière)</h3><p data-path-to-node="11">Para la parte de los riesgos (nervio radial en el brazo y nervio ciático en el glúteo).</p><ul data-path-to-node="12"><li><p data-path-to-node="12,0,0"><b data-path-to-node="12,0,0" data-index-in-node="0">Qué buscar:</b> Anatomía topográfica de los miembros superiores e inferiores.</p></li><li><p data-path-to-node="12,1,0"><b data-path-to-node="12,1,0" data-index-in-node="0">Detalle:</b> Estos libros muestran gráficamente los &#8220;triángulos de seguridad&#8221; para evitar lesiones nerviosas o arteriales.</p></li></ul>								</div>
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 href="https://prevencionsaludproactiv.com/author/prevencionsaludproactiv/"
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							<h4>Prevención en Salud Proactiva</h4> 
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							<p>Paula Rojas Hormazábal</p><div class="fa2752738c61f2593e5755f4d15b4d9c" data-index="2" style="float: none; margin:0px 0 0px 0; text-align:center;">
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							<p>Nuestra misión es proteger la vida y la salud de las personas, con enfoque en el entorno laboral. A través de programas especializados en primeros auxilios y maniobras críticas (RCP, DEA, SVB y Heimlich), educamos y capacitamos a personas y equipos para responder con seguridad ante emergencias. Además, garantizamos la continuidad y el bienestar organizacional mediante una gestión de riesgos alineada con la Ley 16.744 y los más altos estándares ISO.</p> 
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<h4 class="pt-cv-title"><a href="https://prevencionsaludproactiv.com/2022/05/12/rcp-en-tiempos-de-covid-19/" class="_blank" target="_blank" >RCP en Tiempos de COVID-19</a></h4>
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<h4 class="pt-cv-title"><a href="https://prevencionsaludproactiv.com/2022/02/25/tendinitis-2/" class="_blank" target="_blank" >Tendinitis</a></h4>
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<h4 class="pt-cv-title"><a href="https://prevencionsaludproactiv.com/2022/02/24/superficies-de-trabajo/" class="_blank" target="_blank" >Superficies de Trabajo</a></h4>
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<h4 class="pt-cv-title"><a href="https://prevencionsaludproactiv.com/2022/02/24/riesgo-electrico/" class="_blank" target="_blank" >Riesgo Eléctrico</a></h4>
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<h4 class="pt-cv-title"><a href="https://prevencionsaludproactiv.com/2022/02/24/primeros-auxilios-2/" class="_blank" target="_blank" >Primeros Auxilios</a></h4>
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<h4 class="pt-cv-title"><a href="https://prevencionsaludproactiv.com/2022/02/20/rcp-solo-con-las-manos/" class="_blank" target="_blank" >RCP Solo con las Manos</a></h4>
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<h4 class="pt-cv-title"><a href="https://prevencionsaludproactiv.com/2022/01/18/maniobra-de-heimlich-charla-de-seguridad/" class="_blank" target="_blank" >Maniobra de Heimlich</a></h4>
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<h4 class="pt-cv-title"><a href="https://prevencionsaludproactiv.com/2021/12/07/ley-numero-21-156-desfibriladores-dea/" class="_blank" target="_blank" >Ley N° 21.156 Desfibriladores (DEA)</a></h4>
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<h4 class="pt-cv-title"><a href="https://prevencionsaludproactiv.com/2021/11/19/escala-de-eva-en-enfermeria/" class="_blank" target="_blank" >Escala de EVA en Enfermería</a></h4>
<div class="pt-cv-content">La escala del dolor EVA en enfermería (Escala Visual Analógica), ...<br /><div class="pt-cv-rmwrap"><a href="https://prevencionsaludproactiv.com/2021/11/19/escala-de-eva-en-enfermeria/" class="_blank pt-cv-readmore btn btn-success" target="_blank">Leer Más</a></div></div></div></div>
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Vía Intramuscular
