Some say the only requirement is an extended pinky and thumb. In practice, the shaka is far more nuanced. On paper, the House bill notes that the “shaka generally consists of extending the thumb and smallest finger while holding the three middle fingers curled, and gesturing in salutation while presenting the front or back of the hand the wrist may be rotated back and forth for emphasis.” Here are some things to know about Hawaii’s shaka - including its purported origin with a seven-fingered fisherman. Glenn Wakai, who introduced the Senate version, said he can’t imagine the measure meeting any opposition and expects it to “sail through.” Now, a pair of bills in the state Legislature would make the shaka the state’s official gesture and recognize Hawaii as its birthplace. Vaccine administration.When captains of the Lahainaluna High School football team, from the Maui community devastated by last summer’s deadly wildfire, were invited to the Super Bowl in Las Vegas last month, they flashed shakas for the cameras. Sciatic nerve injury from intramuscular injection: A persistent and global problem. Are techniques used for intramuscular injection based on research evidence? How to administer intramuscular and subcutaneous vaccine injections.You can learn more about how we ensure our content is accurate and current by reading our editorial policy. Healthline has strict sourcing guidelines and relies on peer-reviewed studies, academic research institutions, and medical associations. Be careful to not touch the needle to keep it clean. Remove the cap from the needle and push the needle through the rubber stopper at the top of the vial. If you forget this step, you can still get the medication out of the vial. This also makes it easier to draw the medication into the syringe. This is done because the vial is a vacuum and you need to add an equal amount of air to regulate the pressure. Draw back the plunger to fill the syringe with air up to the dose that you’ll be injecting. The rubber stopper should be cleaned with an alcohol swab. If the vial or pen is multidose, take a note about when the vial was first opened. Clean the injection siteĬlean the site selected for injection with an alcohol swab and allow the skin to air dry. The person receiving the injection should get into a position that is comfortable, provides easy access to the location, and keeps the muscles relaxed. To isolate the muscle and target where you’ll place the injection, spread the skin at the injection site between two fingers. puncture-resistant container to discard the used needles and syringe (typically a red, plastic sharps container).The Centers for Disease Control and Prevention (CDC) recommends lathering for 20 seconds, which is the time it takes to sing the “Happy Birthday” song twice. Be sure to thoroughly scrub between your fingers, on the backs of your hands, and under your fingernails. Wash your hands with soap and warm water to prevent potential infection. ![]() ![]() They’ll be 22-gauge to 25-gauge thick, noted as 22g on the packaging.įollow these steps for a safe intramuscular injection: 1. Generally, needles should be 1 inch to 1.5 inches for an adult and will be smaller for a child. The needle should be long enough to reach the muscle without penetrating the nerves and blood vessels underneath. ![]() Your doctor or pharmacist will give you specific guidelines about which needle and syringe are appropriate to administer your medication. These include the age and size of the person receiving the medication, and the volume and type of medication. The needle size and injection site will depend on many factors. How to administer an intramuscular injectionĪny person who administers intramuscular injections should receive training and education on proper injection technique. ![]() Muscle tissue can also hold a larger volume of medication than subcutaneous tissue. This is because muscle tissue has a greater blood supply than the tissue just under your skin. Intramuscular injections are absorbed faster than subcutaneous injections. They may be used instead of oral delivery because some drugs are destroyed by the digestive system when you swallow them. Intramuscular injections may be used instead of intravenous injections because some drugs are irritating to veins or because a suitable vein cannot be located. subcutaneous (injected into the fatty tissue just under the layer of skin).Intramuscular injections are used when other types of delivery methods are not recommended. Several drugs and almost all injectable vaccines are delivered this way. They’re used to deliver drugs and vaccines. Intramuscular injections are a common practice in modern medicine. What are intramuscular injections used for?
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