What is an advantage of the ventrogluteal muscle as an injection site in young children?
a. Easily accessible from many directions
b. Free of significant nerves and vascular structures
c. Can be used until child reaches a weight of 9 kg (20 lb)
d. Increased subcutaneous fat, which provides sustained drug absorption
ANS: B
Being free of significant nerves and vascular structure is one of the advantages of the ventrogluteal site. In addition, it is considered less painful than the vastus lateralis. The major disadvantage is lack of familiarity by health professionals and controversy over whether the site can be used before weight bearing. The vastus lateralis is a more accessible site. The ventrogluteal muscle site has safely been used from newborn through adulthood. Clinical guidelines address the need for the child to be walking. The site has less subcutaneous tissue, which facilitates intramuscular deposition of the drug rather than subcutaneous.
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