💉 Deltoid IM Injection – Exam Golden Points Deltoid intramuscular injection is given 2–3 finger breadths (≈2.5–5 cm) below the acromion process in the thick central portion of the muscle. The needle is inserted at a 90° angle using 22–25 gauge. For NCLEX safety, maximum 1 mL is preferred. Deltoid is commonly used for adult vaccines like Tdap, Hepatitis B, Influenza, and COVID-19. Avoid injecting too high (bursa injury), too low (radial nerve area), or large-volume medications. 🔥 Must Remember
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