Which of the following site is best for the nurse to plan to administer monovalent Hep-B (hepatitis B vaccine) intramuscularly to a newborn?

Option 2 : Vastus lateralis

Concept:

• Routes of drug administration:
  • Oral
  • Topical
  • Rectal
  • Sublingual
  • Parenteral
• Parenteral route
  • intravenous
  • intraarterial
  • intraperitoneal
  • subcutaneous
  • intramuscular
• Hepatitis B vaccine -> Prevents Hepatitis B infection.

Explanation:

• Vastus lateralis -> Recommended site for intramuscular administration of monovalent Hep-B.
• It is a large muscle -> High blood supply -> Quick absorption of the vaccine -> Generates huge immune response.
• Monovalent Hep- B -> Given with in 24 hours of birth -> Protects only against Hepatitis B.

• Deltoid -> Not the preferred site.
• Ventrogluteal -> Less immune response is generated.
• Dorsogluteal ->  Not the preferred site.