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Learning to do injections

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Faced such a problem: in paid medical clinics do not give injections without a doctor’s prescription, although only vitamins need to be pierced. Is it really necessary to get a doctor's prescription?

As I understand you! The funny thing is, I have encountered a similar problem three times in the last ten years. And by the way, I can please you - the prescription for injections on hand does not help at all, if, for example, like my husband’s need to do injections twice a day, and he continues to go to work, and simply does not fit into the work schedule clinic treatment room!

In general, the problem with injections occurred for the first time when our home kitty fell ill, but didn’t even get sick, just a bubble appeared in the ear (either scratched and carried dirt with its claws, or simply shook its head). In general, the veterinarian was told to give injections once a day, but we do not know how. And every day we simply do not have time to drag a cat to the clinic. Then he was saved by a neighbor who knew how to give injections to animals. Then her husband had something with his back (neuralgia, infringement) - it was necessary to give injections, but no one.

That's when I, like you, became concerned about the question - who can give injections every day. In general, it all depends on the pharmacies in your area, and personally on your charm. The fact is that in some pharmacies it is possible to give injections for a fee (not all, but there are some). So you can just ask around at the pharmacies closest to you, and if injections are made in any of them, you will agree without a prescription, as they say, come not empty-handed, but they are vitamins and without a prescription will be pierced.

Well, in my case, 3 times, when my husband needed to take a course from arthrosis, I spat at all the clinics, pharmacies and just did him all the injections myself.

It was scary at first to horror, then somehow got used to it. The strangest thing is that with my injection, my husband did not have bruises or seals, as happened with paid nurses in the same pharmacy.

So if there is an opportunity to ask someone from relatives or VERY good friends (girlfriends) - it is better to turn to them, rather than run and look. Well, if it’s not possible, try how we once agreed in a pharmacy. By the way, in addition to pharmacies, there are still a lot of options - I have a female consultation at 3 steps from home, and on it on the 2nd floor (by the way, like in many state polyclinics) several offices are rented by a company that does analyzes for a fee, injections, etc. etc. Look, most likely, near your house there is something similar, but they work until late. Good luck.

What place is best for injections at home.

There are several types of injections: intramuscular, intravenous, subcutaneous, intradermal. The most common type of injection is intramuscular, they are used when you need to enter small volumes of the drug. Everyone can make a shot in the muscle correctly. Intramuscularly, drugs are administered mainly in those parts of the body in which the muscle tissue has a maximum thickness and large vessels and nerve trunks are not nearby.

Most often, intramuscular injections are done in the buttock, arm (deltoid muscle) or the front surface of the thigh. It is safer and easiest for an amateur to make injections into the gluteal muscle - there is less chance of negative consequences (muscle mass in the hand may not be enough, and after the injection in the thigh it can “pull” the leg).

How to do intramuscular injections.

First, prepare everything you need to complete the injection:

  • the preparation prescribed for administration in ampoules or as a dry powder in a vial,
  • a three-component syringe with a volume of 2.5 ml to 11 ml, depending on the volume prescribed for the administration of the drug,
  • cotton balls
  • alcohol 96%
  • solvent (if the injection needs to be prepared from a dry powder).

Before starting the procedure, wash my hands thoroughly. Then we take the ampoule with the medicine, carefully examine it, read the name, amount of the medicine and its shelf life. Shake the ampoule lightly and tap the tip of the ampoule with your fingernail so that the whole medicine drops down. Wipe the tip of the ampoule with a cotton swab dipped in alcohol and wipe it off at the transition from the narrow to the wide part using a special nail file, which should be in the box with the ampoules. You need to use a nail file several times with pressure to draw along the base of the tip, and then break it off in the direction away from you. To protect yourself from an accidental cut, the ampoule can be wrapped in a paper towel.

We open the package with syringes and, without removing the cap, we put a needle on the syringe. We remove the cap from the needle, lower the syringe with the needle into the ampoule, pull the piston towards us and collect the medicine. After collecting the medicine, turn the syringe vertically up and tap on it with a fingernail so that the air bubbles rise up. By gradually pressing the plunger of the syringe, “push” the air through the needle until a drop of the drug appears on the tip of the needle. Close the needle with a cap.

If the prescribed medicine turned out to be not a vial, but a dry powder in a vial, you will need a solvent ("water for injection", novocaine, lidocaine, etc.). To choose the right solvent, carefully read the instructions for the drug or check the name of a suitable solvent with the doctor who prescribed the drug. According to the scheme described above, we collect the solvent from the ampoule into the syringe. We open the metal cap of the bottle, wipe the rubber cap with alcohol and, having pierced it with a needle, we introduce the solvent. Shake the bottle so that the powder completely dissolves, turn it upside down and collect the finished solution into the syringe. After that, change the needle. Doing the injection with the same needle that you used to pierce the rubber cap is not worth it, since the sterility of the needle is impaired and it also becomes dull, which makes the injection more painful.

We put injections at home.

Before injecting into the buttock so that the muscles relax, the patient should be laid on his stomach or on his side. The estimated injection site must be pre-palpated to exclude the possibility of the needle getting into the seals or nodes.

If you will inject yourself, it is extremely important to choose the most comfortable position for the injection. It is advisable to practice in front of the mirror in which position it will be most convenient for you to stab - lying on your side (the surface should be rigid enough so that the injection process is more controlled) or standing half a turn to the mirror.

Mentally divide the buttock into four squares. An injection should be done in the upper outer square.

We take a cotton wool moistened with alcohol and carefully wipe the injection site. If the injection site is not decontaminated, this can lead to the formation of infiltrates - painful seals, and to more serious consequences.

After removing the cap from the needle and releasing air from the syringe, we hold the syringe with our right hand, and with the left, in the meantime, stretch the skin at the injection site. If you give an injection to a child, on the contrary, you need to pull the skin into a crease.

We take away the hand with the syringe and stick it sharply at right angles into the muscle by 3/4 of the needle, but do not enter it to the very end. Many newcomers, for the first time making an injection, are afraid to sharply stick a needle and inject it gradually. By “stretching” the injection, you inflict unnecessary torment on the patient. The sharper and sharper you stick the needle into the muscle, the less painful the injection will be.

Pressing the piston with the thumb of the right hand, we slowly enter the medicine. The slower the drug is administered, the less likely the formation of bumps. Soaked in alcohol with a cotton swab, we press the injection site and remove the needle with a sharp movement. Lightly massage the injured muscle with a cotton wool so that the drug is absorbed faster, and alcohol disinfects the wound well.

Important points of intramuscular injection.

Whether an injection for your “patient” will be traumatic and painful depends not only on your skill, but also on the design of the syringe. It is advisable to use not old two-component syringes, which intermittently move the piston, cause unnecessary pain to the patient, but modern three-component syringes with a rubber seal on the piston.

In the same place, injections are recommended no more than twice a week. If a course of intramuscular injections is prescribed, the sides should be alternated: once stabs in the upper right square, the next in the left.

If an oil solution is used as an intramuscular injection, the ampoule should be slightly warmed up in warm water before the procedure. If an oil solution enters the bloodstream, it can cause embolism, so after inserting the needle, the syringe plunger needs to be pulled a little. If, at the same time, blood begins to flow into the syringe, then you have entered a blood vessel. In this case, without removing the needle, you should change the direction and depth of immersion or replace the needle and try to make an injection in another place. If blood does not enter the syringe, you can safely inject the solution.

The most important thing is hygiene: for each injection, even to oneself, a new syringe and needle should be used. Never reuse disposable syringes and needles! Before you take the medicine into the syringe and make an injection, be sure to ensure the integrity of the packaging of the syringe and needle. If the packaging is leaking, the syringe should be discarded.

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