Injection technique and possible complications. How to inject yourself

Nobody likes injections, but sometimes you not only have to endure them, but also think about how to give yourself an injection. Usually, when prescribing a course of injections, doctors give the patient a referral to a treatment room in a clinic, where a nurse deftly and quickly administers the necessary medications to patients. But for many, it is difficult to undergo a course of treatment in this way because the operating hours of the treatment room coincide with the hours of their own work, and it is inconvenient to be late or ask the manager for 10-15 days in a row (which is how long a standard course of medication lasts).

Nevertheless, it is necessary to be treated. And the patient is looking for information on how to give himself an injection himself. This turns out to be not so scary, and often less unpleasant, than in a clinic.

The advantage of self-injection

If a person has mastered injecting himself in the buttock or another muscle and does them carefully and without unpleasant consequences, then this is more convenient for him than going to the treatment room.

• The patient himself can choose the time and place for the injection, gather his courage, and take a comfortable position. Nurses typically administer medications to patients in a standing position, which can be painful;
• Some drugs require slow administration. Procedure nurses quite often neglect this rule, since they have a whole line of patients outside the office door. By injecting yourself, you can administer the medicine at the speed needed;
• To reduce pain from an injection at home, you can use a special patch or gel with lidocaine. The patch is placed on the injection site for an hour, the gel is applied as a layer under a bandage or regular patch. After applying the anesthetic patch or gel, inserting the needle is almost painless. In a clinic setting, the use of patches and gels is almost impossible;
• Lidocaine should be used instead of water and saline when preparing solutions for injections. Then the injection will be less painful. but not all medications are combined with it, so you need to check with your doctor about this possibility;
• You can select needles whose insertion causes almost no pain, for example, triangular needles from abroad. They instantly pierce the skin. It is also good to use syringes for administering insulin if the volume of the drug administered is small. In the clinic, the needles and syringes are domestically produced and not always of high quality;
• Nurses give the injection with the same needle that was used to draw the drug. At home, it is better to change the needle, since when taking medicine through a puncture in the rubber cap or from a glass ampoule, the needle becomes dull when in contact with the cap or walls of the ampoule, pierces the skin slowly and causes noticeable pain;
• The patient knows well where he had the site of yesterday’s injection of the medicine, a hematoma, a lump, so he injects himself into another part of the body. The nurse at the clinic does not know this and may administer the drug in the same place as last time. Firstly, it is much more painful, secondly, such an injection can lead to the formation of an abscess, and thirdly, the drug disperses worse through the blood if it is injected into a seal.

What types of injections are there?

Most of the injections are done intramuscularly, a little less - intravenously, and very few - subcutaneously. Therefore, it is useful to know how to give yourself an injection intramuscularly and subcutaneously, and also to understand whether you can give yourself intravenous injections at home.

There are three more types of injections that are performed only by highly professional doctors and are prescribed in special cases:

• Intradermal – used with local anesthesia;
• Intraosseous - used either for anesthesia, or when the patient is extremely obese and it is problematic to administer the medicine into a muscle or vein;
• Intra-arterial - used in the complex of resuscitation measures, they are considered the most complex and most often cause complications.

At home, you can independently perform intramuscular and subcutaneous injections. To perform intravenous injections you need skill and the ability to focus not on your feelings, but on the process.

How to give an intramuscular injection to yourself

Here's where you can give intramuscular injections to yourself:

• The buttock is the most “popular” place;
• In the thigh - in the quadriceps muscle;
• In the shoulder - in the deltoid muscle.

Injecting yourself in the thigh is the most convenient in terms of technique. But at the same time it is one of the most painful. An injection in the shoulder can also bring very unpleasant sensations. It is optimal to stab yourself in the buttock, monitoring your actions in the mirror.

The needle is inserted into the muscle in one sharp movement; you can insert it with a pop or slap. The needle immersion depth is three quarters. In this case, the needle immediately pierces the skin and enters the muscle layer. It no longer causes pain in the muscle.

The syringe should be placed perpendicularly, that is, at a right angle, to the imaginary axis of the spine, hip or shoulder. The injection site is in the buttock - its upper quarter on the side. The injection site is in the thigh and shoulder - their second third. These places have the least amount of nerve endings, although there is still a risk of hitting one of them.

The plunger of the syringe must be pressed slowly so that the medicine flows gradually but continuously. Rapid or portioned administration is quite unpleasant. In addition, with rapid administration, an infiltrate is formed under the skin - an accumulation of blood, lymph and the drug. It dissolves slowly, and touching it causes pain.

If the drug is only 1-2 ml, then it can be administered a little faster. In general, 1 ml is injected over 10 seconds, this is considered the optimal time. The injection site is treated with an alcohol wipe before and after administering the medicine.

How to give a subcutaneous injection yourself

When administered subcutaneously, the medicine enters a thin layer of fat and is carried from there by the blood. The sites for subcutaneous drug administration are as follows:

• The area of ​​the anterior wall of the peritoneum, between the ribs and thighs, excluding the hypersensitive area around the navel, which is richly innervated;
• The place on the arm between the elbow and shoulder at the back or side;
• Place on the leg between the thigh and knee.

It is more convenient for yourself to inject yourself subcutaneously in the leg or stomach. You should take the syringe like a pencil so that you can easily reach the piston, with the other hand pull the skin 2-3 cm to capture more of the fat layer (but not muscles!) and insert the needle at an angle of 45 degrees. After this, slowly press the plunger until the medication is completely released.

Is it possible to give yourself intravenous injections?

Intravenous injections or injections are the most difficult form of injection to perform for yourself. They can be done to yourself if a catheter is installed in the vein. Then you just need to draw up the medicine, remove the catheter plug, release the air from the syringe and inject the drug. After this you need to close the plug.

Most often, the catheter is installed in the cubital vein, but if the walls of the vessels are weak, it can be placed in the hand or even in the neck. Giving intravenous injections to oneself is allowed in the most extreme cases, because to perform them correctly and effectively requires special training and practiced skills, unique only to medical workers.

General rules for performing injections

You must adhere to these rules:

• Prepare an ampoule with the drug and a syringe on a towel or cloth;
• Wash your hands with soap, dry with a sterile cloth and put on gloves;
• Draw the medicine into the syringe and cover the needle with a cap;
• Wipe the injection site with an alcohol wipe or swab with a disinfectant solution;
• Wait 30 seconds until the skin is completely dry (this is necessary so that the injection is less painful; an injection into damp skin is more noticeable);
• Take a sitting or lying position, relaxing the muscles at the site of future injection as much as possible;
• Take a syringe, remove the cap;
• Insert the needle quickly;
• Slowly inject the drug, pressing the plunger gradually and continuously;
• Remove the needle;
• Wipe the injection site with an alcohol wipe or cotton swab with a disinfectant solution.

There is no need to treat a vein with a catheter.

Risks of self-injection

The most common problem that people encounter when administering injections on their own is the formation of an infiltrate. To eliminate it as quickly as possible, you need to lubricate the area with heparin ointment, make magnesium compresses, and install a mesh with iodine.

If you choose the wrong injection site in the buttock, damage to the sciatic nerve or superior gluteal artery may occur. These cases require contacting a doctor for adequate help. If the dose is incorrectly calculated, if it is underestimated, the effect may not occur, and if it is overestimated, an allergic reaction may begin. In the second case, you should immediately call a doctor.

Is it worth giving yourself injections yourself?

If the prescribed drug has dosage forms other than injection solutions or powders for the preparation of such solutions, then you should ask your doctor to prescribe non-injectable forms.

Old-school doctors claim that injected medications act faster and better than those taken orally. From their point of view, the tablets negatively affect the digestive system, and the drug administered through an injection goes directly into the blood and does not create a load on the internal organs.

Modern research shows that blood-borne medicine affects a person the same way, regardless of how it entered the body. The liver and kidneys remove substances both entering through the digestive tract and entering directly into the blood. A number of antibiotics are detrimental to the intestinal microflora no matter how they are used. Therefore, it makes no sense to give preference to injections over other forms of medication only for safety reasons.

Injections must be given when the drug is not available in other forms, the patient has serious lesions or diseases of the mucous membrane of the esophagus or stomach, or malabsorption in the intestine. In other cases, the patient can choose a different dosage form. If injections cannot be avoided, then it is advisable to negotiate with a doctor rather than experiment with yourself.

But if you want to learn how to help yourself, then it’s worth mastering the wisdom of self-injections. After all, people with diabetes are forced to inject themselves with insulin several times a day, and this allows them to hone the skill. So, there is nothing particularly difficult about it. Moreover, this knowledge can be useful in a critical situation, when you need to relieve swelling in a severe allergic reaction or reduce a high temperature, but there is no way to wait for the arrival of an emergency doctor.

If at some point there is a need to give yourself an injection, then it is very important to know how this procedure should be carried out. After all, doctors quite often have to include injections in the treatment package. And usually, no problem arises if one of your friends or relatives knows how to perform them.

These procedures can be carried out independently, as they are not particularly difficult. The most important thing is not to panic, remain in a calm state, strictly follow some instructions, and then the question of how to give an injection in the leg or thigh will disappear on its own.

What will it take?

Before the procedure, you will need to prepare everything you need. To inject yourself you will need:

1. 1. A single-use syringe with a volume of 2.5-11 ml, depending on how much of the drug you need to administer. It is also important to note that you should choose a syringe, taking into account the area for injection. If you need to make intramuscular injections, then you need to choose a syringe with the longest needle. And if a subcutaneous injection is required, then with a short needle.
2. 2. Ampoule with medicine
3. 3. Alcohol for disinfecting injection sites
4. 4. Napkins, cotton balls or disks

Then you will need to prepare a syringe with the drug:

• With sterile, clean hands you need to take the ampoule, treat it with alcohol, shake it using a special file and saw off the tip of the ampoule. It is advisable to file 1 cm from the beginning.
• Wrap the tip of the ampoule with a cotton swab and carefully break it off.
• The cap is removed from the syringe needle, after which the syringe with the needle is inserted into the ampoule to the bottom.
• After you have drawn the medicine into the syringe, hold the syringe vertically several times with a light movement and tap it with your fingertip. This is required so that the remaining excess air collects at the top.
• Slowly and gently pressing down on the plunger will release air bubbles through the needle. And as soon as a drop appears at its tip, we can assume that the syringe is ready for use.
• All that remains is to select the area for the injection.

Before the procedure, it is advisable to take the most comfortable position. Doctors recommend giving the injection while turning halfway to the mirror. However, the injection is possible and is also permitted in a side lying position. It is also important to take care in advance that the surface in this case is smooth and sufficiently hard.

How to give an injection in the thigh? In fact, to give an injection in the thigh, you will first need to first determine the future injection area. Therefore, first you will need to sit on a chair, and then bend your leg at the knee. From the side, exactly that part of the thighwhich will beslightlyhang downon the chairand will be a suitable area for injection.

When inserting, it is recommended to hold the syringe in the same way as a writing pen, so as not to harm the periosteum. The most recommended place for intramuscular injections in the thigh is the literal muscle, since it is equally well developed in both adults and small children.

It is better to inject into the middle third of the muscle. To determine the right place, you need to position your right hand so that it is approximately 2 centimeters below the femur. The other hand will need to be positioned so that it rises two centimeters above the patella, and the thumbs of both hands should be in line. On the formation, using the thumbs of both hands, is exactly the place for the future injection.

When administering a drug intramuscularly with a syringe, in a small child or an exhausted adult, it is necessary to grasp an area of ​​skin so that a fold is formed. This will help ensure that the medicine will be injected into the muscle. At this moment, the patient should be in a supine position, with the leg slightly bent at the knee, into which the liquid will be injected. But intramuscular injections can also be given in a sitting position. In this case, the needle should be inserted at an angle of 90 degrees.

The technique for performing an injection into the thigh consists of the following several stages:

• It is necessary to sterilize your hands
• Sitting on a chair, bend your leg at the knee, where the injection area is located.
• Wipe this area with a cotton pad, which must first be moistened with alcohol.
• Before the injection, it is important that the leg is as relaxed as possible
• Quickly but carefully insert the needle about 2/3 into the area previously disinfected with alcohol.
• Lightly press the piston, injecting the medicine inside
• Apply a cotton pad soaked in alcohol tightly to the injection site, and then quickly remove the needle.
• You can lightly massage the area of ​​skin after the injection to help the medicine dissolve faster.

An intramuscular injection into the thigh is not much different from how to properly inject yourself into the leg. The same technique and the same rules. But you can add a few more tips:

• So that after some time the leg does not start to hurt due to injections into the same muscle, it is completely allowed to give injections to each leg in turn - first in one, and next time in the other.
• It is best to purchase imported syringes, which have the best quality needles.
• Syringes that have been used once cannot be reused. After one use, it is better to throw them away.

Among other things, it is also worth noting that not in all cases you can inject yourself in the leg. For example, if a heel spur occurs, an injection is given in the heel in special medical institutions. However, treatment in this situation is complex. At the first stage, they are limited to the use of various special ointments and gels that help relieve inflammation. This also includes physiotherapeutic procedures. And only if these methods are not beneficial, and the pain in the leg does not disappear, then they resort to special injections into the heel.

Basic rules and safety precautions

To give intramuscular injections, you must adhere to the necessary safety precautions:

• It is important that the future area of ​​skin for injection is not inflamed. That is, there should not be any open wounds or damage. If they are present, it is recommended to find another area.
• Periodically alternating injection sites to avoid damaging the skin.
• Well, as mentioned above, reusing syringes and needles is strictly prohibited. After the procedure, they must be disposed of.

What complications can arise after an incorrect injection?

The most common evidence that a previously performed procedure was performed incorrectly is the appearance of hematomas. They may occur due to the fact that small vessels may have been damaged during the injection process, or perhaps the medicine was administered too quickly.

The bruise gradually disappears on its own after a short period of time, so no additional treatment is required in this case.

If the medicine has not completely dissolved, you can apply warm compresses to the injection site or use special pharmaceutical ointments.

The most unpleasant of all complications can be the formation of an abscess, but it is much more dangerous. It can be easily identified, since a slight induration, redness, mild pain and, in some cases, itching may appear at the injection site. It may be the result of an allergic reaction. In this case, it is recommended to give injections not on your own, but in special medical centers. It is better not to remain silent about such cases and report to your doctor or nurse. If the allergic reaction is not severe, then you can only get by with taking antiallergic drugs. But if the manifestation is severe, then the doctor will most likely prescribe intravenous injections.

The cause of an abscess in most cases is a banal failure to comply with safety rules, hygiene standards, or an injection into an undisinfected area of ​​the skin.

In such a situation, a mandatory visit to a doctor is required. And in the future, touching this place, as well as massaging or applying any compresses, are contraindicated. In this case, special treatment is required only if it is prescribed by the attending physician. In particularly advanced situations, surgical intervention may be required to resolve the problem.

The procedures for administering intramuscular injections actually do not pose any particular difficulties. The most important thing is to choose the right places for injections, follow the general rules of hygiene and, of course, mandatory disinfection. However, if there is still even the slightest doubt and lack of confidence in your abilities, then it is better not to take risks and not be too lazy to seek help with the procedures from a doctor in order to avoid complications that, through ignorance, you can inflict on yourself.

The result of therapy largely depends on the thoroughness of following the instructions of the attending physician. Many drugs are most effective and safe in the form of an injection, and therefore patients are forced to visit the treatment room in the clinic throughout the entire course of treatment. Which may be inconvenient due to poor health or a busy schedule.

The way out of this situation is to learn how to inject yourself. Having figured out how to properly inject yourself into the thigh intramuscularly, and having developed practical skills, you can follow the doctor’s instructions yourself at any convenient time. Our article will help you with this. Let's figure it out

Preparation for the procedure

Preparing for the injection is an important part of the procedure. All necessary items must be within maximum accessibility, and all hygiene requirements must be strictly observed.

Before injecting yourself in the thigh, you need to prepare:

• a bottle of antiseptic or disposable wipes soaked in an alcohol solution;
• cotton wool or cotton pads;
• sterile syringe;
• file for opening the ampoule;
• ampoules with the drug.

The injection solution should be at room temperature. Therefore, if the drug was stored in the refrigerator, the ampoule needs to be warmed up by holding it in your hand.

The last stage of preparation is washing your hands with soap, and then subsequent treatment with an antiseptic. The most effective solution is an alcohol solution that kills almost all known bacteria. But you can also use a water-based hand spray.

Preparing the syringe

After treating your hands, you need to take a file and make cuts on the narrowest part of the ampoule or on a special mark. After this, the ampoule is wrapped in cotton wool and the glass is broken with a sharp movement.

The package with the syringe is torn, the protective cap is removed from the needle, and the drug is drawn into the syringe. Then the protective cap is put on the needle, and air is released from the syringe cavity. It is necessary to put on the cap so as not to splash the medicine around the room.

An important point is the choice of syringe. Regardless of the volume of injected liquid, the volume of the syringe should not be less than 5 ml. The fact is that its size correlates with the length of the game. Therefore, 2 ml syringes are only suitable for subcutaneous injection.

Dilution of the drug

Some medications require prior dilution. The manufacturer can produce the medicine in the form of two ampoules: one will contain the drug in the form of a tablet or powder, the other will contain a liquid for diluting the medicine. In this case, it is necessary to prepare the drug as follows:

• file and break both ampoules;
• draw the dilution solution into the syringe;
• fill the ampoule with the medicine with the solution;
• After the powder or tablet has dissolved, fill the syringe with the medicine.

In a similar way, the drug solution is mixed with an anesthetic, which eliminates pain before and after the injection. But in this case, it is important to take into account the risk of an allergic reaction to the anesthetic component.

After this, you can start injecting, but before that you need to figure out how to properly inject yourself in the thigh.

Where to give the injection

An intramuscular injection is most often performed in the gluteal region. To do this, the buttock is visually divided into four equal parts, and the injection is placed in the upper outer corner. This method is used in any medical institution where manipulations are not performed by patients independently.

When it comes to injecting yourself, it is better to inject into the thigh. This method is convenient because a person injects himself in the most comfortable position and gets the opportunity to control the progress of the process, for example, the angle of insertion of the needle into the body. All that remains is to find out.

Technique

After the preparatory stage is completed and the medicine is drawn into the syringe, you need to decide on the point where to place the injection. It is possible to make an intramuscular injection into the thigh on the outside of the leg, into the vastus lateralis muscle, which is located along the entire length of the side of the leg to the kneecap.

The needle is inserted with a confident, quick movement strictly at a right angle to the surface of the leg. It needs to be inserted completely to ¾ of the length and only then the drug should be injected slowly. Recommendations for the rate of drug administration are usually indicated in the instructions for the drug. A good indicator that the drug was administered too quickly is if the person feels worse, such as feeling weak or dizzy.

After emptying the syringe, you must pull out the needle in one motion, while simultaneously pressing the injection site with a cotton swab soaked in alcohol or other antiseptic solution.

Injection pain

Even if a person knows well, he may encounter pain. And the measures that need to be taken to combat pain depend on the cause of its occurrence:

1. It is recommended to use imported syringes that have thinner needles. An injection with such a syringe will be almost imperceptible.
2. Injections with some drugs are quite painful no matter how well the technique is used. In this case, you can dilute the drug with a solution of Lidocaine, but it is important to remember that anesthetics can cause an acute allergic reaction, so it is not advisable to use them at home.
3. Often pain occurs due to the wrong angle of insertion or removal of the needle from the body. In both cases, the angle should be exactly 90 degrees.
4. Immediately after the injection, it is recommended to press a cotton swab or alcohol-soaked napkin tightly to the injection site. After the bleeding stops, you need to gently massage your thigh, which will improve the absorption of the medicine into the bloodstream.
5. Often pain occurs towards the end of the course of treatment, when injections are repeatedly placed in the same place. To avoid this, you need to alternate the injection site, and if hematomas appear, use means to get rid of them. For example, heparin ointment.

Therefore, before injecting yourself in the thigh, you need to carefully read the instructions for the drug and once again remember the basic rules for injecting yourself.

Fear of injections

The main problem that people face before injecting themselves in the thigh is the psychological discomfort of inserting a needle into their body. This entails the following problems:

• if a person cannot relax, his muscular system is tense, it will be more difficult to insert the needle, and most likely the person will experience pain;
• with strong tension and fear, it will be difficult for a person to coordinate his actions enough to insert the needle at the most correct (straight) angle.

There is only one way to get rid of the fear of injecting yourself in the thigh: try to relax the muscle into which the injection is being made as much as possible and insert the needle with a confident movement. After the first successful experience, anxiety before the procedure will noticeably decrease, and next time there will be no fear of an injection.

Injection position

To ensure that the muscle is relaxed and the injection does not cause pain, you need to take a comfortable position for the injection. The most comfortable positions for giving an injection into the thigh muscle are sitting and standing.

While standing, you need to shift your weight to the other leg so that the thigh muscles into which the injection is made are relaxed. You should do the same when giving yourself an injection while sitting.

Common Mistakes

Despite the fact that the instructions on how to inject yourself in the thigh are extremely simple and clear, people often make the same mistakes, not paying attention to the recommendations and instructions.

1. It is strictly forbidden to use the same needle several times or touch its surface until it is inserted into the body.
2. You should alternate the injection site to avoid hematomas.
3. When working with a new drug that has not been used before, it is better to give the first injection of the course in the treatment room. In the event that intolerance to the components of the drug occurs, the medical professional will be able to quickly take the necessary actions. In practice, this happens extremely rarely, but the seriousness of such a situation should not be underestimated.
4. You cannot spontaneously change drugs to analogues, vary the dosage or degree of dilution of the drug. Any changes to the doctor’s initial recommendations can only be made by the doctor himself during a face-to-face consultation.

In conclusion, it should be said about the disposal of the syringe and ampoule after the injection. A protective cap should be put on the needle, and the broken ampoule should be wrapped in paper, such as syringe packaging. This way you can protect yourself and other people from the risk of injury from glass or the point of a medical needle.

Thus, knowing the injection technology, having studied the instructions, useful tips and photos (now you understand how to inject yourself in the thigh), it is quite possible to independently carry out the doctor’s instructions in a comfortable environment: at home, without long waits in line at the treatment room office and adjusting your schedule to the nurse’s working hours.

Hello, dear friends and dear blog readers!
Today we will learn how to make intramuscular injections. Usually, at a doctor’s appointment, a person receives a whole range of medical prescriptions, which very often include injections. The question arises - where to make them? Go to the clinic every day, and even wait in line? What kind of treatment is this, it's crazy! Or invite a nurse to your home - such treatment will be expensive.

So it turns out that in all respects, learning to give injections yourself is the best way out of the situation. You will save both time and money! It's good when someone in the family has this skill. Otherwise, treatment will turn into a very big problem.

How to properly give an intramuscular injection to yourself is a task accessible to every person. You need to overcome slight fear and uncertainty, carefully read the instructions, practice, for example, on a soft pillow, and get down to business. Prepare carefully to avoid causing yourself unnecessary pain. I'm sure you will succeed. But let's finally start learning.

What do we need to give injections?

1. Disposable syringe;
2. ampoule with medicine;
3. medical alcohol;
4. clean cotton wool or sterile alcohol-preserved gauze pads from the pharmacy;
5. rubber disposable medical gloves. Basically, if you wash your hands with soap, that will be enough.
6. a clean place on the table and a clean tray where the tools will be placed.

Instructions for intramuscular injection

First you need to decide the question of which place on the body is best to inject: into the buttock or thigh muscles. Everyone has their own preferences. Some people find it easier to get an injection in the buttock. And someone got used to giving an injection into the thigh muscle.

How to choose the right point for an injection in the buttock? You need to mentally divide it into 4 equal parts. The needle should be inserted in the middle of the outer upper quadrant. Then the needle is guaranteed not to hit a bone, nerve or large vessel.

To inject into the femoral area, also mentally divide the anterior outer surface of the thigh into upper, middle and lower parts, starting from the groin fold to the knee. Inject in the middle third of the thigh.

How to prepare a syringe for an injection

Take the disposable syringe, remove the cellophane wrapper and place it on a clean tray for now. Choose a syringe volume larger than the amount of medicine. For example, an ampoule contains 2 ml of solution. Take a syringe with 3 or 5 ml.

Open the ampoule with the medicine. Each package comes with a nail file. Carefully make a notch on the glass, stepping back about 1 cm from the narrow tip of the ampoule. On modern ampoules, the place of the notch is now marked with a white or red dot. After cutting, wrap a piece of cotton wool around the end of the ampoule and break it off.

Carefully place the opened ampoule on the table. Now remove the cap from the needle on the syringe. Lower it to the bottom into the ampoule and pull the plunger so that the medicine is completely transferred into the syringe. After this, hold the syringe vertically with the needle facing up. You will see air accumulated above the medicinal liquid. Press the plunger to release all the air and a few drops of medication. It is strictly forbidden to inject with a syringe that contains air.

Place the prepared syringe on the table so that the needle does not touch any objects! Better put a cap on it.

HOW TO GIVE AN INTRAMUSCULAR INJECTION IN THE BUTTOCK

Stand in front of a mirror, turn sideways so that you can see your buttock. Expose the area you need. Shift your body support to your left leg if you intend to inject on the right. The right side of the body needs to be relaxed.

Use a cotton swab with alcohol to wipe the middle of the upper-outer quadrant of the right buttock. Take the syringe in your right hand and bring it to your buttock. Hold the tip of the needle vertical to the buttock and a short distance from the surface of the skin. Whether you get the injection successfully or whether it will be painful and unpleasant depends only on your determination. Calmly and quickly pierce the thickness of the muscle with a needle and insert the needle so that about 1 cm of the needle remains above the skin. This will protect you - your hand may twitch and the needle will break, so there should be a tip above the surface of the skin, by which you pull the needle.

I can reassure you that I have never encountered such a problem in my life, although I have been working as a doctor for many years. I'm sure you'll do the best you can. Now press the plunger all the way and slowly inject the medicine. Quickly remove the needle and press a cotton swab with alcohol to the injection site. Hold it until the bleeding stops. To ensure that the medicine is absorbed well and seals do not form, not only press, but also rotate, crush, and move your finger from side to side.

Watch this video of a young man trying to get an injection into his buttock. He does everything right, except for one thing - he's a little cowardly! Usually, over time, fear passes and confidence appears. But I specifically chose non-pros for the show, so that you could see that the procedure is accessible to everyone. Who else noticed the little flaws in the guy’s actions? Write in the comments

HOW TO GIVE AN INJECTION IN THE FEMOR AREA

Indeed, some people prefer to inject themselves in the thigh rather than in the buttock. Please choose what you like best. Sit on a chair, bare your thigh, select the desired area and the approximate point where you will insert the needle. Next, proceed in exactly the same way as when injecting into the buttock. Watch this video, it will be clearer.

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There are many medications that, when administered subcutaneously, cause pain and bumps. Therefore, the doctor recommends administering such drugs as an injection into the thigh or another part of the body. Through the muscles, the medicine is absorbed faster and completely into the body.

Features of intramuscular injections

Intramuscular injections need to be placed in specific areas of the body. Namely, where the muscle tissue does not have large vessels and nerve trunks. The length of the needle is affected by the thickness of the subcutaneous fat layer. It is important that when performing an injection, the needle passes through the subcutaneous tissue and penetrates into the thickness of the muscles. If the subcutaneous fat layer is very large, you need to take a 60 millimeter needle, and if it is moderate, 40 millimeters. Intramuscular injections can be given to the gluteal, shoulder and thigh muscles.

Injection into a muscle: which one?

It is known that the most common injections in medicine are intramuscular.
It is the muscles that are the first to be ready to expose themselves to an injection if necessary, the main thing is to know which part of the muscle to choose - so that the injection is less painful and complications are more likely to be avoided.

And if of all types of injections intramuscular ones are the most common, then the most important muscle for injection is the gluteal one.

If in this case the doctor prescribes a course of intramuscular injections (as experts call injections), then, of course, constantly going to the hospital or to the nurse is not the best option. Learning to give injections yourself may be the best solution in such a situation, as you will save not only your time, but also money.

At first glance, it may seem that such a procedure is quite complicated, which not everyone can master, but, in fact, everything is real. The main thing is to familiarize yourself with all the rules of the procedure in sufficient detail, since the consequences of an incorrectly administered injection can be the most unpleasant, and sometimes even life-threatening.

How to give yourself an injection?

The most painless type of injection, but there are volume restrictions - up to 2 ml. Some people, due to inexperience, believe that this type of injection is for slow absorption of the drug into the body. But few people know (medics don’t count) that the subcutaneous fat layer has wonderfully branched vessels, and it is precisely for a quick effect on the body that such injections are given. And insulin injections carried out in this way are the best confirmation of this.

There are several parts of the body where it is preferable to give such injections:
The part of the leg from the hip to the knee. Very convenient place for self-injection;
The outer part of the arm from the shoulder to the elbow is where many of us have had traces of vaccinations since childhood;
Under the shoulder blade. Also a well-known place for vaccination;
Under the mouse. More precisely, in its lower part;
Abdomen area. Most of us associate stomach injections with painful rabies injections, of which we had to give ten of them. But this has nothing to do with small and painless injections under the skin.

How to give an injection to a cat at the withers

1. As with other types of injections, it is necessary to follow the general rules listed above. When you have prepared the medicine in the syringe, you should prepare the cat: distract and fixate it. If you give the injection yourself and the cat’s behavior is calm, then lightly press down the pet with your left forearm, and with the fingers of your left hand you need to form a fold at the site of the subcutaneous injection - take the skin on the withers or knee and pull it up.
2. We take a syringe in our right hand and make a puncture at the base of the fold. If a subcutaneous injection is made with an insulin syringe, then almost the entire needle is inserted, and if with another syringe, then the needle is inserted 1-2 cm deep. The needle should be inserted parallel to the spine at an angle of 45 degrees.
3. At first you will feel resistance, but as soon as the needle is under the skin, so to speak, “falls through”, the resistance will disappear. Now you can administer the medicine without any additional effort; there is no need to rush.
4. After administering the medicine, without releasing the skin, carefully remove the needle. Stroke the cat, speak quietly, gently and soothingly.
5. Be careful when injecting the medicine, for example, if the fur on the skin becomes damp and you do not encounter resistance when inserting the needle, this indicates that you have pierced a fold of skin and the medicine has not reached the right place.

An injection into a vein, unlike an intramuscular or subcutaneous injection, essentially consists of two actions. First you pierce the skin, then you pierce the vein. Experienced people - nurses - perform these two operations in one go. It’s not at all a fact that you will be able to do this right away. So you can be mentally prepared to first inject in the arm, and only then feel for a vein there and puncture it. During the injection process, the syringe should be positioned with the cut side up. After the tourniquet is injected, you need to remove it and relax your fist.

You can make sure that you hit the vein by trying to take some blood from it (with a syringe, or simply by releasing the blood). If it goes easily and simply, you are in a vein. If not, then you missed and you need to stab again. Again, if you are not in the vein, a “bump” will begin to inflate when you try to inject the medicine. So all operations should be carried out in good lighting so that any changes are noticeable immediately. As my experience has shown, if something doesn’t work out the first time (and it won’t), then you just need to change the arm/vein and try again. It is clear that without apprenticeship there will be no mastery.

Even for beginners, and for those who put in IVs, it may be useful to start with a “butterfly” instead of a needle. It has a thinner diameter, so it is usually a little easier to prick with it. In addition, it has a tail that can be pinched when hooked from the syringe to the dropper. "Butterfly" can be bought at any pharmacy.

Let's summarize the basic rules:

1) Check with your doctor for instructions on medications, which you should read in their entirety.
2) The first time it wouldn’t be bad if the specialists showed you how and what to do, but then you won’t have to go to them anymore. Free yourself and them.
3) We start with the selection of all necessary materials, medicines, disinfectants. Only after making sure that everything is assembled do we move on.
4) We ensure sterility. If there is ANY doubt about sterility, we do everything again with new materials.
5) We prepare the medicines (dissolve, open, dilute), then the instruments (syringes, droppers, tubes).
6) Don’t worry - even drug addicts can do all this.) Be reasonable - you need to understand that everything doesn’t always work out perfectly the first time, but this is not a reason to panic. And we carefully monitor the speed of drug administration!
7) Don’t forget to disinfect everything after completing the procedure.
8) We always throw away syringes with CLOSED needle caps (this is the minimum that you can do for society under normal conditions with such a bad type of garbage).

How to properly perform an intramuscular injection?

1. It is necessary to use only disposable syringes and needles for intramuscular injections to avoid infection with blood-borne infections (HIV, hepatitis B, C, D). The syringe is unpacked immediately before the injection; the tip is not removed from the needle until the ampoule with the medicine is opened.

The volume of the syringe is selected based on the volume of the drug administered, as well as the injection site - when injecting into the thigh, it is better to use a 2.0-5.0 ml syringe with a thin needle, when injecting into the buttocks - 5.0 ml, and for people with severe subcutaneous -fat layer – 10.0 ml. It is not recommended to inject more than 10 ml of medication into the muscle to avoid the formation of difficult-to-absorbable infiltrates.

• The injection should be given with clean hands, washed with antibacterial soap or treated with a disinfectant, and in a suitable room. At home, the most suitable places are places where wet cleaning is carried out frequently, or where there are no sources of dust and dirt.
• It is recommended to give the injection to the patient in a lying position so that the muscles of the buttock or thigh are as relaxed as possible. If you have to do the injection while standing, you need to make sure that the leg that will be injected is not tense. To do this, you need to bend your knee slightly and transfer your body weight to the other leg.
• Open the ampoule with the medicine and draw it into the syringe. Hold the finished syringe in one hand, and with the other hand, treat the intended injection site within a radius of 5 cm with a piece of cotton wool soaked in medical alcohol.

If you are prescribed 10 injections and do them daily, alternate between the right and left sides. This is how intramuscular injections should be done. There is nothing complicated about this. Learn and act. Although, it is better not to bring your health to the point of needing treatment. Prevention is always cheaper and more painless for a person. All in your hands.

Anyone can learn to give an intramuscular injection to themselves. Read the instructions, put them into practice, and become a home healer for your loved ones.

I wish everyone well-being and good health, Natalia Bogoyavlenskaya

But it is better to entrust injections to professional medical workers.

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Doctors often replace taking pills with injections. The fact is that if you give injections, the drug will give a stronger, faster, safer therapeutic effect. Medicines do not pass through the digestive system, therefore, do not harm the stomach, intestines, or liver. It’s just that treatment rarely requires one injection - more often you need to give a series of injections (from a couple of days to several months). Not everyone can afford to go to the clinic every time or hire a nurse. Sometimes you have to learn how to give injections - to a relative, a friend, or yourself. Now we will tell you how to properly, safely, and painlessly give an injection in the thigh.

The injection must be given exclusively in the upper thigh.

Before giving the injection, prepare the area where the patient will be. Lay down clean sheets. Keep children and pets away. Make sure there is no dust or food debris around. The patient's clothing should be clean. Wash your hands thoroughly with antibacterial soap. Remove the syringe from the package; do not remove the needle cap yet. Prepare 5-6 cotton balls. Open a bottle of 70% alcohol.

As soon as the place for the procedure and the preparations are prepared, take an ampoule of medical solution, open it, wipe the neck with a cotton swab soaked in alcohol. Remove the cap from the syringe and draw up the medicine. Cover the needle with the tip again.
If you are using a powder rather than a finished drug, it must first be diluted with saline solution. Pierce the ampoule of the solution, take the required amount (as indicated in the instructions for the drug), add the liquid into the flask with the powder, and shake. Attention: you cannot use the same needle to collect saline solution and administer the finished drug.

Stage two: determine where to inject

The area where the injection should be given is determined as follows: sit the person down (or sit down yourself if you are injecting yourself). The lateral part of the thigh, flattened in this pose, will be the desired zone (mentally divide it into three parts - you need the upper one). Remember the location.

Why should the injection be given here? There is a minimal number of nerve endings here, there are no large arteries. It is safe to prick into this square - the risk of breaking the needle on the bone is minimal. It is also safe to inject into the upper lateral thigh because you will not touch the area of ​​the sciatic nerve, which is extremely painful to hit. You cannot inject into the back of the thigh below the buttocks.

Before inserting a needle, it is necessary to treat the desired area of ​​the body with alcohol.

Stage three: insert the needle

The patient should take a comfortable position. Give the injection while standing with your leg bent (45 degree angle) or lying on your back (this position is preferable - it is more relaxed). Wipe an area of ​​10 × 10 cm with alcohol applied to a cotton swab. Then moisten another cotton swab and treat a smaller square of skin (approximately 5 × 5 cm) - it is in this area that you should prick.
Begin to carefully insert the needle into the area of ​​the thigh treated with alcohol - 1–2 cm into the muscle. It is recommended to check whether the needle has entered the lumen of the vessel. To do this, without removing the syringe, pull the plunger towards you a few millimeters (be careful that it does not pop out). If no blood comes into the syringe, then everything is fine. Administer the medication. Press the syringe plunger and inject the medical solution. That's it, now take out the needle. Immediately apply a clean cotton swab with alcohol to the injection site. Hold the cotton wool for 2-3 minutes. At the end of the procedure, throw the used syringe with an empty ampoule into the trash. Make sure that they are not accessible to small children.

To make the injection as safe, quick and painless as possible, follow these tips:

• Before injecting, pat the skin a couple of times to get the blood flowing.
• Do not inject in the same place - it is better to alternate hips.
• People with very thin builds need to gather the skin into a fold and inject into it (to avoid getting into the bone).
• Make sure that the person receiving the injection does not strain the thigh muscles, otherwise the procedure will be uncomfortable.
• It is advisable to use syringes with a dark rubber plunger - the administration of the medicine will be slow and painless.
• The needle should be as thin as possible (for two-cc syringes it is thinner than for five-cc syringes).

Follow all the tips described in the article, and you can easily make an intramuscular injection into the femoral part of the body. There is nothing complicated about injections into the thigh area. With a little practice, you'll be able to administer injections as well as a trained nurse.