INJECTIONS
Injections are parenteral therapy. It means giving of therapeutic agents including food outside the alimentary tract.
An injection is the forcing of a fluid into a cavity, a blood vessel or body tissue through a hollow tube or needle
Purpose
- To get a rapid and systemic effect of the drug
- To provide the needed effect even when the patient is unconscious
- Assures that the total dosage will be administered and the same will be absorbed for the systemic action of the drug
- Provides the only means of administration for medications that cannot be given orally
- To obtain a local effect at the sight of the injection
- To restore blood volume by replacing the fluid, e.g. in shock conditions
- To give nourishment when it cannot be taken by
Types of Injections
- Intradermal: drug introduced into the dermis
- Subcutaneous: drug introduced into the subcutaneous tissue
- Intramuscular: injected into the muscles
- Intravenous: introduced into the vein
- Intraspinal: introduced into the spinal cavity
- Intra-osseous: introduced into the peritoneal cavity
- Venesection: opening a vein and introducing a tube or wide bore needle and introducing medicines an fluids or taking out blood
- Infusions: when a large quantity of medicines as fluids are to be introduced into the body
- Transfusions: it is the introduction of whole blood or plasma into a vein or artery
Factors that Favors Absorption
- Blood supply to the area: fluids injected into the blood stream will act quicker than any other methods used
- The composition of the fluid injected: solubility and diffusibility of the fluid
- Application of heat: heat dilates the blood vessels; therefore the heat applied over the site of injection increases the rate of absorption
- Massage: it stimulates the local blood supply and increases the rate of absorption
- Circulation time of the blood: absorption of medicines and fluids injected to the body will diminished in a person who has venous congestion (edema)
- Physical condition: the local disease condition of the skin and underlying tissues such as skin lesions, inflammations, etc. delays the absorption of the drug
- Addition of the substances: that tends to breakdown the natural resistance of the tissues can increase the rate of absorption
Complication of Injections
- Allergic reactions for certain drugs, e.g. penicillin
- Infections (abscess formation)
- Pyrogenic reactions (producing fever)
- Tissue trauma
- Psychic trauma
- Pain
- Accidental intravascular injections
- Foot drop and persistent paralysis of the limb
- Air embolism
- Over dose and under dose of the medication
- Errors in the administration of the medications
- Infectious hepatitis
- Circulatory overload