What to do if air gets into the muscle during an injection?

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Vaccinal prevention

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COVID 19: antibody tests

Of course, any vaccine can cause adverse reactions, and redness at the injection site is one of them. In the case of redness, the reaction can be caused either by the very fact of gross intervention in the human body (injection), or by a tendency to be allergic to certain components of the vaccine. Most often, redness occurs after vaccines containing substances that specifically provoke inflammation: DTP, ADS, hepatitis.

Redness is a local reaction and is usually observed along with pain, swelling and swelling at the injection site. The good news is that the swelling and redness after vaccination does not last long and goes away on its own within 1-3 days. We can say that these are all classic reactions to the vaccine, and they should be taken calmly: according to statistics, redness appears in every fourth child. If the area of ​​redness grows or does not go away after 3 days, this is a reason to consult a doctor.

Which vaccines cause redness?

Many vaccines produce local adverse reactions in the form of pain, induration and swelling, and redness at the injection site; in addition, this is a common reaction to an injection. But some vaccines, for example, DTP, give pronounced reactions - we’ll talk about them briefly (only local reactions will be described here; fever, for example, will be described in another article).

Prevention of COVID-19

After vaccination against coronavirus, the usual mild local reactions are possible: swelling, soreness, redness. They all go away in 2-3 days without outside intervention, but if you experience discomfort, you can take allergy medicine. This applies to all covid vaccines, including Pfizer/BioNTech, Moderna, Sputnik V.

DTP

DTP is a complex vaccine that protects against several diseases at once, and is also “famous” for the most frequent complications, compared to other vaccines. Redness is no exception, and after DTP it occurs quite often (probability approximately 25%), and is more pronounced.

Redness is a normal reaction of the body to artificial infection; evidence of the beginning to “attack” the infected cells. If we are talking about inactivated vaccines, then the redness is slight (the norm is 2-3 cm, no more than 6-7 cm), and should go away in 2-3 days. For “live” vaccines, local reactions begin to appear only after a week.

You should sound the alarm if the area of ​​redness noticeably increases - up to 7-8 cm, and there is an exacerbation of other local and general reactions: high temperature, throbbing pain at the injection site, red and hot skin, the tissue in the compaction feels soft to the touch. In such situations, it is better not to self-medicate, but to immediately consult a doctor.

Prevention of whooping cough, hepatitis B, tetanus, polio

ADS, ADS-M, Infanrix, Pentaxim, Poliorix, Regevak, Tetraxim may cause pain and redness in the first 3 days.

Prevention of Hepatitis A

After vaccines Avaxim, Havrisk and others, pain and redness are possible in the first 3 days.

Flu prevention

As with many other vaccinations, flu vaccines (Influvac, Vaxigrip and others) can give a standard local reaction in the form of pain and redness at the injection site.

Prevention of tick-borne encephalitis

Usual pain and redness at the injection site for the first 3 days.

Prevention of meningococcal and pneumococcal infections

Also, during the first 3 days, pain and redness are possible after vaccines Prevenar, Hiberix, Meningo A+C and the like.

HPV prevention

Pain and redness after the Gardasil vaccine are possible for 5 days.

Prevention of rabies

Cocav – swelling, redness, itching, pain.

Prevention of yellow fever

Usual local reactions for 3 days.

Prevention of typhoid fever

Vianvac – pain and redness in the first 3 days.

How to treat bumps from injections on the buttocks. What to do?


I left work as usual, on my own feet and nothing foreshadowed any changes. It takes me 40-45 minutes to get home. But when I got home, I no longer walked, but dragged my leg behind me, biting my lips in pain. Have you ever had this happen? And it wouldn't be better. Sciatica. Or in another way, simply inflammation of the “sciatic” nerve. She did not come up with the diagnosis herself, but was made by a neurologist. I have problems like this from time to time.

Well, tomorrow it’s back to work. Indeed, in our modern times (unfortunately), diseases are transmitted “on the fly,” on the fly. There was no desire to call an ambulance. They wouldn’t tell me anything new, and “standby” medications are always at hand. I decided to do it on my own. I asked my mother to give me an injection. Fortunately, this is not the first time for her. I had experience. But this time everything was different. After the injection, a lump formed. And in this note I will tell you how I got rid of it and how I treated it.

There are probably people who, having lived their entire lives, are not familiar with this procedure. Lucky guys! To my bitter regret, I am not one of them.

Injections had to be done throughout my life. And in recent years, even more often than usual. And therefore, in order not to waste my precious time running around hospitals, I try to manage on my own. But one day an unpleasant story happened to me, connected precisely with injections. But, let's take things in order.

Back in the 80s, I had the opportunity to work in a kindergarten, where I met and became friends with nurse Olga. At that time I had two little daughters growing up.

The eldest was constantly sick. And I often had to turn to Olga to give my daughter an injection. These were mainly antipyretic drugs.

In those days, at high temperatures they placed one so-called “lithic”. (aspirin + analgin + diphenhydramine). Nowadays, pharmacies are rich in the presence of a very wide range of different drugs. This didn't happen before.

And then one day Olga offered to teach me how to give injections myself. She explained it to me like this: “The buttock is divided into 4 equal parts (mentally, of course). We insert the needle into the upper outer sector at a right angle.”

This is what I have always done, fulfilling these requirements with precision. There were no problems. Many years have passed since then. Olga moved to another city, and I still remember her kind words.

She took care of her entire family in this regard herself. At one time, I taught my close friend Natalya how to give injections. And she helped me out in difficult times, in those moments when I needed help. And everything was always smooth and smooth. Except once. Something apparently went wrong with us. I can’t judge this because I simply don’t know the reason.

Recipes.

Probably a week has passed since the diclofenac injection. I felt discomfort in my buttock. To the touch I discovered a hard lump, touching which caused unpleasant pain. The lump, (in medical parlance, infiltration ), began to hurt a lot and bother me.

I tried smearing with iodine . I made an iodine mesh.

This is the most initial way to provide assistance for the resorption of cones after injections, since iodine is probably available in every home. But it is advisable to do this right away and not delay it. Iodine didn't help me. There was an urgent need to relieve inflammation. But as? I started looking for traditional medicine recipes:

Cabbage leaf. Cheap and cheerful, as the saying goes. I bought cabbage forks at the store. At home, I “divided” it, washed the sheets well, cut off the seal in the middle of the sheet, made small cuts on it, crushed it so that the juice would drain out better, and applied it to the sore spot overnight. The sheet was covered with an ordinary plastic bag. You can simply secure it with panties or tie it with some long scarf. Here you can dream up. I did the procedure several times. Not my case. The inflammation has subsided a little and that's all. The lump has not decreased. I'll try further.

Honey and rye flour. I took a teaspoon of honey and added rye flour. I added flour until I got a hard cake. I put it on a cotton pad and attached it to my butt with an adhesive plaster. Again the bag was on top and secured using the above method. I did 5 such procedures. And nothing has changed. In general, if you look on the Internet, you can find many recipes, both folk and medical. But somehow I already felt uneasy. Fear settled in my soul. After all, all this could turn into blood poisoning... I finally decided to turn to medicine.

Heparin ointment. I applied it 3 times a day. I just rubbed it in and that was it. Another 5 days have passed. There was no longer any severe pain, but the size of the lump did not decrease.

An unusual solution to a problem.

And then at work, in a casual conversation with an employee, I heard that tar helps a lot in such cases. But it must be natural, from living trees. I remembered my good friend, who worked all his life as a huntsman.

Luckily for me, he still had a small jar of this tar. I started smearing it on my bump. More precisely, I made the same compress as with honey, only without flour. And after only 3 such procedures, the seal was pulled closer to the surface of the skin and took the shape of a sharp tip. To be honest, I was scared. And I immediately stopped using it.

But the process could no longer be stopped. After 2 days, my lump burst and pus began to come out of the large hole. I added a mixture of crushed aloe for a few more days. When everything was pulled out, the wound gradually healed. And that was the end of my torment. The tar also ended. But this story happened to me 3 years ago.

And here again the same problem. Only now my mother gave me injections. And it would be fair if you ask: “Why are you, dear, again trusting your butt to a non-specialist? And past experience hasn’t taught you anything!” I will answer as follows. To get a prescription and a referral to a hospital, personally in Komsomolsk-on-Amur, is not an easy task.

Recently I tried to make an appointment with a neurologist. I stood in line for 3 months. And as a result, I only received ointments and tablets from the doctor. Then I decided to go to a paid neurologist. I paid 1600 rubles for one appointment. As a result, I waited in line for an MRI for another 1 month, then went through two more paid procedures, paying 2,700 rubles for one, 1,200 rubles for the other, without which it was impossible to give injections. Finally I did the blockade and calmed down...For 3 whole months. Well, judge for yourself. My leg hurts today, but I have to go to work tomorrow. And a qualified medical worker does not live nearby. So you have to make do on your own.

Medicine helped.

So, after the injection I got a lump again. This time, I didn’t delay and went straight to the pharmacy. The pharmacist advised me to use the same heparin ointment. I tried to object to her. After all, I already had experience using it. But the girl listened to me and explained how to use it correctly to achieve the desired effect. Her speech was so convincing that I decided to try this remedy again.

Along with the ointment, I also purchased an adhesive plaster, measuring 3X500cm. I preferred to take it in a roll, since there was more than one procedure ahead. When I got home, I laid everything out on the table. Namely:

  • heparin ointment;
  • adhesive plaster;
  • scissors;
  • cotton pad;
  • bag or cling film.

I cut 2 strips of adhesive plaster, each 13-14 cm long. She laid them one on top of the other, cross on cross. I placed an ordinary cotton pad in the middle. Heparin ointment was squeezed out of a tube onto him. Look at this yourself so as not to overdo it, otherwise everything will leak out. She put a small mirror on the table, turned her butt towards it and without any problems stuck the entire “structure” at the same time. She put a bag on top and put on panties.

If you make a compress at night, it is better to wrap yourself in some kind of scarf or scarf. This is necessary for a greater “sauna” effect. If possible, do not remove the bandage itself for 2-3 days. Well, or do it every night at night if you don’t want or can’t walk with it all day. There are contraindications. Therefore, before using this ointment, read the instructions carefully.

And here the question arises. What is all this for? After all, following the instructions, you just need to rub heparin into the sore spot? What's the secret? It turns out that the effect itself consists of creating a sauna so that the substance “heparin” is absorbed faster and more reliably into the right place.

I need a 25 g tube. enough for 6 procedures. And my lump, to my great amazement, resolved without problems. Maybe this time I just did everything on time, or maybe this is actually such an effective ointment if you use it in this situation. Don't know. But the fact is clear. Which I am immensely happy about.

And now, my dear reader, let's summarize:

Undoubtedly, injections should be given by medical specialists, prescriptions should be written by doctors. But, in extreme cases, if you urgently need help, then it is necessary to comply with all sanitary and hygienic requirements when administering drugs in order to avoid the appearance of insidious seals. And if this does happen, then you immediately need to use both folk remedies and medical ones to resolve them. Does not help? Then you should immediately go to see a doctor to prevent blood poisoning!

And I wish you health! And so that you never have such problems . And if you still haven’t avoided them, then share your experience in the comments.

Observation after vaccination

If the redness is slight and lasts no longer than 3 days, there is nothing to worry about. Many mothers begin to worry when the area of ​​redness grows or when it does not go away for a long time. But here, first of all, you need to look at the child’s well-being: if there are no noticeable problems, then you should not panic, even if the redness does not go away for a couple of weeks.

To know exactly what reactions are possible after vaccination, carefully read the instructions for the vaccine. We advise you to follow the following rules after vaccination:

  • Do not wet or heat the injection site, it should be dry. Wear clothing to prevent the injection site from sweating.
  • When you wash, do not rub the injection site with a washcloth; it is better if soap does not get on it.
  • Do not treat the wound with anything, including ointments, creams, brilliant green and iodine.
  • Do not rub or comb the wound, do not let your child do this.
  • You should dress in loose clothing so that the injection site does not rub against the fabric. It is better to choose clothes made from natural fabrics, as synthetics can cause an allergic reaction.

How to relieve the condition

Since redness is a common local reaction to the vaccine, we strongly advise you not to panic and avoid self-medication: after 1-3 days, the redness will go away on its own, and the wrong medications can only worsen your well-being. If your child tries to scratch the injection site, you can cover it with a light gauze bandage.

Reasons for air getting in when injecting into a muscle

During an injection into the muscle, air bubbles enter there along with the solution from the syringe. But how do they get into the syringe? A syringe and a needle are hollow objects, and, one way or another, there is air in them. It is also present in ampoules with medicinal powder or ready-made solution for injection. When preparing the solution and drawing it into the syringe, air bubbles inevitably get inside. Before administering the injection, the healthcare worker is obliged to get rid of most of the air (it’s impossible to remove absolutely all of it anyway - laws of physics). This is done by small manipulations with syringes and releasing a small dose of the drug. Only after this can the patient be given an injection.

The safety rules specify what danger air can pose after entering the vessels and cells of the body. The terrible words “fatal outcome” and “embolism” refer only to injections into venous vessels and the formation of blockages as a result of air entering them. And we are talking about a large air bubble - 200 ml, for children - from 70 ml. It is very difficult to do this by accident, given the volume. And small bubbles have time to dissolve in the blood vessels and will not harm a person in any way.

Features of intramuscular injections

They are used for the administration of suspensions, oily and aqueous medicinal solutions. Up to 10 ml of medication can be administered in one injection. It takes from 10 to 30 minutes to absorb the drug.

Only large muscles of our body are suitable for the procedure, these are:

  • deltoid muscle (shoulder)
  • quadriceps femoris muscle
  • gluteus maximus muscle

For intramuscular injections, the gluteus maximus muscle is often used. She has a good capillary network for the absorption of medicine. It is thick enough to eliminate the possibility of touching a blood vessel or nerve. To determine the injection site, the gluteal muscle must be roughly divided into 4 parts. An injection is placed in the center of the upper outer quadrant.

If it is impossible to inject into the gluteal muscle (each of them has seals, abscesses or damage to the skin), use the quadriceps muscle. The injection is made on the anterolateral surface of the thigh. The approximate injection site is determined by placing your palm on your thigh, with your fingertips touching your knee. An intramuscular injection can be placed in the area under the palm, located closer to the wrist.

Less commonly, an intramuscular injection is given into the deltoid muscle. Usually they inject vaccines against infectious diseases and toxoids - drugs that promote the production of antibodies against certain diseases (tetanus, diphtheria).

Intramuscular injections are given as prescribed by a doctor and in emergency situations. An absolute contraindication for them is the patient’s intolerance to the drug, a relative contraindication is damage to the skin in areas suitable for injection.

Causes of bruises and bumps after injections

1. Sensitive skin or fragile capillaries. Sensitive skin is, first of all, its local reaction to an irritant, most often leading to the appearance of temporary local swelling (“bumps”) on the skin. Fragile capillaries (for example, with hypovitaminosis) can cause local bruising at the injection site.

2. Thick fat layer. The penetration of certain medications into adipose tissue may well lead to the appearance of a hematoma (bruise) in this place.

3. Insufficient blood clotting function. This may be a blood disease (for example, thrombocytopenia) or constant long-term use of blood thinning drugs (for example, Thrombo Ass, Cardiomagnyl, aspirin, warfarin).

4. Anatomical features of the location of capillaries. The location of capillaries close to the surface of the skin can cause local bruising or hematoma.

5. Inexperience or negligent attitude towards their duties as a procedural nurse. Today this is the main reason for the appearance of hematomas after injections. This is caused by mechanical damage to the soft tissues and blood vessels from the needle.

6. Allergic reaction. This reason needs to be placed in a separate category. Symptoms of allergic dermatitis and Quincke's edema to the administered drug are always specific: hyperemia (redness) of the skin at the injection site, itching of the skin, shortness of breath or suffocation, cough. A condition that requires immediate treatment.

7. Treatment of anemia with iron supplements. Taking a course of treatment for anemia with iron preparations, which are administered intramuscularly, is always accompanied by the formation of bruises. In fact, these are not bruises, but natural pigmentation that lasts for months, and sometimes will remain forever. Currently, such drugs are rarely used.

Treatment of bruises and bumps after injections

In cases where the area of ​​the bruise increases, inflammation or severe pain appears at the injection site, you should definitely consult a doctor. The most dangerous symptoms that threaten the development of complications after injection are the appearance of increased fatigue, increased body temperature, the appearance of hematoma and purulent discharge.

Rules for manipulation (injection)

A swab moistened with alcohol must be kept at the injection site for 5 minutes. The needle should be inserted into the soft tissue neither too slowly nor too quickly to reduce the risk of bruising. After the injection is made, it is not recommended to sit or lie down; it is recommended to walk for 10 minutes so that the drug is absorbed faster. The best injection syringes are those that have plungers (black gasket). Such syringes inject the medicine into the muscle in a thin stream and significantly reduce the risk of damage to blood vessels.

Methods for treating hematomas and infiltrates

The most common way to eliminate a bruise on the buttock is to apply an iodine mesh to the skin in the area of ​​the bruise.

You need to “draw” such a grid several times throughout the day.

Medicines for the treatment of hematomas: Vishnevsky ointment (has a resolving and decongestant effect, reduces pain), heparin ointment (pain relief and eliminates bruises), “troxevasin” (“Troxerutin”) - will relieve inflammation and swelling, ichthyol ointment (has an anti-inflammatory and resolving effect , naphthalan ointment (has a resolving and anti-inflammatory effect). Gel "Badyaga", "Badyaga Forte" and the like - have a good resolving effect, soften and moisturize the skin. Other products: "Bruise-off", "Emergency", ointments with content of vitamins P, C and K. Antihistamines are prescribed orally for up to 7 days.

It is possible to use physiotherapeutic techniques (electrophoresis, UHF, diadynamic currents, D Arsonval).

Methods for treating allergic dermatitis

Hormonal ointments are used as a local remedy 2 times a day until the inflammation subsides. Antihistamines and hyposensitizing agents are prescribed internally. In addition, the necessary symptomatic medications are used. In severe cases, hormones are used.

Traditional methods of treating bruises and bumps

The most common folk method is applying a compress of fresh cabbage leaves. The leaf of the plant must first be lubricated with honey, then applied to the problem area. It is necessary to keep such a compress overnight, having previously secured it with a bandage.

In addition to cabbage leaves, you can use rice water. A small piece of gauze is moistened in this decoction and applied overnight to the place where the hematoma is located.

You can also make a compress from red clay mixed with salt and diluted water.

To treat bruises, ordinary honey is often used, which must be slightly warmed before applying to the skin. Honey is sometimes mixed with grated horseradish in a 1:2 ratio. Apply a mixture of honey and horseradish to the injection site and secure.

The following recipe is made from laundry soap and paraffin. Grate the ingredients, mix with interior fat (in a ratio of 1 to 1), heat a little and apply to the bruise site, followed by fixation with foil.

The following recipe involves using baking soda, which is mixed with dimexide and water (in a ratio of 4:1:1). Gauze is moistened in this mixture and a compress is made from it, which is placed on the injection site, after pre-treating the area with a thick cream. Cover with cellophane, secure with a bandage or cloth, and leave the bandage on overnight.

Other tips: after administering the drug, you should do a light massage for several minutes.

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