posted
you know when you do a bicillin injection, and if you pull back from the plinger and blood comes out, is it painful? my husband just pushes through(my sis taught him , and she is a doc, and she did not pull back on the plunger). Not sure if it is supposed to hurt if you hit a blood vessel. Jenin
Posts: 455 | From Maryland | Registered: Jul 2007
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bejoy
Frequent Contributor (1K+ posts)
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posted
It's a really good idea to pull on the plunger, because you don't want to inject bicillin right into the blood.
The reason it goes into the muscle is to make it last longer in your system. Some people will have a reaction to a bicillin injection into the blood.
In my experience, it doesn't hurt to hit the blood vessel. When I have hit one, the needle usually pushes all the way through and the point goes into the muscle anyway.
It does hurt a bit more afterwards, though, and I end up with some bleeding and a bruise.
-------------------- bejoy!
"Do not go where the path may lead; go instead where there is no path and leave a trail." -Ralph Waldo Emerson Posts: 1918 | From Alive and Well! | Registered: Feb 2007
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feelfit
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posted
Sorry, but me thinks you guys are CRAZY!
There is a little air space at the tip of the Bicillin syringe for this purpose, to aspirate!
Bicillin injected into a blood vessel can cause serious complications.
There is a reason for instructions saying to aspirate.
Sheesh, you guys are scaring me.
Feelfit
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feelfit
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posted
Jenin,
if you pull back on the plunger and blood goes into the tip of the syringe, do not inject the bicillin.
If your husband sees blood when he pulls back you need to start over as you are obviously in a blood vessel.....not good!
Feelfit
Posts: 3975 | From usa | Registered: Aug 2007
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Ocean
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posted
Yup, You need to redo if you aspirate blood. Always pull back to check for blood! One of the first things I was taught in college (I'm an RN) was for an IM injection you first check aspiration.
Melanie Reber
Frequent Contributor (5K+ posts)
Member # 3707
posted
PLEASE, be cautious!
"Inadvertent intravascular administration, including inadvertent direct intra-arterial injection or injection immediately adjacent to arteries, of penicillin G benzathine and other penicillin preparations has resulted in severe neurovascular damage, including transverse myelitis with permanent paralysis, gangrene requiring amputation of digits and more proximal portions of extremities, and necrosis and sloughing at and surrounding the injection site. Such severe effects have been reported following injections into the buttock, thigh, and deltoid areas.
Other serious complications of suspected intravascular administration which have been reported include immediate pallor, mottling or cyanosis of the extremity both distal and proximal to the injection site followed by bleb formation; severe edema requiring anterior and/or posterior compartment fasciotomy in the lower extremity. The above-described severe effects and complications have most often occurred in infants and small children. Prompt consultation with an appropriate specialist is indicated if any evidence of compromise of the blood supply occurs at, proximal to, or distal to the site of injection. See Contraindications, Precautions and Dosage."
bejoy
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Member # 11129
posted
YIKES! Thanks Melanie.
BTW, I wasn't saying not to aspirate. Just saying that sometimes I got no blood when I aspirated, but did get bleeding after removing the needle, as though I had hit a vessel on the way through.
-------------------- bejoy!
"Do not go where the path may lead; go instead where there is no path and leave a trail." -Ralph Waldo Emerson Posts: 1918 | From Alive and Well! | Registered: Feb 2007
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Melanie Reber
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posted
Yikes is correct...this topic should NOT be taken lightly.
I also had more bleeding at various times. I'm not too sure why. But my neighbor, who is a nurse, always aspirated when administering the shots.
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TerryK
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posted
Thanks for posting that info Melanie. A bit scary.
I just started ceftriaxone shots today and I did aspirate but bled quite a bit afterwards. Good to know that others have also had bleeding but it wasn't a problem.
Terry
Posts: 6286 | From Oregon | Registered: Jan 2006
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You need to redo if you aspirate blood. Always pull back to check for blood!
How do you do this for B12 injections? How can you tell the difference between blood and the red colored B12??
-------------------- --Lymetutu-- Opinions, not medical advice! Posts: 96222 | From Texas | Registered: Feb 2001
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feelfit
Frequent Contributor (1K+ posts)
Member # 12770
posted
TuTu the blook looks heavier than the B-12, you can tell.
TerryK as long as you do not bleed upon aspiration, you're ok. I bled a bit after several IM bicillin injections, but aspirating insures that you are not in the bloodstream.
don't worry about the afterwards bleeding.
Feelfit
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