Nah...just let them take a few drinks off it and they will be fine.Lol, never give Dextrose any other route than IV. As said, massive tissue damage and other nasty complications.
Maybe a foolish question......what is the point of a subcutaneous injection? The only time I've ever seen one was for my TB test
That's actually intradermal. SubQ is a little deeper.
For instance, epinephrine in a severe anaphylactic reaction.
Ah, my mistake, thanks!
So would an Epi-Pen be an example?
Nope... that is IM... because that is what auto injectors can do.Ah, my mistake, thanks!
So would an Epi-Pen be an example?
That's actually intradermal. SubQ is a little deeper.
For instance, epinephrine in a severe anaphylactic reaction.
Don't you mean IV vs. subQ????
SubQ Epi in a true anaphylactic reaction is ineffective.
I agree with some, why even consider a subQ injection? Other than the opinion of Epi, what others do we really HAVE to give that way?
O.K. maybe Brethine..............
But paramedics don't administer Insulin.SubQ Epi is in almost everyone's Anaphylaxis protocol because it's an emergency that needs immediately intervention, and taking the time to get an IV probably isn't the wisest idea. While the onset for most SubQ injections is long, the Epi works very fast when administered this way.
What other drugs do you inject SubQ? Insulin, for instance.
But paramedics don't administer Insulin.
I can administer insulin...to myself. Actually in my area we have the option of administering R insulin for regular insulin. the only thing with R is that it is out of your system in about an hour so crashing your patient could take place. plus as a diabetic i know that there are tons of factors that change change the dosing of insulin to give i.e exercise, baseline insulin levels, dehydration, sleep deprivation and urination to name a few.But paramedics don't administer Insulin.
So if someone doesn't mind...what is the pros/cons, risks/benefits of SubQ vs IM?
thanks!
brady paramedic care vol. 1, ch.10, p.399 "Subcutaneous Injection"
"Like intradermal injections, no more than 1.0ml of medication is administered subcutaneously"
so for a moment, lets disregard the extravasation and tissue necrosis for a moment and pretend a subQ injection of d50 would be perfectly healthy. how many subq's would you have to do at 1ml per to reach an effective dose? there arent even enough spots on the body to do it...