Injection gone bad - Need help please!!

Discussion in 'Steroid Forum' started by b4554, Dec 5, 2009.

  1. #1
    b4554

    b4554 Junior Member

    I have been juicing for probably months now and have a new problem. I usually shoot in my quads and sometimes am sore from it but this last time is a lot more than sore. I shot about 3/4 ml into the side of my right quad, half in one spot and half about a inch from the first site to spread it out a little. Now I have a large oval lump on my leg covering a large area over where I injected. It's probably 1 1/2" wide by 3 or a little more inches long and like 1/2 high. It was really painful the first day or two and now it is just kinda sore and tender. Problem is that it has been like 4 or 5 days and it hasn't gotten smaller.

    1) What happened?
    2) Will it eventually go away on its own?
    3) Please dont just say "go see a doctor", I don't have insurance and no cash to go see one.
    4) If I went to the hospital: could I get into trouble if I told them I was pinning AAS? What would they do? Just drain it with syringes?

    Please anyone who can help me. Thank you!!!
     
  2. #2
    chriswhat

    chriswhat Junior Member

    Go to the hospital. Tell them you were working in an old house. Bumped into something felt a little prick and did not pay any attention at the time. The pain and swelling came up later. It HAS happened to me so I know it can work.
     
  3. #3
    Lizard King

    Lizard King Member

    Have you tried placing hot compresses on it at all?

    Did you change pins between the 2 injections? Why would you split up 3/4 of a cc btw? Could be the dulled pin causes some irritation. Is it warm to the touch?
     
  4. #4
    dfein

    dfein Junior Member

    What treatment did they give you?
     
  5. #5
    TrainHard

    TrainHard Active Member

    They 'll put you on a broad spectrum antibiotic.
     
  6. #6
    Ironhorse

    Ironhorse Member

    Did you do any of this?
     
  7. #7
    chriswhat

    chriswhat Junior Member

    Keflex
     
  8. #8
    jasthace

    jasthace Member


    Dont panic,keep an eye on it and wait to see if it gets bigger, redder,darker,harder or soarer.At it is stage it is just a lump that is a bit sore,probably just a mild inflamation.It doe'snt sound like an infection.
     
  9. #9
    b4554

    b4554 Junior Member

    Thanks for the replies. I meant to say it was maybe 3/4 ml in each spot. Just seemed like it would have been better to have it spread out a little. It was the same pin, but I alcohol wiped the area good. I won't do that again. It is a slightly warm to the touch, less so than it was the next day after pinning.

    So from the replies, if it isn't red or seem real inflamed, I take it I should be OK and go away eventually?

    If it stays the same way, how long before I should become concerned?

    Thanks again!
     
  10. #10
    dfein

    dfein Junior Member

    If it is an infection, depending on how bad it is, your own body may be able to beat it. Basically if it grows in size and the pain gets worse, there's a problem. If you get a fever, you're definitely infected and it would be wise to go to the hospital as it could become alot worse.
     
  11. #11
    TrainHard

    TrainHard Active Member

    One thing to look out for is symptoms of the flu, that is the most likely sign its a pretty bad infection. Then I'd get to the dr right away. Also never use the same pin twice, big NO NO. Needles are cheap, so are syringes. And you can put 2ml into a muscle, the main task is DO NOT inject fast. Its not a race. Then just rub the area to spread the med. (Not super hard though)
     
  12. #12
    Michael Scally MD

    Michael Scally MD Doctor of Medicine

    Learning how to do an injection properly is important. Obviously, without doing an examination it is impossible to determine the exact problem. Taking that into consideration, there are a number of things to conclude from the problem.

    The first that strikes me is the size of the swelling in relation to the injection volume. This gives me an indication that a vein might have been struck. Is there any bruising visible? What part of the quadriceps did you inject? An injection into the quadriceps, done properly, can easily absorb without much pain 2-3 CC. Be sure to use the Vastus Lateralis muscle.

    The reason that the size might be larger in that many times an injection will take place between the fascia and muscle. This is where pain fibers reside. What was the needle size and length? This will make the size appear larger.

    Infections do not occur immediately (assuming proper technique and sterile equipment). It will take days for one to begin. That the size and pain is decreasing are all good signs. As you are doing, keep an eye on the area, particularly for redness (erythema), worsening swelling, lymphadenopathy (swollen lymph glands), wound discharge, etc. Hallmark symptom to look for are fever, sweats, and chills.

    At this time, I do not see a reason to go to the ER. They will not drain the area unless there is a very obvious reason. The first course will be antibiotics. If has been less than three days, wait.
     
  13. #13
    Michael Scally MD

    Michael Scally MD Doctor of Medicine

    FYI: Intramuscular Injection Technique

    Encyclopedia of Nursing & Allied Health | Intramuscular Injection

    Definition

    An intramuscular injection is an injection given directly into the central area of a specific muscle. In this

    way, the blood vessels supplying that muscle distribute the injected medication via the cardiovascular system.

    Purpose

    Intramuscular injection is used for the delivery of certain drugs not recommended for other routes of administration, for instance intravenous, oral, or subcutaneous. The intramuscular route offers a faster rate of absorption than the subcutaneous route, and muscle tissue can often hold a larger volume of fluid without discomfort. In contrast, medication injected into muscle tissues is absorbed less rapidly and takes effect more slowly that medication that is injected intravenously. This is favorable for some medications.

    Precautions

    Careful consideration in deciding which injectable route is to be used for the prescribed medication is essential. The intramuscular route should not be used in cases where muscle size and condition is not adequate to support sufficient uptake of the drug. Intramuscular injection should be avoided if other routes of administration, especially oral, can be used to provide a comparable level of absorption and effect in any given individual's situation and condition. Intramuscular injections should not be given at a site where there is any indication of pain.

    Description

    Intramuscular (IM) injections are given directly into the central area of selected muscles. There are a number of sites on the human body that are suitable for IM injections; however, there are three sites that are most commonly used in this procedure.

    Deltoid muscle

    The deltoid muscle located laterally on the upper arm can be used for intramuscular injections. Originating from the Acromion process of the scapula and inserting approximately one-third of the way down the humerus, the deltoid muscle can be used readily for IM injections if there is sufficient muscle mass to justify use of this site. The deltoid's close proximity to the radial nerve and radial artery means that careful consideration and palpation of the muscle is required to find a safe site for penetration of the needle. There are various methods for defining the boundaries of this muscle.

    Vastus lateralis muscle

    The vastus lateralis muscle forms part of the quadriceps muscle group of the upper leg and can be found on the anteriolateral aspect of the thigh. This muscle is more commonly used as the site for IM injections as it is generally thick and well formed in individuals of all ages and is not located close to any major arteries or nerves. It is also readily accessed. The middle third of the muscle is used to define the injection site. This third can be determined by visually dividing the length of the muscle that originates on the greater trochanter of the femur and inserts on the upper border of the patella and tibial tuberosity through the patella ligament into thirds. Palpation of the muscle is required to determine if sufficient body and mass is present to undertake the procedure.

    Gluteus medius muscle

    The gluteus medius muscle, which is also known as the ventrogluteal site, is the third commonly used site for IM injections. The correct area for injection can be determined in the following manner. Place the heel of the hand of the greater trochanter of the femur with fingers pointing towards the patient's head. The left hand is used for the right hip and vice versa. While keeping the palm of the hand over the greater trochanter and placing the index finger on the anterior superior iliac spine, stretch the middle finger dorsally palpating for the iliac crest and then press lightly below this point. The triangle formed by the iliac crest, the third finger and index finger forms the area suitable for intramuscular injection.

    Determining which site is most appropriate will depend upon the patient's muscle density at each site, the type and nature of medication you wish to administer, and of course the patient's preferred site for injections.

    Preparation

    Before administering medication, a health care practitioner verify the medication order for accuracy and prepare the medication from the vial or ampule.

    First, ensure you have identified the patient and assist them into a position which is comfortable and practical for access to the injection site you have chosen.

    Locate the correct area for injection using the above guidelines or those taught during medical training. Clean the site with an alcohol swab or other cleansing agent.

    Prepare the syringe by removing the needle cover, inverting the syringe, and expelling any excess air. Approximately 0.10.2 ml of air should be left in the syringe so that the air in the top of the syringe chamber, when the syringe and needle are pointing down, forces the entire amount of medication to be delivered. This also prevents medication residue from being left in the needle, where it can leak into the subcutaneous and dermal layers when the syringe and needle are removed from the muscle.

    When ready to inject, spread the skin using the fingers of the non-dominant hand. Holding the syringe with the thumb and forefinger of the dominant hand, pierce the skin and enter the muscle. This process should be done quickly with sufficient control so as to lessen the discomfort of the patient. If there is little muscle mass, particularly in infants or the elderly, then you may need to pinch the muscle to provide more volume of tissue in which to inject.

    Aspirate at the injection site (while syringe and needle are within the muscle) by holding the barrel of the syringe with the non-dominant hand and pulling back on the syringe plunger with the dominant hand. If blood appears in the syringe, it is an indication that a blood vessel may have been punctured. The needle and syringe should be immediately withdrawn and a new injection prepared. If no blood is aspirated, continue by slowly injecting the medication at a constant rate until all medication has been delivered.

    Withdraw the needle and syringe quickly to minimize discomfort. The site may be briefly massaged, depending on the medication given. Some medication manufacturers advise against massaging the site after injection, as it reduces the effect and intention of the medication by dispersing it too readily or over too large an area. Manufacturers' recommendations should be checked.

    Discard the used syringe and needle intact as soon as possible in an appropriate disposal receptacle.

    Check the site at least once more a short time after the injection to ensure that no bleeding, swelling or any other signs of reaction to the medication are present. Monitor the patient for other signs of side effects, especially if it is the first time the patient is receiving the medication.
    Document all injections given and any other relevant information.

    Aftercare

    Monitor for signs of localized redness, swelling, bleeding, or inflammation at injection site. Observe the patient for at least 15 minutes following the injection for signs of reaction to the drug.

    Complications

    Most complications of intramuscular injections are a result of the drug injected and not the procedure. However, it is possible that localized trauma of the injection site may result as part of the process. Minor discomfort and pain is common for a short period following the injection, but usually resolves within a few hours.

    Results

    The optimal outcome is a situation in which the medication is safely and effectively delivered to the patient via intramuscular injection without signs of complications

    or discomfort. Safety for the health care provider is also paramount.

    Health care team roles

    The health care provider is obliged to undertake the following when administering an intramuscular injection:

    Inform and educate the patient on the need and effect of the medication being delivered.
    Ensure the correct identification and verification procedures are followed.
    Provide privacy for the patient during the procedure.
    Understand the theory behind selecting appropriate injection sites.
    Demonstrate correct technique when undertaking the procedure.
    Monitor for complications.
    Document all relevant information and ensure safe disposal of equipment.
    Resources

    BOOKS

    Elkin M.K., Perry A.G., and Potter P.A. Nursing Interventions and Clinical Skills. Missouri: Mosby-Year Book, Inc.,1996.

    Kozier B., et al. Techniques in Clinical Nursing. Canada: Addison-Wesley Nursing, 1993.

    Dean Andrew Bielanowski, R.N.

    Intramuscular Injection: Encyclopedia of Nursing & Allied Health
     
  14. #14
    shaunus1988

    shaunus1988 Junior Member

    Now I know this is an old thread an appreciate TrainHard2's knowledge, maybe it's because I'm from the UK and medicine is different here etc but to my knowledge, and the practising doctor I saw, a broad spectrum anti biotic isn't what to use atall. Infact, a narrow spectrum antibiotic such as Flucloxacillin is to be used as it targets skin infections etc.

    I used Augmentin 375mg (Broad spectrum) and it did nothing for my swollen quad, I went to the hospital and had a check up, got given some Flucloxacillin (Narrow spectrum) for free and it did wonders. The doctor was baffled about the fact someone recommended a broad spectrum antibiotic aswell. I know this is an old post but thought it relevent to update it with some very helpful information. My lump swelled to the height and width of a tennis ball after 2 days, then on the fourth day, it had calmed down and fired up again by the fifth so I ran antibiotics. It was red, hot to the touch and painful to weight bare and to touch. If you pin, aspirate and your in a vein and re-pin with the same needle, you can cause damage to the skin and everything that needle passes through as it is blunt after the first use. This is what caused my swelling but i used it 3 times. 1st - hit a nerve, 2nd - hit a vein- 3rd was fine :)

    Hope this helps guys and for future reference, don't get scared with a lump around the injection site, I read horror stories about abcesses all the time but to let it get to such a severe stage you must be dumb and lack hygiene.

    NO PAIN NO GAIN THOUGH LADIES ;P
     

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