Injection Techniques Essay Research Paper Injection Techniqes

Injection Techniques Essay, Research Paper

Injection Techniqes, Part 1

INJECTING STEROIDS

There is much debate surrounding the question of whether injectable steroids are more or less effective and safe than oral steroids. It is suggested that the oral steroids, which have a special “17-. alkylated” chemical structure making them active orally and more difficult for the liver to break down, may be more toxic to the liver. In addition, these oral steroids are subject to “first pass metabolism’ meaning the liver is exposed to the drug at its highest concentration immediately after it is absorbed from the gastro-intestinal system.

On the other hand, steroid users characteristically use very large doses of injectables and lesser doses of oral preparations. One might hypothesise that the potential for these high doses of injectables to cause harm to the liver would more than outweigh the intrinsically greater liver damaging effects of oral steroids in smaller amounts. In addition, injecting is potentially more dangerous because in penetrating the skin the body’s natural defence against infection is bypassed. The user thus potentially exposes themselves to a whole host of harmful infections, like HIV, Hepatitis B and Hepatitis C. For this reason, the following advice is of the utmost importance if you choose to inject steroids or other substances:

ALWAYS USE NEW AND STERILE NEEDLES AND SYRINGES, EVERY SINGLE TIME YOU INJECT. Also never share other injecting equipment which could have small traces of blood on it, for example, water, swabs, spoons, tourniquets, belts.

NEVER SHARE OTHER PEOPLE’S USED NEEDLES OR SYRINGES. NEVER OFFER OR ALLOW OTHER PEOPLE TO SHARE YOUR USED NEEDLES AND SYRINGES EITHER!

Sharing of needles and syringes may expose you (or other people) to the risk of HIV, hepatitis B and hepatitis c infection.

NEVER INJECT STEROIDS INTO A VEIN OR ARTERY because oil based drugs such as injectable steroids are made for intramuscular administration only and can cause small clots (emboli ) if injected into an artery.

Calculating Doses

Steroids usually come in a liquid form measured in milliliters. The actual dry weight of the steroid in this preparation is measured in milligrams – this is read as milligrams per milliliters on the vial (mg/ml).

To calculate dosages, multiply the mg/ ml which is shown on the label of the vial by the the number of millilitres (ml) of liquid, as measured by the syringe, to arrive at the total dose. For example, if the concentration of a drug is 50 mg/ ml, then 2 mls of the drug is 100 mg. It is important to remember that different drugs come in different strengths and one millilitre (ml) of one drug is ususally not the same as 1 millilitre (ml) of another, even if it is a similar drug. It is the milligram (mg) strength per millilitre which you should take most notice of when determining how much to use and when working out doses, you should think and speak in terms of milligrams, not millilitres (mls).

INJECTING DRUG USE – BEING PROPERLY PREPARED

I. WHAT YOU NEED

.alcohol swabs to clean the injection site of particles of dirt and bacteria. Sterile water (if mixing a powder steroid);

.a 2.5 ml or a 5 ml syringe (the size depends on the dosage and type of drug to be taken);

.when using oil based steroids a larger gauge needle may be required to draw up the drug. i.e. a 19 or 21 gauge needle;

.a 21 or 23 gauge needle to inject the steroid;

.a safe disposal container. (rigid walled, puncture resistant and sealable).

II. PREPARATION

.wash hands or wipe fingertips with a swab and using a separate swab, clean both the rubber cap of the vial and the injection site.

.If you are using a water based steroid, shake the vial sufficiently well to mix and dissolve all particles in the solution.

.attach a drawing up needle (19 or 21 gauge) to a syringe, ensure there is about 0.5 ml of air in the barrel so that drawing up is easier and stick the needle through the stopper of the vial. Draw up the required amount of steroid. Remove the needle and put it into a disposal container.

.attach the injecting needle (21 or 23 gauge) to the full syringe. Hold the syringe upright and expel any air in the syringe. You will need to flick the barrel to get any remaining air bubbles to the top of the barrel next to the needle, and then expel these also.

BEFORE INJECTING THE DRUG, CHECK TO SEE THAT YOU HAVE THE CORRECT DRUG AND THAT THE “CORRECT DOSAGE” HAS BEEN PROPERLY DRAWN UP. THIS IS VERY IMPORTANT FOR ALL DRUGS WHICH YOU INJECT OR SWALLOW.

III. INJECTING TECNIQUE

1. Choose the injection site;

2. Swab the injection site thoroughly with a new alcohol swab or with soap and water using clean cotton wool.

3. Hold the syringe as if it were a dart, between the thumb and the forefinger of the hand you use the most. With the other hand, spread the skin tightly at the injection site;

4. Insert the needle at a ninety degree or right angle a bit like throwing a dart and with enough force for it to go into the skin and muscle smoothly. Push the needle in about 2/3 of its length, no further; unless you have good muscle bulk or carrying excess bodyfat.

5. Draw the plunger back a small distance;

6. If b

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