An injection from a temperature to an adult, a child. Dosage, analgin, suprastin with diphenhydramine proportions, lytic injection, triad composition

Temperature injections it is recommended to do it in cases where it is not possible to bring down the fever in adults or children with the usual oral means. The main reason for the rise in body temperature is the synthesis of pyrogens. Substances appear in the body in response to the penetration of infection and the development of inflammation.

Pyrogens act on the hypothalamus in the brain, as a result of which several processes are triggered:

• the production of an increased amount of heat;
• decrease in heat transfer.

Under the influence of these factors, the blood begins to move faster, and pathogenic viruses and bacteria die.

Causes of the danger of hyperthermia:

• an increase in temperature by 1 ° C increases the load on the heart by 15%;
• blood gradually thickens due to fluid loss, blood clots form;
• heat leads to profuse sweating, the water-salt balance is disturbed;
• as a result, any chronic diseases can be exacerbated.

Therefore, intramuscular injections are recommended to quickly relieve the most acute, first symptoms.

Rating of drugs for adults

Medicines in injection forms are completely sterile and precisely dosed.

Paracetamol

In the event that there is a person around the patient who knows how to install systems for intravenous infusion of medicinal solutions, paracetamol will help to quickly reduce fever.

The drug is produced in polyethylene bottles of 50 and 100 ml. The content of the active substance is 10 mg in each ml. For a single infusion, a volume of 50 ml is recommended. In the event that the temperature is very high, you can take 100 ml.

Single dosage
Body mass	Dose
33-50 kg	15 mg / kg
from 50 kg	1.0 g

After the start of the infusion, the maximum concentration in the blood is reached after 15 minutes, then active processing in the liver begins. After that, the temperature will immediately begin to decrease. After a day, the active metabolites will be excreted from the body.

The maximum allowable dose is up to 4.0 g. In the presence of chronic liver disease, do not infuse more than 1 g. The duration of the infusion should be at least 15 minutes.

Analgin

The drug is available in the form of ampoules with a medicinal solution. The composition includes 1000 mg of metamizole sodium and water for injection up to 2 ml. The maximum effect develops after 2 hours.

For adults, a dosage of 0.5-1 g (1-2 ml) is recommended for single use. It can be taken up to 3 times a day. Do not exceed the indicated volumes due to the risk of developing an uncontrolled fall in blood pressure.

The introduction should be carried out very carefully - no more than 1 ml per 1 minute in a supine position while monitoring the pulse and the condition of a sick person. Exceeding the speed limit can trigger the development of toxic shock.

The active substance is sodium metamizole. It belongs to the group of non-steroidal drugs for relieving inflammatory reactions. Analgin effectively eliminates many types of pain and stimulates heat transfer in the body.

Metamizole sodium is a pyrazolone derivative. The mechanism of therapeutic activity is associated with the suppression of the production of prostaglandins. Maximum efficiency is achieved 2 hours after injection into the muscle layer.

The medicinal solution is available in 2 ml ampoules with a total content of 1 g of active ingredient. Only water for injection is included as auxiliary components. The connection of the main metabolite with plasma proteins is in the range of 50-60%. Metabolic products are mainly excreted by renal filtration.

Dexamethasone

A fairly strong drug with the following therapeutic effects:

• anti-inflammatory;
• antiallergic.

The standard dosage in 1 ampoule is 4 mg dexamethasone phosphate. The mode of administration and the volume of the solution can be adjusted taking into account the severity of the patient's condition, concomitant symptoms and resistance to the action of the drug.

The maximum dose is 20 mg x 4 times a day. The duration of therapy with ampoules of the drug is no more than 4 days. In the future, it is recommended to transfer the patient to tablet forms.

At the level of protein synthesis, it reduces the formation of particles, which are the cause of the development of inflammation and an increase in body temperature.

Treatment should be carried out using the lowest effective dose. The daily volume of the solution should not exceed 24 mg, divided into 2 injections. It is advisable to cancel the treatment gradually.

Diphenhydramine

The active ingredient is diphenhydramine 10 mg in 1 ml of the medicinal solution. The agent is a 1st generation H1-histamine receptor blocker. The mechanism of action is the blockade of H3-histamine receptors in the brain and suppression of the activity of central cholinergic structures.

The drug against allergies turns off the susceptibility of brain receptors to the action of histamine, eliminates spasms smooth muscles, reduces capillary permeability, relieves swelling, itching and reduces body temperature. An additional hypnotic effect accelerates the recovery of a sick person.

For adults, the following dosages and frequency of administration are recommended:

• the highest single dose - 50 mg;
• the highest daily dose is 150 mg.

When using diphenhydramine, one should take into account the development of a strong hypnotic effect. Therefore, you should stay at home during the treatment period, avoiding any actions associated with any danger.

A special indication - in patients with local damage in the brain and epilepsy, diphenhydramine is able to activate epileptic discharges, which can lead to the development of a seizure.

Drotaverin

A fever injection based on this substance is also effective for adults. The active ingredient of a fairly well-known drug - No-shpy relieves spasms of smooth muscles and dilates blood vessels.

The recommended treatment regimen is 40-80 mg up to 3 times a day. If necessary, it can be replaced with papaverine, but drotaverine acts more pronounced and lasting.

Rating for children

Diphenhydramine is sometimes used in children as well. The only drawback of such mixtures is that it belongs to strictly prescription drugs; it is impossible to buy it without a doctor's prescription. Therefore, in very hot weather, you should call an ambulance.

During the period of treatment, it is necessary to exclude from the environment of the child those objects, the use or play with which can lead to injury. This is due to its active sedative effect, which can cause poor coordination and severe drowsiness.

Troichatka number 1

To prepare a mixture for injection, you will need to take the following drugs in ampoules:

• analgin - up to 0.2 ml per 10 kg of body weight;
• diphenhydramine - 0.1 ml for each year of the child's age;
• papaverine or no-spa - 0.1 ml per 10 kg up to 6 years, after - 0.2 ml.

The solutions should be drawn into the syringe carefully so as not to exceed the recommended dosages.

Troichatka number 2

Medicinal mixture for use in children:

• analgin - 0.1 ml x age in years;
• paracetamol - 0.1 ml x age in years;
• suprastin - 0.1 ml x age in years.

Before the introduction, you need to hold the syringe or the ampoules themselves in your hands to warm them. This will make the insertion procedure less painful.

Combination of drugs

The lytic mixture is most effective in adults:

• analgin - 2.0 ml;
• diphenhydramine - 1.0 ml;
• drotaverine - 2.0 ml.

All solutions from the above list are mixed in 1 syringe, immediately after that the combination is ready for administration. Such injections need to be given intramuscularly. The upper outer quadrant of the gluteus maximus is best suited. In this case, an important condition is the optimal length of the needle.

Temperature injections for an adult can also be given in other ratios:

• 1 ml of analgin + 1 ml of diphenhydramine;
• analgin and diphenhydramine with no-spa, 1 ml.

At a particularly critical temperature, in the latter case, the volumes of analgin and no-shpa are allowed to be doubled. Typically, the temperature returns to normal after 1.5 hours. The action lasts an average of about 7 hours. During this period, it is recommended to monitor the thermometer readings and, with the onset of growth, immediately take the full dose of the antipyretic agent.

Injection rules

An injection from a temperature to an adult or a child reduces the sensitivity of the brain to pyrogens, the fever begins to subside.

The injection is done step by step:

• before starting the preparatory actions, you need to wash your hands well with running water and soap;
• after that, it is advisable to warm the ampoules in the palms to body temperature;
• they can be opened either by a notch or using a special cutter;
• in this case, it is recommended to protect your fingers with a cotton pad from a possible cut;
• you need to collect solutions slowly to avoid excessive foaming;
• after the process is complete, you will need to turn the syringe vertically to completely remove the air trapped inside.

You also need to adhere to these rules:

1. The injection site must be disinfected with an alcohol wipe and then, slightly stretching the skin, smoothly and completely insert the needle.
2. Press the plunger slowly, after complete administration of the solution, preferably 5-10 seconds. hold the syringe in the buttock, and then carefully remove it and press the injection site with the same napkin.
3. After the injection, it is very often possible to observe a situation when the secretion of blood continues for a sufficiently long period of time. In this case, it is recommended to apply dry cotton wool and, slightly shifting the skin, wait for the bleeding to stop.

For young children, it is important not only to calculate the dosage, but also to choose the right syringe. It must be understood that the layer of subcutaneous adipose tissue and the muscle itself is too small. That is why there is a risk of damage to the periosteum. This complication is accompanied by prolonged painful sensations, which will lead to the development of psychological fear of injecting in the future.

Therefore, it is recommended to estimate in advance the thickness of soft tissues and approximately determine the permissible depth of needle insertion. You need to choose a syringe with a volume of 2-3 ml. They are almost always equipped with fairly thin needles with a thickness of 0.63 mm. The length is usually 32 mm.

But the thinnest needles are included in insulin syringe kits. The length is also small. It is only important to correctly calculate the dosage of each component.

Ways to enhance the action of injections

A fever injection for an adult may not be effective enough. To enhance its effect, it is recommended to use rubdowns, compresses and drink plenty of fluids.

Rubdown

To perform the procedure, you need to moisten a sponge or towel in cool water, squeeze and carefully moisten all parts of the body, allowing the liquid to evaporate from the skin surface on its own.

For children, use water at room temperature, otherwise there will be a risk of subfebrile seizures due to a sharp contraction of the vascular walls.

Consecutive actions can reduce the elevated body temperature by 1-2 ° C within 1-1.5 hours.

Compresses with ice

Sequencing:

1. To carry out the procedure, ice cubes are required. They need to be folded into a plastic bag, and then the loose ends should be tightly tied.
2. You will then need a soft towel to wrap the bag and avoid overcooling the skin.
3. Keep a cold compress for no more than 5-7 minutes.
4. After a quarter of an hour, the procedure must be repeated.

In the future, the frequency can be adjusted taking into account the patient's condition.

Drinking plenty of fluids

Increased temperature always leads to a lack of fluid in the body. Therefore, drinking plenty of cranberries or lingonberries will help you sweat. The berries contain natural aspirin, which will help thin the blood and improve circulation in small vessels.

Temperature injections are recommended mainly for adults. For children, it is better to choose softer and more painless methods, and injections can be used only in especially serious cases.

Article design: Vladimir the Great

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