Intramuscular injection

Magnesium sulphate or Magnesia is a medicinal product of a sufficiently wide spectrum of action, which is most often used for intravenous and intramuscular administration. The medicine has vasodilator, hypotensive, soothing, anticonvulsant, antiarrhythmic, spasmolytic and weak diuretic action. In large doses the drug depressing acts on the nervous system, has a hypnotic and narcotic effect, suppresses respiratory centers.

Can I prick Magnesia intramuscularly?

To date, doctors usually do not recommend intramuscular injection of the drug, and the most common method of magnesia is intravenous administration, using a dropper.

This is due to the fact that with intramuscular injection, there is a higher risk of undesirable side effects. In addition, intramuscular injections of Magnesia are very painful, therefore, usually with this introduction, the drug is mixed with novocaine.

But otherwise intramuscular injection of Magnesia is not prohibited, and can be used in the same cases as intravenous.

Indications and contraindications to the use of Magnesia intramuscularly

Most often intramuscularly Magnesia is administered with high blood pressure and hypertensive crisis. This method of normalizing pressure is often used by ambulance doctors. Although intramuscular application of Magnesia at high pressure is a fairly common method, but taking into account possible side effects, it is better not to carry out such procedures on their own, and, if possible, restrict oneself to taking other drugs.

The introduction of magnesia into muscle is also shown when:

• gestosis (one of the late toxicosis of pregnant women) with convulsions;
• hypomagnes (acute deficiency of magnesium in the body);
• epileptic seizures;
• retention of urine;
• poisoning with salts of heavy metals (mercury, lead, arsenic, barium).

Magnesia can not be administered when:

• acute renal failure ;
• AV-blockade (impaired conduction of pulses from the atria to the ventricles);
• appendicitis;
• intestinal obstruction;
• rectal bleeding;
• bradycardia;
• violation of respiratory activity;
• hypotension;
• dehydration;
• in the first trimester of pregnancy and in the period of 2 hours before childbirth.

How to prick Magnesia intramuscularly?

Magnesia can cause serious side effects, and with an overdose inhibit the cardiac, nervous and respiratory activity, so injections of the drug are carried out only according to the doctor's prescription.

The drug should be injected deep into the muscle, so need a syringe with a long (about 4 cm) needle for the injection.

Before injection, the ampoule with the medicine should be heated to body temperature. Injections of the drug are made in the buttock:

1. Mentally divide the butt into 4 parts. The injection is made in the upper, more distant from the axis of the body, a quarter. In this case, the risk of getting into adipose tissue is minimal, as is the probability of inflammation.
2. The injection site must first be wiped with a disinfectant (usually alcohol, but in the absence of it you can use Chlorhexidine).
3. The needle is injected sharply to the stop, then gently press the plunger of the syringe. The drug should be administered as slowly as possible, at least 2 minutes.

Since intramuscular injections of Magnesia are very painful, it is usually administered with Novokain or Lidocaine. Wherein there are two equally frequently used methods of administration:

1. In the first case, Magnesia and Novocaine are mixed in one syringe, with one ampule of 20-25% magnesia solution having one ampoule of 1-2% novocaine.
2. In the second case, magnesium and novocaine are recruited into separate syringes. First, a shot of novocaine is made, then the syringe is disconnected, leaving the needle in the body, and then the second drug is injected through the same needle.

To maximize the safe introduction of Magnesia during injection, the patient must lie, so you will not be able to make such injections yourself.