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Medicine
Injection Procedures for Steroids
Injection Procedures for Steroids There are three areas where steroids are the easiest and safest to inject. They are the glutes, delts, and thighs. The glutes are the easiest, so we begin there. The injection procedure will be explained in easy to understand writing. When injecting into the glute, divide one of the glutes into four equal sections, you are aiming at the top outer most quadron. Now in more detail, it should be 2-3 inches below the iliac crest. Iliac crest, the top of the pelvic girdle on the posterior (back) side. You can find this area by feeling the uppermost bony area above each cheek. This area has few nerves and blood vessels. into four areas. The darkest area is a more accurate area of where you would like to inject. We are aiming for the upper/outer area of the gluteus maximus (as seen in the picture below) we will divide the glute into 4 equal sections, as pictured below: The darkest area is a more accurate area of where you would like to inject. The second choice would be the lateral portion of the thigh. The vastus lateralis muscle is the only area of the thigh that should be injected intramuscularly. This site is determined by using the knee and the greater trochanter of the femur as landmarks. The greater trochanter is the bony area that you can feel where the femur joins the pelvic girdle. The mid portion of the muscle is located by measuring the handbreadth above the knee and the handbreadth below the greater trochanter. Injecting into the front of the thigh or inside of the thigh is extremely unwise. These areas contain nerves as well as a number of blood vessels. The third common area for injecions is the lateral deltoid muscle. This is the meaty part of your side deltoid. Same procedures apply, and if you use a 1" needle, make sure to get it all the way in. Some recommend massaging the area after the injection to ease any soreness that may result. (This is a good idea with delt injections.) It is important to choose the proper syringe. The best syringes forintrumuscular injections are:1. 22 gauge 1 1/2" or 2. 23 gauge 1”. This length is required for penetration deep inside the muscle. Shorter needles, 5/8" or 1/2" are usually not sufficient for intramuscular injections and occasionally leave a portion of the Injection in a subcutaneous area, which will cause a swell between the skin and muscle as well as impaired absorption. The gauge size of a syringe represents the needle's diameter. The lower the gauge number, the wider it is. A 27-gauge needle is very thin. An 18 gauge is quite wide. The 22 and 23 gauge needles are not so large that they are difficult to insert, yet are large enough for solutions to easily be propelled through them. The use of insulin needles is not acceptable; they are simply too small. Usually, insulin pins are 25 to 27 gauges and only a 1/2" long with a 1 cc case. How do I open the amp? This question is asked over and over again by beginners everywhere. Opening an amp is not a very difficult process, but it does take some practice to get the method down. There are a variety of different ways, but we will cover the most convenient procedure. The first thing to do is "score" a line around the neck of the amp. The neck of the amp is the skinniest part of the amp, and often has a "ring" around it. To "score" the amp, you can use a file, nail file, a penknife, or even a steak knife. Nail files and penknives work best. You can get a penknife at your local hardware store, they are inexpensive and work very well. You have to file (cut) all the way around the neck. You should be able to see a new line around the neck. You want to make the "score" around the neck as deep as possible, however, you must be careful not to go too deep and shatter the amp. Once the score is done, wrap the amp in a towel, and with a swift snapping motion, the head of the amp should easily snap off. Another way to snap off the head is to take the lid of a pen, stick it on the top of the amp's 'head', and simply snap it off. There are also websites on the internet that sell amp openers that make the process even easier, a search on yahoo should find the device. 1. Take an alcohol swab should be used to clean the injection site and the rubber stopper on top of the vial, which will be drawn from. 2. Take a brand new syringe out of its wrapper, remove its plastic top, draw about 2 ccs of air into it and insert it into the vial. Inject this air into the vial; this creates pressure within the vial and makes it easier to draw out the solution. 3. Turn the vial upside-down and slowly draw out the solution until you have approximately .5 cc more than you need for the injection. 4. Tap the syringe case to help the air bubbles rise to the top near the needle. Simply push the plunger upward, pushing all the air out of the syringe, and into the vial. Then push the remaining extra solution you are not using back into the vial. Remove the needle from the vial. Then, hold the syringe needle-side-up and continue to tap it to encourage all the air bubbles to come to the top of the syringe. 5. Now, take another clean syringe, remove it from its sterile package and unscrew the needle from the syringe. Exchange the brand new needle for the one that has just been injected into the stopper. By using two needles for every injection, you can take advantage of using the full sharpness of the pin. The needle does suffer some dulling when it is pushed through the firm rubber stopper on a vial. It is important not to touch this needle before the injection. It should not come into contact with a counter top, your fingers, nor should it be cleaned with alcohol. This needle is sterile and should not be touched. 6. Once again swab the injection site with alcohol, and then press the stopper of the syringe holding it needle-side-up, until the slight air bubbles that are at the top are pressed out. Once a bead of oil has appeared at the top of the needle, allow it run down the surface of the needle, (provides lubrication). 7. Hold the syringe like a dart. Use the other hand to stretch the skin at the injection site and simply push the sharp clean needle in. 8. After inserting it deep into the muscle, pull back on the stopper for a few seconds to make sure it does not fill up with blood, (which would indicate that the needle had been injected into a blood vessel). If this occurs, simply pull the needle out, switch the needle again, and try another area. 9. Providing there is no blood present in the syringe, slowly press the stopper down until all the oil is injected. 10. Quickly pull the needle out and take another alcohol swab and press firmly on the injection site. This will minimize bleeding, if there is any, and by firmly pressing on the injection site and slightly massaging it, some of the soreness may be eliminated. It is important that the liquid is not injected too quickly as this causes more pain at the site during the injection and in the proceeding days. 11. Return the plastic caps to shield the needles and make sure they are discarded properly. *To avoid discomfort and excessive scar tissue at the injection site, it is not wise to inject more than 2 ccs of solution per shot. It is also not prudent to use the same injection site more than twice a week (once a week is preferred). Bibliography:
Word Count: 1371
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