Drug Use By Injection

A number of substances are administered by injection to achieve a fast or strong impact or both. Iv substances are usually injected, but can also s.c. or i.m. injected, or even sublingually. Substance addicts use peripheral veins usually when they are but deserted due to chronic use, some are changing over to the large central veins (z. B. jugular vein, thigh, shoulder) to inject. Complications people who inject illegal drugs, risking not only the adverse pharmacodynamic effects of the drugs, but also complications associated with impurities, adulteration and infectious agents that can be injected with the drug. Extenders Some drug users crush the tablets of prescription drugs to dissolve them and i.v. to inject. but that they also inject a number of fillers of tablets such. As cellulose, talc and corn starch. Fillers can be included in the pulmonary capillary environment and lead to chronic inflammation and foreign body’s granulomatosis. Fillers can also cause damage to the endothelium of the heart valves, which increases the risk of endocarditis. Street drugs such as heroin and cocaine are often called “blended” with different admixtures (eg., Amphetamines, clenbuterol, dextromethorphan, fentanyl, ketamine, lidocaine, lysergic acid diethylamide [LSD], pseudoephedrine, quinine, scopolamine, xylazine). Extenders are added to improve mind-altering properties or to replace the pure drug; they can diagnostic and therapeutic decisions erschweren.Infektionserreger Repeated and shared needle use and the use of non-sterile techniques can lead to many infectious complications. Complications at the injection site are for. B. cutaneous abscesses, cellulitis, lymphangitis, lymphadenitis and thrombophlebitis. Infectious non-local complications resulting from septic embolism and bacteremia. These include bacterial endocarditis, and abscesses in various organs and body parts. Septic pulmonary embolism and osteomyelitis (particularly of back injury) are especially common. An infectious spondylitis and sacroileitis may occur. Systemic infectious diseases are primarily hepatitis B and C and HIV infection. Consumers of i.v. Drugs have a high risk of pneumonia by aspiration or hematogenous spread of bacteria. Other infections that are not directly caused by injecting drugs but are common among intravenous drug users, including TB, syphilis and other sexually transmitted diseases. Also botulism and tetanus can result from intravenous drug abuse. Diagnostic medical history, physical examination, or both Some patients report their drug use freely, but in others a thorough physical examination is necessary to identify signs of injections. Chronic iv Drug use can be confirmed by obvious puncture marks by repeated injections into subcutaneous veins. These tracks are linearly arranged and consist of small, dark, dot-like lesions (pinholes), surrounded by a region of dark or discolored skin by chronic inflammation. These puncture marks are often at easily accessible places (eg. As elbow, forearms) found, but some drug users try to hide these body markings by injecting into less obvious parts of the body (eg. As armpits). Subcutaneous injection can cause characteristic circular scars or ulcers. It can also be seen signs earlier abscesses. Addicts can try to return these signs of their drug use on frequent blood donations, insect bites or previous trauma. Treatment prevention and treatment of infectious complications drug users, especially those with a history of i.v. Drug use should be thoroughly viral hepatitis, HIV infection and the complete range of other infectious diseases that are common in these patients (eg. As tuberculosis, syphilis, other sexually transmitted diseases) investigated. Even these patients vaccinations against hepatitis, influenza, pneumococcal infection, tetanus and other infections should be offered (overview of immunization as well as special vaccines. The AIDS epidemic has meant that mitigation measures are available to reduce the dangers of substance use, without this give up the need. for example, the provision of clean needles and syringes for untreatable iv user reduces the spread of HIV. the treatment of infectious complications is the same as that of similar infections, ie usually antibiotics, incision and drainage of abscesses. the treatment is difficult when the veins are no longer injectable (or patients should be discouraged from further inject), as well as by poor Complicance.

Health Life Media Team

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