A significant achievement in modern medicine is hot injections.
This advanced injection method is widely used in therapy to prevent many diseases that are associated with calcium deficiency. When the doctor injects the medicine, the blood vessels dilate and the person feels a pleasant warmth throughout the body, but the body temperature itself does not change. Organic and inorganic salts are used as active ingredients for injection.
BeautyHack figured out the pros and cons of hot injections.
Indications for use
What is a hot injection and why is it done?
Calcium chloride is included in the therapeutic regimen for many somatic and infectious diseases. This is due to its medicinal properties: anti-inflammatory, detoxification, antihistamine and hemostatic. The drug effectively restores calcium deficiency in the human body, takes part in the regulation of calcium-phosphorus metabolism and reduces the permeability of capillary walls. Calcium chloride is used in the treatment of the following diseases:
- Allergic reactions of various etiologies . This may be hay fever, skin manifestations of individual intolerance to cosmetics, urticaria, Quincke's edema, serum sickness, angioedema, etc.
- Insect bites . The saliva of many small parasites contains irritating components that cause severe itching and swelling of the skin. Calcium chloride helps relieve clinical manifestations and improve the well-being of the victim.
- Drug intolerance . A hot injection into a vein has a pronounced antihistamine effect.
- Bleeding . The product will help stop blood loss regardless of the location due to its hemostatic effect. Calcium chloride is not used independently, but as an additional agent in the treatment of gastrointestinal, uterine, nasal and other bleeding.
- Poisoning by chemical compounds . Calcium chloride is used as an antidote for poisoning with magnesium salts, oxalic and fluoric acids.
- A hot injection is given when convulsions occur . Especially if spasmophilia or tetany is caused by insufficiency of the parathyroid glands.
- Stimulation of labor. Calcium chloride promotes dilatation of the cervix, which is successfully used for weak labor.
- The drug is indicated for a decrease in calcium in the blood . Its entry into the bloodstream will help restore the required level of the microelement and prevent the development of hypocalcemic titania.
- Severe liver pathologies . These include parenchymal hepatitis and toxic damage to hepatocytes.
- Inflammatory processes of the kidneys , in particular nephritis.
- Skin diseases that are chronic and recurrent. These are psoriasis, eczema and other pathologies.
- Eclampsia I. The drug has pronounced anticonvulsant activity. It is used for the occurrence of preeclampsia and eclampsia in pregnant women in the 2nd and 3rd trimesters.
- Hemorrhagic vasculitis, radiation sickness and other pathologies in which there is an increase in the permeability of blood vessels.
- Deficiency of calcium levels in the blood . Observed during pregnancy and breastfeeding.
- Insufficient supply of microelements with food , as well as its incomplete absorption in the human gastrointestinal tract due to serious gastrointestinal diseases.
- Disruption of metabolic processes, as a result of which the level of calcium in the blood drops.
- Enhanced excretion of microelements through the gastrointestinal tract and kidneys . A similar condition develops in patients due to long-term use of diuretics, anticonvulsants, glucocorticosteroids or under the influence of prolonged diarrhea.
Indications for coding
Narcologists at Alcoclinic always emphasize that there is no “magic” pill or injection for alcoholism. Coding is an effective, but only one of many stages of comprehensive addiction treatment. The main guarantee of success is the desire of the person himself to overcome the craving for alcohol and return to a full-fledged lifestyle as quickly as possible - find a good job, improve the atmosphere in the family, restore relationships with friends.
A “hot shot” for alcoholism must necessarily be preceded by drug detoxification—a complete cleansing of the body from ethyl alcohol and the toxic products of its breakdown. Only after 5–7 days is secure coding possible.
Sometimes the so-called “doublet encoding” is allowed, when a “hot injection” is given immediately after detoxification. This is possible in the following situations:
- short drinking bout;
- a short history of alcohol addiction;
- adequate psycho-emotional state of the patient;
- absence of medical contraindications, including diseases that increase the risk of complications (pathologies of the cardiovascular, nervous, urinary system, digestive tract, etc.).
Often people with an unformed addiction ask for a “hot shot” for alcoholism. The following symptoms indicate the progression of addiction to alcohol:
- a person cannot control himself while intoxicated;
- It’s becoming more and more difficult to refuse strong drinks and noisy gatherings with or without reason; moreover, a person can go to another party to the detriment of family, work, etc.;
- a severe hangover with a pronounced aversion to alcohol is replaced by a persistent desire to get drunk.
Risk factors also include hereditary predisposition, personality traits (tendency to depression, anxiety, anxiety, the desire not to solve emerging problems, but to “hide” from them, etc.).
Important!
A “hot shot” does not eliminate the need to continue treatment for alcoholism. To prevent the risk of relapse, psychotherapy and rehabilitation are required. As a rule, additional medications are prescribed to maintain liver function, restore the activity of the nervous system, normalize digestion, etc.
Calcium gluconate
This drug is used not only to restore the missing mineral, but is also used to treat skin, inflammatory, allergic and vascular diseases. It is similar to calcium chloride, but acts more gently.
This drug is introduced into the body in three ways:
- intravenously quickly or using a dropper;
- intracardiacly, into the space of one of its ventricles.
Calcium gluconate should not be administered to children due to the likelihood of tissue necrosis. Intramuscular injections with this drug are excluded.
It is used:
- in the complex treatment of allergic reactions, even if they arose as a side effect of other medications;
- to stop bleeding;
- for chronic diseases, such as persistent diarrhea or kidney failure;
- during the course of respiratory diseases: tuberculosis and bronchial asthma;
- to strengthen the walls of the heart and blood vessels.
After an injection of calcium gluconate, vomiting, nausea and bradycardia may occur.
The drug described below also applies to “hot” injections.
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“Hot injection” or injection of calcium gluconate
There is no need to be afraid of this injection; the patient’s temperature remains the same and does not increase. The injection is prescribed to patients in case of allergic reactions, treatment of skin diseases, as well as inflammatory diseases.
The medicine is administered in the following ways:
- Into a vein - by intravenous administration.
- Into the muscle - intramuscular injection.
- The injection is intracardiac, when the drug enters a clearly designated place (ventricular space).
Injections with this drug are prescribed for the treatment of allergic diseases, inflammatory processes, the treatment of heart and vascular diseases, as well as to combat skin rashes and ailments. Injections are also prescribed if a person does not have enough calcium in the body to compensate for the deficiency of this substance.
Who can be prescribed “hot injections”? The list of diseases is impressive: calcium deficiency, rickets, kidney failure (a chronic form of the disease), when a person moves little or stays in bed for a long time, with chronic diarrhea, bleeding, allergic reactions of the body in the acute stage, respiratory diseases (tuberculosis, asthma), with hepatitis and during breastfeeding, menopause.
Contraindications for treatment with this drug are:
- excess calcium in the body;
- period of bearing a baby;
- severe kidney and heart diseases, as well as atherosclerosis.
Calcium gluconate is administered intravenously very, very slowly. Sometimes it takes 3 to 5 minutes to administer 1 ampoule of the drug. If the medicine is administered very quickly, the person may feel very hot and even faint.
Immediately after the first seconds of administration of the drug, a person feels a pleasant warmth in the mouth, which gradually, like a wave, covers the whole body. If the drug is administered in compliance with all the rules, then the person does not feel anything except warmth or mild fever. A few minutes after the injection, the sensation goes away.
By the way, this medicine is not prescribed to children to avoid the development of soft tissue necrosis.
Contraindications for use and side effects
Calcium chloride has certain limitations for use, which should be taken into account before prescribing. The medicine should not be taken by patients with chronic renal failure, urolithiasis, atherosclerosis of blood vessels and a tendency to thrombosis. Calcium chloride should not be taken simultaneously with cardiac glycosides, as it can enhance their cardiotoxic effect. This requires immediate dosage adjustment, as it is fraught with serious consequences. The period of pregnancy and breastfeeding is prohibited. The presence of malignant neoplasms, in particular sarcoidosis. Calcium chloride is contraindicated in case of an individual allergic reaction to one of the components of the drug.
Only a medical professional can give a hot injection. If the drug gets under the skin rather than into a vein, it can cause severe irritation and even the development of tissue necrosis. Too rapid intravenous administration of the drug can provoke complications such as arrhythmia. Patients feel a strong heartbeat and a feeling of heat throughout the body.
Calcium chloride can only be used as prescribed by a doctor. This will avoid complications and side effects.
Hot injections are another achievement of modern medicine.
Today, innovative technologies are used to diagnose and treat people, which make it possible to detect problems at an early stage and provide effective assistance.
The equipment impresses with its compact size, accurate results and ease of use.
Hot injections are one of the important achievements in medicine. They are widely used in therapy to prevent diseases associated with calcium deficiency.
Such injections are always associated with warmth, a slight burning sensation that spreads throughout the body.
Those people who had to use such an injection forever remember the sensations they received. To better understand this issue, you should dive a little into the topic.
It must be remembered that the injection is not warmed up before use; its temperature is equal to the temperature of the human body. When the drug is introduced into the body, the temperature does not increase. The injection is not given intramuscularly, it is injected directly into the connective tissue, but you need to avoid getting into the bloodstream to avoid unpleasant serious consequences. It is best to administer the drug intravenously; it is the safest and most effective.
Contraindications for use
Contraindications to the use of hot injections include chronic renal failure. Intravenous administration of calcium chloride is not recommended if the patient has signs of atherosclerosis. This drug is capable of dilating blood vessels, which can lead to the detachment of formed plaques and the formation of blood clots.
Such injections should not be performed if the patient has elevated calcium levels. Contraindications to the use of such injections include chronic pathologies of the cardiovascular system. The combination of hot injections with cardiac glycosides is especially dangerous.
The administration of calcium supplements to patients suffering from cancer is not recommended. Such injections should be used with caution if the patient has genetic pathologies.
Contraindications and precautions
Calcium chloride solution should not be used for:
- Signs of atherosclerosis
- Tendency to form blood clots
- The presence of increased susceptibility to components
- Development of hypercalcemia.
The drug cannot be administered subcutaneously or intramuscularly, as this can lead to necrotic tissue changes.
After intravenous infusion of the solution, a feeling of heat may be observed, first in the mouth, then it spreads throughout the body.
special instructions
The drug is not intended for injection into the muscle or under the skin. Five percent and more concentrated solutions of calcium chloride have a strong irritating effect and can provoke tissue necrosis.
When injected into a vein, a feeling of heat appears (arising in the oral cavity, it gradually spreads throughout the body). Previously, this effect was used to determine the speed of blood flow. In this way, the time between the moment of injection of calcium chloride into the vein and the appearance of a feeling of heat was recorded.
Curd made from milk and calcium chloride
To prepare cottage cheese, milk (200 ml) is heated in the microwave for two minutes, and then mixed with 50 ml of calcium chloride solution and returned to the oven for 30 seconds. At the same time, you need to make sure that the milk does not run away!
You need to drain the whey from the finished cottage cheese.
This product is recommended to be given to children with weak bones and children suffering from rickets.
How to administer hot injections, calcium chloride: indications for use
Hot injections, calcium chloride, indications for the use of drugs are intended to relieve allergic reactions, relieve symptoms of colds, treat skin diseases, relieve inflammatory processes.
Hot injections, calcium chloride indications for use are as follows:
- respiratory tract diseases;
- allergic reactions;
- rickets;
- calcium deficiency;
- bleeding;
- hepatitis;
- pregnancy, during the period of the body's need for calcium.
Injections of calcium chloride are administered into the body by several injection methods: intracardiac, intravenous, intramuscular injection. When the drug is administered, the patient usually begins to feel a burning sensation in the mouth, and then heat spreading throughout the body. It is a mistaken belief that the calcium chloride solution is heated when administered.
The main side effect is a “hot wave” effect throughout the body. Your heart rate may increase if you administer a hot injection of calcium chloride very quickly. Indications for use warn that if the injection is administered carelessly, the calcium chloride solution can get directly under the skin, which can lead to necrosis of the subcutaneous fatty tissue. Also one of the side effects is a decrease in blood pressure.
The main contraindications for prescribing calcium chloride injections are: hypersensitivity to this drug and individual intolerance.
Also, injections cannot be used if:
- increased calcium content in the body;
- there are disturbances in the functioning of the heart and kidneys;
- for oncological diseases;
- when using cardiac glycosides.
Calcium chloride or the same “hot injection”
As you can see, there are many drugs for the treatment of many ailments that can have a warming effect immediately after administration of the medicine. A common medicinal substance is calcium chloride. It also well replenishes the lack of calcium in the body, especially during pregnancy and breastfeeding. Such injections can also be prescribed if the body’s absorption of calcium is impaired in a natural way (through the intestinal walls) and in case of vitamin deficiency.
In addition, indications for use are also diseases of the kidneys, intestines and liver, but here this drug acts as an auxiliary drug to reduce acute pain (intestinal, renal or hepatic colic).
Calcium chloride helps very well in the treatment of allergic diseases; inflammatory processes are stopped immediately, reducing vascular permeability. A “hot injection” with calcium chloride is also used in cases where resuscitation is carried out, as an anti-shock drug.
Calcium chloride can be drunk (solution and tablets) to get rid of allergic reactions, as well as to strengthen the body if there is a lack of calcium.
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With intravenous administration, side effects may develop: nausea, sometimes even leading to a gag reflex, as well as bradycardia (decreased heart rate).
Contraindications are as follows: individual intolerance to the drug, renal, cardiac and respiratory failure, pregnancy, excess calcium.
Why do gynecologists love hot injections?
Gynecologists have continued to use hot injections for many years, despite the constantly emerging new drugs and treatment methods.
Why? Firstly, the drugs have proven their effectiveness when chosen for the right indications. Secondly, their price is affordable, which, you see, is important. Why overpay for beautiful packaging and advertising?
What are calcium salts used for?
Calcium chloride and calcium gluconate are similar in their therapeutic effects.
But they differ not only in name. Chloride causes a greater irritant effect, but at the same time is more active. This explains why it is done strictly into a vein. In case of accidental contact with the skin or muscle, tissue necrosis is possible .
Calcium gluconate is usually taken orally in tablets, injected intramuscularly and intravenously.
use is possible when :
- increased need for calcium in the body, which is observed during menopause, when the risk of developing postmenopausal osteoporosis (bone fragility) increases;
- uterine bleeding, since the drugs increase blood clotting and strengthen the vascular wall, which is especially pronounced with calcium chloride.
In addition, chloride, as doctors often call it, has a pronounced anti-inflammatory effect - it activates the phagocytic activity of leukocytes (their ability to infect foreign microorganisms).
Of course, calcium chloride alone will not cure an infection, but as part of complex therapy it helps get rid of inflammation of the appendages and uterus . And this will protect you from the formation of adhesions and obstruction of the fallopian tubes - it will protect your health for the birth of your future baby.
It is also prescribed after a frozen pregnancy, miscarriage, or curettage . The goal is the same - to prevent inflammation and the development of infection.
Chronic endometritis (inflammation of the lining of the uterus) often occurs after surgery. Such endometrium is defective, thinned, and cannot accept a fertilized egg. The result is infertility and miscarriage.
Hot injections in complex therapy prevent pathology of the uterine mucosa.
If you have been prescribed hot injections to saturate your body with calcium, then I recommend that you first pay attention to plant sources of calcium. Organic calcium is absorbed much easier and faster, absorbed entirely, and has no contraindications, consequences or side effects.
Indications for prescribing magnesium are an increased need for magnesium, which occurs when taking oral contraceptives, stress and nervous strain. Obstetricians are also very fond of it, which we will talk about in the next article.
Hot injections into a vein and their effect
Hot injections into a vein involve the injection of a drug saturated with calcium. The main purpose of hot injection is to increase the amount of calcium in the blood.
Hot injections into a vein can be administered intramuscularly or intravenously, it all depends on what task the doctor faces.
The injection is painful, so it is better to perform it in a lying position. In this case, you can reduce the pain.
A hot injection is often prescribed by a doctor to normalize blood pressure, adrenaline, and body temperature.
This will ensure that all requirements are met. With such an injection, various microelements enter the human body, which can affect the condition of the walls of blood vessels, blood clotting, and muscle contraction. So the appointment and execution of the injection is carried out only under the supervision of physicians.
Why do you need to give a hot injection into a vein? What is it and when is it prescribed? Calcium gluconate with an injection is prescribed if it is necessary to compensate for calcium deficiency, for the treatment of allergic, cardiovascular, and skin diseases.
Such injections must be prescribed if there is a deficiency of microelements. They are needed at a time when the body requires increased calcium levels. This is relevant during pregnancy and lactation.
Calcium gluconate will be required for impaired intestinal function. The drug helps eliminate the symptoms of renal, intestinal or biliary colic. It allows you to fight inflammatory processes in the body and signs of allergies.
Calcium gluconate is used during resuscitation. It is used as an antishock drug. If the patient has respiratory or renal failure, then hot injections should be administered with increased caution. The substance should not be administered if there is excess calcium in the body, if stable ventricular fibrillation is established.
The concept of "hot shot"
For most people who do not go into too much detail about the treatment, it becomes unclear why they are injected with a “hot” drug.
It seems that before the medicine is drawn into the syringe, it is heated. But this is not so - the very concept of “hot injection” means something else - it is the administration of a medicine that contains salts (inorganic and organic). How do salts affect the human body? As soon as the medicine is administered, the blood vessels dilate, so the person feels warmth throughout the body, which spreads or “slides” gradually down from the upper part of the body.
Calcium chloride
This trace element is needed for normal heart function, it improves blood clotting, helps in delivering signals to the brain, and is involved in the formation of bone tissue. After reviewing its functions, we can conclude that calcium must be used:
- pregnant women and women during lactation, because at this time a large amount of this microelement is required;
- people in whom, for various reasons, calcium is not absorbed by the intestines or, with a normal diet, the amount consumed does not reach the norm;
- as an additional drug in complex antishock therapy;
- as one of the means to eliminate allergic reactions and inflammation;
- patients with biliary, renal or intestinal colic;
- to improve blood vessels and reduce their permeability.
If such an injection is injected into a vein of small diameter, then there is a risk of causing a chemical burn to its mucous membranes, and this leads to various complications, such as thrombophlebitis and similar diseases. If calcium chloride accidentally gets into a muscle and not into a vein, the resulting necrosis cannot be eliminated without surgical intervention.
Before using this hot injection, the doctor must find out whether the patient’s body is susceptible to calcium gluconate. The injection is administered slowly; rapid administration can lead to cardiac arrest.
What cough is treated with hot injections of calcium gluconate: indications for use
Hot injection in medical practice is prescribed for the treatment of many pathologies. It is very effective in combating diseases and significantly reduces treatment time, but when administering such injections intravenously, care must be taken to avoid undesirable consequences.
The process of introducing a “hot” injection into the body requires medical knowledge and experience, because it is not a simple procedure. The ampoule with the substance must be warmed in your hands to room temperature.
The medicine is administered intravenously, because intramuscular administration may cause tissue necrosis at the injection site.
It is very important that the hot injection hits the vein to avoid chemical burns to the tissue next to the vessel. When the vein has a small diameter, the drug can cause a burn to its membranes. If the substance gets into the muscle, necrosis may form, which will have to be removed surgically.
To prevent undesirable consequences, injections are administered into the vein slowly and carefully, and the nurse monitors the patient’s condition. As the medicine spreads, heat begins to spread throughout the body; this sensation is not pleasant for everyone and causes discomfort.
Other side effects may also occur:
- nausea;
- vomit;
- disturbances in the functioning of the stomach;
- decreased heart rate;
- tissue necrosis at the injection site;
- weakness and dizziness.
Despite all the difficulties with the administration of such drugs, hot injections of calcium gluconate are very effective in treatment. Indications for use do not always allow the use of calcium gluconate; calcium chloride is often prescribed. What are their differences?
Calcium chloride is necessary for good functioning of the heart muscle and strengthening of blood vessels, in particular, to reduce their permeability. Calcium chloride normalizes blood clotting and is needed for the formation of bone tissue and the delivery of signals to the brain.
Calcium chloride is prescribed:
- Women during pregnancy and breastfeeding, due to the great need for such a microelement.
- Patients who cannot absorb calcium.
- With complex antishock therapy.
- For the treatment of allergies and inflammatory processes.
- Patients with colic (bilious, intestinal, renal).
- If necessary, improve the condition of blood vessels.
Hot injections of calcium gluconate, the indications for use of which describe that this drug is tolerated somewhat more easily by patients, can be administered intracardially (into one of the ventricles). Calcium gluconate is not injected into the muscle, nor is it prescribed in childhood due to the risk of necrosis.
Calcium gluconate is used:
- For the treatment of chronic diseases, such as kidney failure, persistent diarrhea.
- In the treatment of pathologies of the respiratory system - bronchial asthma, tuberculosis.
- In the complex treatment of allergies, skin pathologies, inflammatory processes.
- To strengthen the walls of blood vessels and the heart.
The need for such injections for children is determined by the attending physician, taking into account the discomfort from this procedure. During pregnancy, in order to reduce the tone of the uterus and avoid miscarriages or premature births, magnesium sulfate or magnesia is prescribed, which are also “hot” injections.
Patients get used to the discomfort of such injections. It is important to understand for the first time what is happening to the body. A feeling of heat spreads from top to bottom, it seems that involuntary urination has occurred or you really want to go to the toilet. But all these unpleasant sensations quickly pass. To alleviate the condition, the patient is asked to breathe, lie down, or interrupt the administration of the medication for a few seconds.
“Hot injection” helps restore calcium deficiency in the body. The injection of calcium chloride is called a “hot injection”, since when this drug is administered, a feeling of warmth appears, which gradually fills the entire body.
International nonproprietary name: calcium chloride. A solution for intravenous administration, which is a clear, colorless liquid with a concentration of active substance of 100 mg per milliliter. Ampoules made of polymer material with a volume of 5 or 10 ml are packaged in a cardboard box along with the accompanying annotation.
Due to the characteristic warm wave sensation that accompanies the injection of calcium chloride into a vein, it is more commonly known as a “hot shot.” Why is it made? The range of applications is wide, since calcium is involved in many metabolic processes in the body.
“Hot injection” or injection of magnesia
Expectant mothers who have undergone treatment with “hot” injections have their own opinion on this matter. Most women shared their feelings: as soon as magnesium is introduced, it seems that the lower part of the body has become so hot that it is unbearable to endure. And also, many expectant mothers said that they felt spontaneous urination. Actually this is not true.
Magnesia or magnesium sulfate is prescribed to many pregnant women to reduce the tone of the uterus and maintain pregnancy (if there is a threat of miscarriage or even premature birth).
What is very important for the correct administration of a drug?
MirSovetov draws the attention of readers to the following points:
- Magnesium is administered only intramuscularly and preferably into the upper gluteal quadrant. There is a lot of muscle tissue in this place.
- The drug is administered very, very slowly so that the medicine does not stagnate in the muscles.
- It is necessary immediately after inserting the needle into the muscle, make sure that it is not in a small artery or blood vessel (the syringe plunger must be pulled towards you).
Pregnant women tolerate magnesium injections well, but immediately after administering the medicine, you need to lie down for a while. You can’t get up and run suddenly, so as not to get dizzy. There were cases when women even lost consciousness if they suddenly got up from the couch after the injection.
In some cases, magnesia is prescribed together with novocaine.
In addition to maintaining pregnancy, magnesium injections are prescribed for the following diseases:
- late toxicosis in pregnant women (eclampsia);
- with a lack of magnesium in the body (not only in pregnant women);
- high blood pressure;
- epilepsy;
- stagnation of urine;
- severe poisoning (to remove lead, arsenic and mercury);
- disturbances of blood supply and oxygen starvation of the brain;
- tachycardia.
What are the contraindications for administering magnesium sulfate:
- low pressure;
- the drug is not administered before childbirth;
- when taking other drugs with calcium;
- with a low heart rate.
An overdose of the drug causes dizziness, breathing problems and drowsiness.
- redness of the skin (flaming face);
- nausea and vomiting;
- decreased blood pressure;
- headache.
Now you know that the concept of a “hot injection” can be different, that is, the patient is prescribed different drugs, taking into account his condition. So, you need to know that pregnant women should not be administered calcium gluconate and calcium chloride, so as not to provoke a miscarriage. But magnesium is well tolerated and, on the contrary, helps stop the tone of the uterus (miscarriages and premature births).
In addition, you also need to know that the introduction of the first 2 drugs (calcium chloride and calcium gluconate) can lead to tissue necrosis. The drug must be injected into a vein (of sufficient diameter) to prevent the development of a chemical burn on the vein walls.
If, due to his inexperience, a healthcare worker does not enter a vein and puts the medicine under the skin, then serious consequences are possible (this is necrosis and suppuration of tissues). Then the patient feels heat and a strong burning sensation instantly, after administering the first drops of the medicine.
Remember that you cannot self-medicate; you should not prescribe “hot injections” to yourself, because their incorrect administration can lead to dire consequences (even death). Remember that only a doctor, after examining the patient and studying the tests, can prescribe appropriate treatment. Be healthy!
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Many patients, when telling their loved ones or relatives about the treatment that was once prescribed to them for various diseases, often recall a hot injection. The feeling of warmth slowly spreading throughout the body, sometimes turning into heat - this feeling is remembered for a long time. If a person has been given a hot injection at least once in his life, the memory of this remains forever.
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What is a hot shot
A hot injection is, first of all, an individual reaction of each patient to a fairly rapid intravenous jet injection of calcium chloride. Most often, such reactions occur when prescribing such medications that contain inorganic and organic salts - substances that are involved in the regulation of neuromuscular transmission in the patient’s body.
Typically, the drug “Calcium chloride” is prescribed for a lack of calcium in the body, for the treatment of certain allergic and skin diseases, and for inflammatory processes. The method of administering calcium chloride is intravenous or intramuscular injection.
How and where to give a hot injection
When prescribing the drug “Calcium Chloride”, the doctor must ask whether calcium drugs have been prescribed previously and how the patient tolerated their administration, whether there was a difference when performing intramuscular or intravenous injections. This is especially important when choosing where to inject. When administering any such drug into a vein, it is necessary to select a vessel of sufficient diameter. Otherwise, when performing an injection, thrombophlebitis may develop due to a chemical burn of the thin inner layer of the vein wall.
If any such drug, especially a chloride injection, accidentally gets under the skin, the patient may experience necrosis of the subcutaneous fat with the development of severe suppuration and the need for surgical treatment of this complication.
In some cases, a feeling of warmth may occur with fairly rapid administration of calcium gluconate or magnesium sulfate intramuscularly - in this case, it is important to inject the prescribed drug deep enough into the thickness of the muscle. That is why such a hot injection can only be performed in large accumulations of muscle tissue, most often in the gluteal muscle, and only in the outer upper quadrant of the buttock. When performing a medical appointment, you need to make sure that the needle does not fall into a blood vessel - to do this, simply pull the syringe plunger slightly towards you.
In what cases is a hot injection prescribed?
It is important to remember that in any case, a hot injection, regardless of what disease or pathological condition such treatment is prescribed for, should be administered only after consultation with a qualified and experienced physician. Calcium, magnesium, chlorides, sulfates that enter the body with such an injection can affect the permeability of the vessel wall, heart contractions, blood clotting processes, transmission of neuromuscular impulses, contractions of smooth and striated (skeletal) muscles. Therefore, such medicinal substances in any form and method of administration must be prescribed according to strict indications.
When stopping an allergy attack or treating long-term allergic reactions (dermatitis, dermatoses, bronchial asthma, inflammatory processes with an allergic component), calcium preparations can be prescribed intramuscularly or intravenously. The doctor must monitor the patient's condition at the time of injection and immediately after it.
The feeling of heat and warmth after the administration of a hot injection passes quite quickly, without causing pain or any unpleasant sensations if this medical procedure is performed correctly.
If you have been prescribed a hot injection of calcium chloride, the indications for use and contraindications must be taken into account. This is not a simple intravenous injection. It is accompanied by the occurrence of unusual sensations when the whole body is engulfed in intense heat. Such a reaction can confuse or even frighten a person who is encountering the use of the drug for the first time.
What's hot about a hot shot?
I’ll say right away, nothing. Regular injection at room temperature. But during the administration of the medicine, heat spreads throughout the body from head to toe. Sometimes redness even appears on the face, neck, chest, especially in fair-skinned girls.
This reaction is the result of the action of inorganic and organic salts injected into a vein or muscle. Solutions of calcium and magnesium salts cause vasodilation, which causes a wave of heat to wash over you.
But don't be alarmed, this condition passes quickly.
Interesting! The effect of calcium chloride was previously used in medicine to assess the speed of blood flow - the time from the moment of administration to the appearance of a feeling of heat was measured.
The body temperature does not change. But dizziness, nausea and even loss of consciousness are possible if the nurse injects the drug into a vein quickly.
If you have low blood pressure, often feel dizzy and you have been prescribed hot injections, be sure to warn the nurse and ask them to give the injection very slowly. And eat before the injection; never come to the procedure hungry.
The most common drugs in the hot series are calcium gluconate, calcium chloride and magnesium .
They are similar only in the sensation they cause; the effect on the body is different. Why are they needed?
What is a hot shot?
A hot injection is an injection of drugs that contain organic and inorganic salts.
Many patients are mistaken in believing that the product is heated before use. However, the appearance of sensations of warmth and heat is caused by the individual reaction of the body. Such injections are sometimes prescribed as part of the treatment of certain diseases, both somatic and infectious. A similar effect is given by “Calcium Chloride”, “Calcium Gluconate”, “Magnesia”.
Hot injections - indications for use
What is the “hot injection” (calcium chloride) used for? Indications for use are as follows:
- various allergic manifestations (urticaria, angioedema, allergic dermatoses);
- serum sickness;
- reduced calcium content in the body;
- hot injection in gynecology is used to correct disorders that contribute to the development of algodismenorrhea;
- lead colic;
- excess potassium in the body;
- overdose of magnesium compounds.
Contraindications
Use is contraindicated in the following cases:
- increased susceptibility of drug components;
- excess calcium in the body (this condition will be called hypercalcemia);
- severe chronic renal failure;
- ventricular fibrillation;
- diagnosed or suspected urolithiasis, as well as diagnosis of signs of urolithiasis in the anamnesis;
- sarcoidosis;
- severe atherosclerosis;
- predisposition to thrombosis;
- use of cardiac glycosides;
- pregnancy period;
- breastfeeding period.
Situations requiring caution
Caution should be exercised in the following cases:
- chronic renal failure and other kidney diseases;
- dehydration due to water-salt imbalance (in this case there is a risk of hypercalcemia);
- cardiac pathologies (there is a risk of heart rhythm failure);
- pulmonary heart;
- respiratory acidosis;
- respiratory failure (there is a possibility of calcium oxidation and possible toxic reactions).
Cross-drug interactions
You cannot simultaneously use preparations containing lead salts and monovalent mercury, as this can lead to the formation of insoluble compounds.
Use with drugs from the tetracycline group is not allowed.
During the use of calcium channel blockers, a decrease in their therapeutic effectiveness is observed.
Taking Quinidine may cause deterioration of intraventricular conduction, which significantly increases the risk of toxic effects of quinidine.
Parenteral administration of drugs is not recommended, since there is a high probability of increased cardiotoxic effects with the simultaneous use of cardiac glycosides.
Application
The drug is intended for intravenous administration only.
Calcium chloride should be excreted slowly , the maximum rate of administration should be 0.75−1.5 ml per minute.
Before infusion, it is recommended to warm the ampoules with the solution to a temperature close to body temperature.
Before administration, the calcium chloride solution : 5−10 ml of a 10% solution of the drug in 100−200 ml of physiological sodium chloride solution or dextrose.
After the infusion, the patient should remain in a lying position for some time.
For allergic reactions, the recommended dose is 7.5 -15 ml of 10% calcium chloride solution. For allergies, it is recommended to combine calcium chloride with antihistamines .
For lead colic, administer 7.5 - 15 ml of the product.
In case of overdose of magnesium salts, 7.5 - 15 ml is recommended.
Acute hypocalcemia requires the administration of 7.5 - 15 ml over 1 to 3 days, depending on the severity of the patient's condition, and subsequently, if necessary, it is recommended to re-administer the same dose every 1-3 days under the control of blood counts.
For hypocalcemic tetany, administration of 5 to 17.5 ml of calcium chloride solution every 8 hours is indicated. Infusions should be continued until a stable therapeutic effect is achieved.
In case of hyperkalemia, the administration of calcium chloride solution is carried out under strict cardiogram control. A single dose is 2.45 - 15 ml; if necessary, the infusion should be repeated.
For children, the dose of this drug is determined at the rate of 0.3 ml per kilogram , and the maximum daily dose should not exceed 15 ml.
Mode of application
Intravenous administration of the solution is carried out slowly (6-8 drops/min). Introduce 1-3 ampoules of calcium chloride with a 10% solution, diluting it with 100-200 ml of sodium chloride solution or 5% dextrose solution.
The product is taken orally after meals two to three times a day. Usually they drink a 5-10% solution. Adults should take 10-15ml at a time, children - 5-10ml.
In cosmetology, calcium chloride is used for peeling oily skin. To carry out the procedure, apply to the face twice, wait until it dries and wash off the solution with soap. Dead cells will roll off the face in clumps, and the face will be washed until they are all washed off.
Application for skin peeling
Calcium chloride solution has also found application in cosmetology - as a means for peeling oily and normal skin. The solution is applied to clean facial skin (avoiding the areas around the eyes), wait until it dries and repeat the procedure, then, running soap foam along the massage lines using a cotton pad or on your fingertips, cleanse the face. Dead skin cells roll into flakes and are easily removed; the face is washed until the lumps are completely removed. At the end of the procedure, the face is washed with warm water, without wiping with a towel and allowing the water to be absorbed into the skin. Before using Calcium chloride for peeling, it is recommended to carry out a test for safety of use - drop a few drops of the solution into the area of the back of the elbow and wait 10-15 minutes for possible signs of an allergic reaction. If undesirable effects occur, peeling should not be performed.
Side effect
When administered intravenously, the side effect is expressed as follows:
- a feeling of heat starting in the mouth and further spreading throughout the body and legs, to the knees;
- feeling of a chalk taste in the mouth;
- dilatation of peripheral vessels;
- arterial hypotension;
- bradycardia;
- nausea;
- fainting;
- upon contact with the skin, severe irritation occurs, followed by necrosis of soft tissues;
- at the site of drug administration, skin hyperemia, pain, and skin rashes are possible;
- If administered too quickly, there is a risk of developing ventricular fibrillation and heart failure, including cardiac arrest.
Overdose
Manifestation of overdose - hypercalcemia: nausea, thirst, constipation, polyuria, abdominal pain, muscle weakness, mental disorders, arrhythmia, coma.
Symptoms are more pronounced in patients with chronic renal failure.
- Mild degree. The infusion should be stopped and all calcium-containing medications should be discontinued.
- Severe (more than 2.9 millimoles per liter). The administration of an isotonic solution of sodium chloride of non-thiazide diuretics is indicated, if necessary, the administration of potassium and magnesium preparations, monitoring of cardiac activity and blood counts.
Actions in case of overdose : if the need arises, administration of beta-blockers and hemodialysis are indicated.
Drug interactions
The activity of slow calcium channel blockers is reduced. The effectiveness of non-depolarizing muscle relaxants decreases with increasing duration of action of tubocurarine.
Not compatible with tetracyclines, magnesium sulfate, phosphorus salts. The ability to enhance the effect of cardiac glycosides is recorded.
pharmachologic effect
Calcium chloride replenishes the lack of calcium in the body - an important element that takes part in the activity of the myocardium, bone formation, blood clotting, and muscle contraction.
The drug reduces the permeability of the vascular wall and cells, prevents inflammation, increases resistance to infections, and enhances the release of epinephrine by the adrenal glands.
There are good reviews about Calcium chloride, that when administered intravenously, the drug stimulates the sympathetic part of the nervous autonomic system and has a moderate diuretic effect.
Pharmacodynamics and pharmacokinetics
Calcium chloride - what is it?
When asked what calcium chloride is, Wikipedia answers that it is a drug that is used to treat hypocalcemia in conditions that require a rapid increase in calcium levels in the blood.
The substance is a calcium salt of hydrochloric (hydrochloric) acid. Its formula is CaCl2. The crystal lattice of calcium chloride is ionic.
Calcium chloride - what is it?
This is another name for the drug; there is also the name “calcium chlorine”.
Pharmacodynamics
The drug helps to replenish Ca2+ deficiency, without which the process of transmission of nerve impulses cannot normally occur, muscles (smooth and skeletal) cannot contract normally, myocardial activity, the process of blood clotting, and the formation of bone tissue are disrupted.
The action of calcium chloride is also aimed at preventing the development of inflammatory reactions, reducing the permeability of cells and vascular walls, and increasing the body’s ability to resist infections. In addition, the drug significantly enhances phagocytosis (in particular, if it decreases after taking sodium chloride).
Calcium chloride administered intravenously stimulates the sympathetic division of the ANS (autonomic nervous system), has a moderate diuretic effect, and increases the release of adrenaline by the adrenal glands.
Pharmacokinetics
Approximately 20-30% of the solution taken orally is absorbed in the small intestine; the rate of absorption depends on pH, diet, the presence of vitamin D and the presence of factors that can bind Ca2+.
Absorption increases with Ca deficiency in the body, as well as when using a diet with a reduced Ca2+ content.
In plasma, approximately half of the dose taken (about 45%) is in a protein-bound state. About 20% of the substance is excreted in the urine, the remaining 80% is excreted in the intestinal contents.
Analogs
Among the numerous analogues, the following drugs can be distinguished:
- Sodium chloride is a colorless solution in which sodium chloride is the active component. It is used intravenously, intramuscularly and subcutaneously, and is removed from the vascular system quite quickly. Sodium, chlorine and water are removed through the paired organ; a minimal amount of sodium is removed in sweat and feces.
- Glucosil is a biologically active complex that optimizes glucose levels, improves the performance of the pancreas and digestive tract, prevents the formation of atherosclerotic changes in the vascular system, improves microcirculation, and has an antispasmodic effect. The drug is able to perfectly support the body in diabetes mellitus and improves overall tone.
- Reamberin - used intravenously by drip. The dosage and rate of administration are determined by the doctor, taking into account the individual characteristics of the patient and the disease. An adult can administer no more than two liters of the drug per day. In case of severe illnesses, Reamberin can be supplemented with infusion treatment, including a blood substitute.
- Xylate – reduces intoxication, improves microcirculation, and partially replenishes carbohydrates destroyed by diabetes. Recommended for acute purulent diseases, infections, toxic hepatitis. The medicinal composition is administered intravenously by drip.
- Magnesium sulfate may be used occasionally as a laxative for constipation to prepare the large intestine for examination. It is also recommended in cases of poisoning with soluble barium salts. Contraindicated for women during pregnancy; for nursing mothers it can be prescribed by the attending physician in exceptional cases.
Ampoules Calcium chloride, instructions for use (Method and dosage)
According to the instructions for use, calcium chloride should be administered intravenously by stream (very slowly!) or drip (6 drops/min.) method. It is also possible to administer the drug using electrophoresis.
When infusing a solution by drip, a single dose of the drug (5-10 ml) should be diluted in 100-200 ml of 0.9% NaCl solution (5% glucose solution). With the jet method of administration, the patient is injected with 5 ml of calcium chloride over 3-5 minutes.
The duration of the course is determined by the nature of the disease and the severity of its symptoms, as well as the achieved therapeutic effect.
The daily dose is selected depending on the age of the patient: adults are prescribed 5-10 ml/day, children under one year old 0.5 ml/day, 1-3 years old - 1-2 ml/day, 4-6 years old - 2-3 ml/day, 7-12 years old - 3-5 ml/day. The medicine should be administered in fractional doses 3-4 times a day.
A normal reaction to the introduction of a solution into a vein is a feeling of heat in the mouth, and then throughout the body.
Calcium chloride, instructions for oral use
Is it possible to drink and how to do it? Calcium chloride is taken internally in the form of a 5-10% solution 2 or 3 times a day. For one dose, an adult is prescribed 10-15 ml, a child - 5-10 ml.
Using the solution for allergies
Calcium deficiency in the body leads to serious metabolic disorders and increased allergic reactions.
The condition of the blood vessels and their permeability directly depend on the concentration of this microelement: the more calcium in the blood, the less permeable the vessels are, and this in turn prevents substances that can cause an allergic reaction from entering the bloodstream and their distribution throughout the body.
First of all, calcium supplements for allergies are useful for children. This is explained by the fact that the child’s body spends a huge amount of calcium on the growth and formation of bone tissue. As a result, the level of this trace element in all other organs may be reduced.
However, it should be remembered that it is impossible to cure allergies with calcium supplements alone. As a rule, calcium chloride, gluconate or glycerophosphate are prescribed in combination with other drugs.
Reviews
Natalya Kushnareva, 43 years old, Makhachkala
I was given calcium chloride intravenously in the hospital. It caused simply terrible feelings - a rush of heat. The nurse administered the solution very slowly, but it still felt like it was literally burning through my veins. I think that without strict indications, it is better to use something else for treatment.
Marina Nikolaenko, 31 years old, Rivne
I was prescribed calcium chloride to drink for allergic dermatitis. It’s not very pleasant - it tastes terrible, but in combination with other medications it helped me a lot.
Pavel Nazarov, 49 years old, Novosibirsk
All my life I have been allergic to almost everything that blooms. And ragweed broke all my records - runny nose, tears, cough... The allergist prescribed me to drink a solution diluted with water. For many years now I have been starting to drink it during a dangerous period for me. I feel much better with him. If it tasted better, it could be considered an ideal remedy.