You may have Lyme disease or you may use Bicillin for other reasons but there are a few tings you need to know before injecting. I learned by trial and error and word of mouth by pros. The nurse took the shot straight from the refrigerator cold and injected it in my buttocks.
The only tip I got from the nurse was to use the scratch method, where you scratch the area as you push on the plunger. I was also told to use an ice pack.
I felt a little lost when I had to do my first injection. These are the things that help me and gave me a little less pain the following days after injection. It is a lot less painful and easier if you have a friend, nurse, spouse, or family member do the actual injection. I bought one at a local pharmacy and it is microwavable. You can Ice the area but the heat is better.
This will help when you get rid of the air bubbles and help the injection go in faster. Then try to push the air bubbles out of the syringe while trying not to waste any Bicillin. Dorsogluteal Muscle: This is the large muscle in the backside. Divide one buttock into quadrants, halfway down the middle and halfway across.
You will always want to give the injection in the outer, upper quadrant, almost toward the hip. Do not touch the area after prepping with anything.
You may choose to inject while standing up and if so put all of your weight on the opposite side of the butt cheek you are using for the injection. Stand on right leg if injecting into the left buttock and so on. The best method is to lay down flat and relax your buttocks as much as possible. Standing up seemed to cause more pain for days and a hematoma one time. Pull the cap off and be careful the needle is really sharp.
Aim the needle at the area you have marked and pull your skin apart with your finger to tighten the skin.
Now you can choose to dart the needle in quickly or I prefer to stick it in slowly and work the needle down. Once the tip is in you cannot really feel the needle going into the muscles tissue. You want the syringe to be straight up and down 90 degrees — picture and not in any angles. Aspirate at the injection site while syringe and needle are within the muscle by holding the barrel of the syringe with the non-dominant hand and pulling back on the syringe plunger with the dominant hand.
If blood appears in the syringe, it is an indication that a blood vessel may have been punctured. The needle and syringe should be immediately withdrawn and a new injection prepared. If no blood is aspirated, continue by slowly injecting the medication at a constant rate until all medication has been delivered.
The Bicillin injection takes on average minutes to inject all of the Bicillin into the muscle. It is a slow process. The harder you push down on the plunger the more painful. Slow and steady works best. Make sure all of the Bicillin is out of the syringe. Now you can chose to pull the needle out quickly or take it out slowly.Forgot your password?
Or sign in with one of these services. Re: Bicillin prefilled syringe. I read online that you should not push air from the needle prior to injection because it could compromise visualization of blood during aspiration.
This is due to the thickness of med. I asked a doc friend about this and he said it should be pushed out prior to injection. Would someone with experience in administering Bicillin prefilled share? Thank you! I do not push out air bubble, as it is needed for the z-track method of injection.
By using this site, you consent to the placement of these cookies. Patient Medications. World Leaders. Or sign in with one of these services Sign in with Google. Sign in with Facebook. Nurses Patient Medications Bicillin injections. Share this post Link to post Share on other sites. Jun 16, by ashleyjean3.
Bicillin LA Dosage
I don't push it out either, I was always taught that it ensures all the meds get to the pt! Jun 16, by cookienay. Jun 16, by lene Injections for nephew with chronic lymes. This topic is now closed to further replies.
OK, Got It.Forgot your password? Or sign in with one of these services. I work for a Dr. For some patients, the Dr. Usually the dose is 1. The Dr. His reasoning is that while it is a large injection, it is easier on the patient overall rather than splitting into two sites, since the injections can be alternated between buttocks every other week. The manufacter supplies the 2. Adminstering this volume with this needle has been a pretty uncomfortable experience for most of my patients.
It doesn't matter what the solution being injected is, you should never inject more than three mls in one buttock. I inject the solution into another syringe, attach another needle, and off I go. Some people have said that since the mfg makes a 4ml pre-filled syringe, then it must be okay to give that much in one site.
I will see if the Dr. Even a 2ml Bicillin shot is painful. Go with what you were taught in school. Just because the manufacturer supplies it that way doesn't make it right. Only problem with changing needles on bicillin is that the end of the prefill needle which is inside the syringe has a small curve in it which brings it close to the glass.
This way when you aspirate, if any blood were to come back, it would come up against the glass and you would see it. On a standard needle this would not happen - the aspirated blood would come up in the middle of the bicillin where it would be invisible and then the bicillin could accidentally be injected IV leading to immediate cardiorespiratory arrest and death.
That is a safety measure the manufacturer has provided - I wouldn't advise disposing of that - see this FDA advisory for further information - there is a diagram on page 2 that explains it:.To reduce the development of drug-resistant bacteria and maintain the effectiveness of Bicillin C-R and other antibacterial drugs, Bicillin C-R should be used only to treat or prevent infections that are proven or strongly suspected to be caused by bacteria.
Bicillin C-R penicillin G benzathine and penicillin G procaine injectable suspension contains equal amounts of the benzathine and procaine salts of penicillin G. It is available for deep intramuscular injection.
Penicillin G benzathine is prepared by the reaction of dibenzylethylene diamine with two molecules of penicillin G. It is chemically designated as 2 S ,5 R ,6 R -3,3-Dimethyloxo 2-phenylacetamido thiaazabicyclo[3. It occurs as a white, crystalline powder and is very slightly soluble in water and sparingly soluble in alcohol.
Its chemical structure is as follows:. Penicillin G procaine, 2 S ,5 R ,6 R -3,3-Dimethyloxo 2-phenylacetamido thiaazabicyclo[3. It occurs as white crystals or a white, microcrystalline powder and is slightly soluble in water. Bicillin C-R injectable suspension in the disposable-syringe formulation is viscous and opaque.
Penicillin G benzathine and penicillin G procaine have a low solubility and, thus, the drugs are slowly released from intramuscular injection sites. The drugs are hydrolyzed to penicillin G. This combination of hydrolysis and slow absorption results in blood serum levels much lower but more prolonged than other parenteral penicillins.
Intramuscular administration ofunits of Bicillin C-R in adults usually produces peak blood levels of 1. Intramuscular administration of 1, units of Bicillin C-R in adults usually produces peak blood levels of 2. The drug is distributed throughout the body tissues in widely varying amounts. Highest levels are found in the kidneys with lesser amounts in the liver, skin, and intestines. Penicillin G penetrates into all other tissues and the spinal fluid to a lesser degree.
With normal kidney function, the drug is excreted rapidly by tubular excretion. In neonates and young infants and in individuals with impaired kidney function, excretion is considerably delayed.Generic Name: penicillin G benzathine Dosage Form: injection, suspension.
Medically reviewed by Drugs. Last updated on Nov 1, To reduce the development of drug-resistant bacteria and maintain the effectiveness of Bicillin L-A and other antibacterial drugs, Bicillin L-A should be used only to treat or prevent infections that are proven or strongly suspected to be caused by bacteria.
Bicillin L-A penicillin G benzathine injectable suspension is available for deep intramuscular injection. Penicillin G benzathine is prepared by the reaction of dibenzylethylene diamine with two molecules of penicillin G. It is chemically designated as 2 S5 R6 R -3,3-Dimethyloxo 2-phenylacetamido thiaazabicyclo[3. It occurs as a white, crystalline powder and is very slightly soluble in water and sparingly soluble in alcohol. Its chemical structure is as follows:. Bicillin L-A suspension in the disposable-syringe formulation is viscous and opaque.
It is available in a 1 mL, 2 mL, and 4 mL sizes containing the equivalent ofactual volume of 1. Penicillin G benzathine has an extremely low solubility and, thus, the drug is slowly released from intramuscular injection sites. The drug is hydrolyzed to penicillin G. This combination of hydrolysis and slow absorption results in blood serum levels much lower but much more prolonged than other parenteral penicillins. Intramuscular administration ofunits of penicillin G benzathine in adults results in blood levels of 0.
Similar blood levels may persist for 10 days following administration ofunits and for 14 days following administration of 1, units. Blood concentrations of 0. The drug is distributed throughout the body tissues in widely varying amounts. Highest levels are found in the kidneys with lesser amounts in the liver, skin, and intestines. Penicillin G penetrates into all other tissues and the spinal fluid to a lesser degree. With normal kidney function, the drug is excreted rapidly by tubular excretion.
In neonates and young infants and in individuals with impaired kidney function, excretion is considerably delayed. Penicillin G exerts a bactericidal action against penicillin-susceptible microorganisms during the stage of active multiplication. It acts through the inhibition of biosynthesis of cell-wall peptidoglycan, rendering the cell wall osmotically unstable.
Penicillin is not active against penicillinase-producing bacteria or against organisms resistant to beta-lactams because of alterations in the penicillin-binding proteins.Medically reviewed by Drugs. Last updated on Nov 13, Adults—a single injection of 1, units; older pediatric patients—a single injection ofunits; infants and pediatric patients under 60 lbs. Primary, secondary, and latent—2, units 1 dose. Late tertiary and neurosyphilis —2, units at 7-day intervals for three doses.
Following an acute attack, penicillin G benzathine parenteral may be given in doses of 1, units once a month orunits every 2 weeks. In neonates, infants and small children, the midlateral aspect of the thigh may be preferable. When doses are repeated, vary the injection site.
Because of the high concentration of suspended material in this product, the needle may be blocked if the injection is not made at a slow, steady rate. Parenteral drug products should be inspected visually for particulate matter and discoloration prior to administration whenever solution and container permit. Always consult your healthcare provider to ensure the information displayed on this page applies to your personal circumstances.
Bicillin L-A reviews. The easiest way to lookup drug information, identify pills, check interactions and set up your own personal medication records. Available for Android and iOS devices. Subscribe to Drugs. This material is provided for educational purposes only and is not intended for medical advice, diagnosis or treatment.
We comply with the HONcode standard for trustworthy health information - verify here. Skip to Content. Overview Side Effects Dosage Professional Interactions More Streptococcal Group A Upper Respiratory Infections for example, pharyngitis Adults—a single injection of 1, units; older pediatric patients—a single injection ofunits; infants and pediatric patients under 60 lbs. Syphilis Primary, secondary, and latent—2, units 1 dose.
Yaws, Bejel, and Pinta —1, units 1 injection.
Prophylaxis —for rheumatic fever and glomerulonephritis. Antibiotics Drug Status Rx. Availability Prescription only. Drug Class. Natural penicillins. Related Drugs.Just get a lidocaine shot prior. No pain at all. Not sure why no one else is doing this. Sunday, June 21, Bicillin Injections.
I have a pain tolerance of a superhero, so to me most of the time, these are not painful. They are uncomfortable and sometimes, if you go through an artery it can result in pain and a large bump. Overall, the pain I feel daily, and the pain I have felt over the course of the last five years is far greater than these IM Bicillin injections.
In fact I enjoy getting these, because I know how much they are helping me. Currently, I go to a separate Dr. I have not done the shots in the shoulder because the needle is too long. Also, I have not done the thigh. To rotate sights, you do, upper right, upper left, lower right, lower left.
Keep track and inform the person giving you the shot, where it needs to be done. You must check for blood. If you don't do this, you could inject into a vein or artery, and that would not be good. I stopped heating mine, because I usually went to work directly afterwards, but when I got to work I would jump rope and apply light pressure to the area.
Heating helps the injection site feel better. They will say things like Don't ignore these comments, because they make good comments too. If you get a large bump, there is nothing really you can do about it, other than avoid hitting it.
The golf balls are pretty painful to touch, but go away in a week. I find that these shots have given me more mental clarity and more energy.
I have done them for about 3 months and I am currently in the process of stopping them. I'm moving on to my next level of treatment Here is an updated treatment video that goes into my new treatment plan.