A manual of hypodermatic medication : The treatment of diseases by the hypodermatic method / by Roberts Bartholow.

  • Bartholow, Roberts, 1831-1904.
Date:
[1882], ©1882
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Licence: Public Domain Mark

Credit: A manual of hypodermatic medication : The treatment of diseases by the hypodermatic method / by Roberts Bartholow. Source: Wellcome Collection.

    49/374 (page 45)
    Bony prominences should also be avoided, for in these situations the skin is not sufficiently loose to permit the ready entrance of the fluid, aud inflammation and abscess will follow a too forcible injection. The puncture should uot he made, as a rule, into inflamed parts. I have known a bad phleg¬ mon produced by injection into the tissues of an inflamed wrist. It is not necessary to follow the original method of Wood, and inject into those points in which pain can be awakened by pressure. Some excep¬ tions to this rule undoubtedly exist, as will here¬ after be shown, but they are not numerous. The arm, the outer face of the thighs, the calves, the abdomen, and the back are suitable places for the injection. The arm, about the insertion of the deltoid, is generally selected. Eulenberg makes the assertion that the effect is slower when the injection is made in the back than in any other situation.* I have not been able to observe any difference in the rapidity of effect as influenced by the site of the puncture. If, as sometimes happens, the patient prefer injection into the painful part, it will be well to yield to his prejudices, provided no contra-indication exist thereto. If the patient be timid and intolerant of pain, the sensibility of the skin may be lowered by * Die hypodermatische Injection, etc., op. cit., p. 62. 4*