How to make a drip at home. Topic: Parenteral method of introducing drugs into the body (intravenous drip infusions)

Why you shouldn't put drips
I recently received a letter. A real paper letter, the kind I haven't received in a while. A letter from a reader of my books from a distant Siberian city. I thought that for a 75-year-old woman who was not too lazy to put her thoughts on paper by hand, I should answer in detail and just as diligently. Here is the correspondence:
"Hello, dear Anton Vladimirovich.
Pensioner S.I. is writing to you. I am 75 years old, but I want, I really want to live. Lust for life grows stronger with age. That's why I bought your 4 books, waiting for the release of the fifth. Having carefully read all your books and Alexander Myasnikov's Rust, I was confused. Everything that my cardiologists and neurologists treat me with is crossed out by you. In the second book, you and Dr. A. L. Myasnikov, whose programs I always watch, deny the treatment of elderly people with droppers. “There is no point, no benefit in such treatment.” You, Anton Vladimirovich, and Alexander Leonidovich consider drugs useless: actovegin, cerebrolysin, mexidol, mildronat, cavinton. And for many years, these drugs have been prescribed to me by our doctors. And what now to accept and drip? What alternative can you suggest? I've given up after reading your books. day hospital and drips!!! I sit and think how to be treated. The cardiologist suggested a course of treatment in spring and autumn with preductal. How do you think? A.L. Myasnikov writes that, it turns out, all over the world, except for Russia, Corvalol and Valocordin are not sold in pharmacies. And what should we take now if the heart suddenly hurts ??? I won't put my mind to it.
I really hope for an answer."

Dear S.I.,
treatment idea cardiovascular disease courses of injections and droppers dates back to the middle of the last century, when there were slightly different ideas about human physiology and pharmacology. Many years have passed since then. Science has advanced a lot, many new groups of drugs have appeared. However, during the Iron Curtain and the division of science into Soviet and bourgeois, the inhabitants of the USSR were actually cut off from the achievements of world science in general and pharmacology in particular. Doctors trained in the middle of the last century continued to treat their patients in the "grandfather's way" and, what is worse, to train the next generation of students and young doctors. In the 90s of the XX century, the "iron curtain" collapsed, all the achievements of world science became available to Russian specialists, it would seem that it's time to catch up and bring medical practice in accordance with the best world approaches, but, no - the vast majority of doctors continued to stubbornly copy the traditions and mistakes of "scientific schools" half a century ago.
Let's see what is the fallacy of using droppers and injections in the treatment of diseases of the heart and blood vessels. Let's start with the fact that the notorious dropper is just a way to quickly deliver a drug into the blood. Intravenous drip administration of drugs can be used only in cases where it is necessary to deliver as quickly as possible high doses drug into the body (eg, antibiotics for pneumonia, blood clot-dissolving drugs for myocardial infarction, chemotherapy for oncological diseases). In all other cases, doctors try to follow the path of the most gentle delivery of the drug into the body - in the form of tablets and capsules. Such treatment avoids many complications - you probably know firsthand the "bumps" and bruises at the injection site. I assure you, this is far from the worst thing that happens from droppers and injections.
In addition, taking drugs in tablets allows you to maintain the concentration of the drug in the blood at almost the same level during the day, which is very important for the treatment of diseases such as hypertension, diabetes etc. Are you worried about the possible side effects of tablets on the stomach and liver? I assure you, most drugs are quite safe in this regard; smoking and alcohol damage the stomach and liver much more, but for some reason no one thinks about it.
Let's see if there is any point in the drugs that you and our other patients are offered to drip and inject?
Antispasmodics (magnesia). The idea of using antispasmodics for hypertension again goes back to the concept of vasospasm of the early-middle of the last century. Now we understand that the mechanisms of development of hypertension are much more complicated. Moreover, the older a person becomes, the stiffer the arteries become and the less room there is for the “spasm” mechanism in the development of any vascular diseases.
Actovegin, Cerebrolysin, Cortexin. These are protein extracts from the brain and other tissues of livestock (cows and pigs). Numerous studies have proven that they do not add intelligence to a person, but can cause serious complications (for example, Actovegin is banned in most countries due to the threat of the spread of the so-called "mad cow disease").
Cavinton, tanakan. In most countries, these drugs are either registered as food (biologically active) supplements or banned altogether. We are well aware that Cavinton (periwinkle lesser or coffin herb) can provoke rhythm disturbances. Tanakan (gignko biloba) has also not been shown to improve memory or other brain functions in studies.
Mexidol, mildronat, preductal. These drugs, according to manufacturers, are designed to improve metabolic processes in heart and brain tissues. However, the studies carried out do not give cause for optimism. Besides, the heart is not a bed of tomatoes. It does not need to be fed and manured. For the treatment of ischemia and heart failure, there are a huge number of really working drugs.
Unfortunately, many patients perceive cardiovascular system like water pipes that need to be cleaned from time to time by pouring special cleaning agents into them. I will disappoint you, the body is much more complicated; atherosclerotic plaque cannot be dissolved or significantly reduced. The main task is to prevent the plaque from growing further and preventing a blood clot from forming in this place (statins and aspirin do an excellent job with this task). In cases where the plaque greatly disrupts the blood supply to the organ (heart or brain), they resort to surgical treatment.
Why do droppers still help some? The answer is very simple. Partly this is the placebo effect - a conscientious belief in the healing wall of the hospital walls and an unknown liquid in a transparent bubble, partly - this is the effect of the pills that the hospital still prescribes. However, each patient considers the effect of the pills to be insignificant, and attributes the entire success of the treatment to the droppers. If, after discharge from the hospital, the patient stops taking pills, then, of course, the improvement achieved in the hospital will soon disappear.
Why do doctors continue to prescribe "vascular droppers"? There are three answers to this.
1. They themselves believe in them. This is the saddest option. Unfortunately, such "specialists" are unsuitable. It is impossible to treat in the 21st century, guided by the conscientious delusions of half a century ago.
2. Doctors know that droppers are useless, but follow the lead of patients, fearing complaints and conflicts. Unfortunately, the existing system is such that if a patient complains that “he is not treated as it should be, but only stuffed with pills”, then no one will understand - the doctor will be punished. Therefore, the doctor believes that it is “easier to surrender” than to explain to the patient why nothing should be dripped. This is the most common reason.
3. “If we don’t make droppers, then our hospital will be closed, and we will be kicked out into the street, because. Patients can take pills at home as well.” This is the rationale I heard a couple of weeks ago from doctors in one of the cities of Russia. This is the saddest thing. Not only do doctors themselves perfectly understand the uselessness of droppers, but they still prescribe them in order to somehow justify the very existence of a hospital.
And one more important consideration. One of the common causes of fatal complications in the elderly is nosocomial infections. The world has long considered: what less duration stay in a hospital bed, the lower the mortality rate. Consequently, unjustified hospitalizations for unnecessary drips are also a factor in the addition of nosocomial complications.
“So what do you suggest INSTEAD OF IVs, doctor?” - asks every first patient to whom I once again retell all these arguments?
1. Get moving. Movement is life. Every person, regardless of the severity of their condition, must move. Even in patients with severe heart failure, movement has been shown to prolong life. Walking, walking, skiing, swimming - it all depends on the initial physical form.
2. Work. As soon as a person stops working and declares himself a "pensioner", the brain begins to die. Do not think, I'm not talking about raising the retirement age. In this case, "work" does not mean "go to work and pay taxes up to 100 years." By work, in this case, I mean any activity related to mental load albeit as a hobby. Any doctor knows perfectly well that an 85-year-old scientist's brain works much better than a 40-year-old lazybones.
3. Don't watch TV. TV makes you stupid and makes you a vegetable. Read, write, draw, embroider, just don't watch TV. Every hour spent in front of the TV irreversibly kills nerve cells.
4. Do not smoke or allow smoking in your presence.
5. Eat less meat products and more fish.
6. Watch the pressure and if it exceeds 140/90 mm Hg. Art., constantly take medications prescribed by your doctor. Pressure pills should be drunk throughout life, without breaks, days off and days off.
7. Monitor your cholesterol levels, discuss with your doctor the need for taking statins - drugs that slow down the development of atherosclerosis.
8. Monitor your blood glucose levels. An increase in sugar> 5.6 mmol / l - already warning sign. Unfortunately, diabetes is often asymptomatic.
9. Discuss with your doctor the need for anti-thrombotic drugs such as aspirin or anticoagulants. In some cases they are necessary.
P.S. There is nothing "hearty" in Corvalol and Valocordin, except for the root "cor" (cor - in Latin - heart). The basis of these drugs is phenobarbital, an old toxic drug that disrupts memory, sleep, coordination of movements and has a dozen more unpleasant side effects. To say what to take when your “heart hurts”, you must first figure out why it hurts. Over 90% of pain in chest have nothing to do with the heart.
Yours sincerely,
Dr. Anton Rodionov

The dropper is not the most pleasant, but very useful procedure. Infusion therapy is used for various purposes. Most often it is used for treatment, but sometimes it can be useful as prophylactic. How to put a dropper correctly, many have no idea and believe that this information will not be useful to them - there are doctors. But there are times when there is no time to wait for doctors and you need to act very quickly.

How to put a dropper at home?

It only at first glance may seem that there is nothing complicated. But in fact, to put a dropper in such a way that after it the patient feels relieved and does not encounter complications, no one will succeed the first time.

Consider how to carry out the manipulation:

Rack preparation. Hospitals have special facilities. At home, a rack can be made from improvised means. In extreme cases, the system can be hung on the sideboard handle or door corner.

Wash your hands thoroughly.

Preparing tools. For the procedure, you will need a tourniquet, plaster, alcohol, cotton wool.

Process the medicine bag.

Connect the system to the drug.

Inspection of the system and package. Before putting a dropper at home, you need to make sure that there are no bubbles in the medicine. To get rid of the air, carefully pour all the liquid to the end of the tube and pinch the end.

Make sure that the dropper tube does not touch the floor. The system is sterile, if germs get on it, it will become impossible to use it.

Examine the hand. This is necessary in order to find the most suitable place for installing the catheter.

Bandaging with a tourniquet. The tourniquet should be tied just above the future puncture site. It should be at a comfortable level so that it is easy to remove it later.

Cleanse the injection site with alcohol. Wait until the skin is dry.

Installation of a catheter. You already know where to put the drip. Hold the catheter at a 30-45 degree angle to the vein. As soon as you hear the characteristic pop at the puncture and see blood, reduce the angle. Insert the catheter another two millimeters and fix it. Remove the needle and remove the tourniquet.

Connecting the tube to the catheter. Insert it until it is completely inside. Liquid must not seep through the connection. Open the clamp on the dropper and start up the medicine. Secure the tube with a band-aid so that it does not fall out.

Adjust the rate of drug delivery.

Articles on this topic:

Usually, increased heart rate at normal pressure does not require the intervention of specialists. However, if the heart rate rises without visible reasons, then without medical care not enough. What to do with an increase in heart rate, the article will tell.

In situations where it is not possible to visit a doctor, you can use a dropper yourself. How to put a dropper without the help of a specialist? How long does infusion therapy take? The technique of setting a dropper, described in the article, will help to understand these issues.

At home, it is impossible to put a dropper without proper experience and consultation with a doctor.

How to put a dropper at home: step by step instructions

If you do not have any experience in drip application intravenous administration, then you can not resort to self-treatment.

How many droppers can be put per day, the attending physician determines. Without his consultation, the use of infusion therapy at home is impossible.

The main rule in the use of infusion therapy is the observance of sterility and accuracy in manipulations. At home, before setting the dropper, the skin at the puncture site, the instruments and the room in which the procedure is performed are disinfected.

The floors are thoroughly washed with water with the addition of whiteness, or the room is treated quartz lamp and ventilate. The infusion system and drugs are sold in individual packages, they are completely sterile before use.

To set up a dropper you will need:

gloves;
solution for infusion (water for injection);
tourniquet medical;
adhesive plaster;
medicinal product for intravenous administration;
cotton wool;
tripod;
syringe with a needle;
sterile wipes;
antiseptic;
infusion system.

Before starting the procedure, hands are washed with antibacterial soap, are treated with medical alcohol, then gloves are put on.

The metal cap is removed from the bottle with the infusion solution, the surface of the rubber stopper is treated with cotton wool soaked in alcohol.

With a disposable syringe, the drug is drawn up and injected through the stopper into the solution. The infusion set is removed from the packaging. Using a needle at the end of the dropper next to the cylinder, the system is connected to the vial. The thick stopper of the bottle is pierced through with a needle.

The wheel that regulates the supply of the drug is scrolled all the way so that the system tube is pinched. Bottle with medicine suspended at a height of 1.5 m from the floor, fixed on a tripod. Cut 2 strips from a wide adhesive plaster, place them near the needle insertion site.

Open the air valve on the system, press the cylinder so that it is half filled with medicine. Remove the needle from the other end of the dropper, turn the adjusting wheel and completely fill the tube with the drug.

The liquid must be drained until air bubbles disappear in the tube.

When the system is filled with medicine, the tube is again clamped with a wheel, and a needle is put on its opposite end

Comfortable position during the procedure - sitting and lying down. If you put a dropper on yourself, then all manipulations should be carried out right hand(for lefties - left).

A small pillow is placed under the elbow bend, covered with a sterile napkin, a tourniquet is put on the forearm. In order to feel for the central vein, you need to tighten the tourniquet and work with your fist, quickly squeezing and unclenching the brush.

When the vein becomes visible, treat the skin at the puncture site with a disinfectant solution. Remove the cap from the needle and insert it at an angle of 45 degrees. At correct introduction dark red blood will appear in the tube.

Fix the needle with a plaster, remove the tourniquet, turn the wheel, opening access to the medicine into the vein. After the procedure, it is recommended to remain calm for 30-60 minutes.

How much is the drip? The procedure time is from 40 minutes to 3 hours or more. It all depends on the drug, since each of them has its own rate of administration. For more information about intravenous drip, you need to ask your doctor.

A dropper at home is carried out according to the same rules as in the clinic. However, such procedures are best performed in a hospital to avoid unforeseen complications.

For drip infusion, there are special disposable systems. They consist of 2 plastic tubes: a long one for administering the drug and a short one for air to enter the vial with the drug solution. At 1 end of the long tube is a thick needle (sometimes made of hard plastic), at the other end is a sleeve for attaching an injection needle. There is also a clamp on the tube. A thick needle is also attached to the short tube, and at the other end there is a dust filter. Today they also produce systems in which air enters the vial through a special hole in a thick needle on a long tube.
Preparations for drip infusions are diluted in saline or in a 5% glucose solution. They are available in large bottles of 200, 400 and 500 ml. The stopper of such a bottle is made of rubber and covered with a metal plate on top. If the drug is released in dry form, then you first need to dissolve it. It is necessary to remove the metal plate from the stopper of the solvent bottle, treat it with 70% ethyl alcohol and use a syringe to dial right amount physiological solution. After that, the saline solution is injected with a syringe into a vial with a dry preparation, shaken until completely dissolved, taken with a syringe and injected into a vial with saline.
After the drug is diluted in the required amount of saline or glucose solution, you need to open the package of a disposable drip infusion system. The clamp on the tube is closed so that it is completely pinched. A thick needle of a long tube is inserted into the stopper of the drug vial. If the system does not have a short tube for air intake, you need to open the hole on the thick needle sleeve. After that, the bottle is turned upside down and fixed on a special holder. Then you need to force all the air out of the long tube. To do this, open the clamp and allow medicinal solution fill the accumulator first, and then the entire tube.
After the air has been expelled, a sleeve with a needle is put on the tip of the tube, which is then inserted into the vein (see " Intravenous injections"). It is important that the inserted needle does not rest against the wall of the vein and does not cause discomfort at the patient. If a person feels pain, you need to slightly change the position of the needle or put his elbow on a pad. Since the drip infusion takes quite a long time, the patient must lie down. The needle is fixed on the arm with a strip of plaster and covered with a sterile napkin.
After the needle is fixed, the clamp should be slightly opened so that the liquid drips at the desired speed.
The clamp is closed before all the fluid leaves the tube into the vein. Then the needle is removed and the injection site is clamped with a cotton swab.

I draw your attention to the fact that this article will not show and describe actions that only a doctor can perform. Namely - the installation of a catheter in a vein. This article will only consider the procedure for connecting a dropper to this very catheter.

"Drip" ... how much in this word. Droppers are prescribed quite often, both to people and animals. Usually nurses do this, but visiting the clinic several times a day is very inconvenient, and calling home is not a cheap pleasure.

Here we come to the aid of an intravenous catheter, which can stand in a vein for up to seven days (usually from three to five). Agree, it is much better to come for an injection once or twice a week. It is more convenient and at the same time the veins will not look like those of a drug addict.

For animals, the catheter is also more convenient and less traumatic.

Installing the dropper itself is not a very difficult process and anyone can handle it.

We take a vial of saline. AT plastic bottle gum under a hermetic seal and sterile. If the bottle is glass, then the rubber cap should be wiped with an alcohol wipe. We inject the necessary medicine inside with a syringe.

We open the system and pierce the rubber stopper with a plastic needle.
Then close the regulator.

We compress the drop former by squeezing air out of it into the vial.

Let's go. A vacuum is created inside the droplet maker and the solution is sucked inward. The bottle of the solution itself is better to hang higher.

We open the regulator and wait until the air bubbles are completely expelled from the system and close the regulator again.

Then we remove the cap of the catheter and wash it with a solution of heparin from a syringe, then quickly connect a dropper to it, seal the joint with a plaster.

We open the regulator, we see that drops have begun to drip. This means that the catheter is placed correctly and the solution enters the vein.

After the dropper is over, the catheter is flushed with a heparin solution using a syringe.

By the way, here is what it looks like before extraction.

I put this catheter myself under the supervision of a qualified specialist. "Remember kids, don't repeat this at home."

That's all. Thank you for your attention!