Presentation
Six cases of severe histamine mediated reactions are presented and detailed analyses of the drugs in these and other reported reactions is made showing varied clinical patterns with different drugs. [ncbi.nlm.nih.gov]
Berger T, Kassirer M, Aran AA (2014)Injectional anthrax - New presentation of an old disease. Eurosurveillance 19. [acmicrob.com]
Entire Body System
- Pain
As exemplary demonstrations, the sensor was used to kinetically detect promethazine (pain medication) and urea (urinary metabolite) within their clinically relevant concentration ranges. [ncbi.nlm.nih.gov]
Learn more Intravenous drug use can result in leg ulceration, causing pain and distress. Healthcare services need to respond to this frequently unrecognised problem Subscribe for full online access and get... [nursingtimes.net]
Symptoms of both infiltration and phlebitis include warmth, pain, and swelling at the injection site. Call your doctor right away if you have any of these symptoms. [healthline.com]
stiff neck and backache Chest pain (pleuritic pain), cough Confusion A new or changing heart murmur: It is an abnormal heart sound that can be listened with a stethoscope Electrical abnormalities in the heart (cardiac arrhythmias) Stroke: It is a condition [dovemed.com]
Many who do survive are left with life-changing effects, such as post-traumatic stress disorder (PTSD), chronic pain and fatigue, organ dysfunction (organs don’t work properly) and/or amputations. [sepsis.org]
- Chills
Infection symptoms can include fever and chills, as well as redness, pain, and swelling at the injection site. If you have any symptoms of infection, call your doctor right away. [healthline.com]
He denied any chest pain, palpitations, fever, chills, or night sweats. His medical history was notable for depression, for which he was on trazodone. He also took over the counter analgesics as needed for chronic back pain. [rc.rcjournal.com]
The signs and symptoms associated with Intravenous Drug Abuse Endocarditis may include: Low-grade fever, which comes and goes in a majority of individuals, and chills Night sweats Fatigue and malaise, which is a feeling of discomfort or uneasiness Anorexia [dovemed.com]
- Rigor
The effectiveness of needle exchange programs in reducing HIV incidence is not definitely known because of the difficulty associated with conducting rigorous evaluations. [hivinsite.ucsf.edu]
- Severe Pain
Hitting the femoral nerve can cause a person to experience severe pain and permanent damage to their legs. Injecting into this site can have an increased risk of contracting deep vein thrombosis, pulmonary embolus and abscesses. [alcoholrehab.com]
Cardiovascular
- Thrombosis
Thrombosis• Catheter-related obstructions can be mechanical or non-thrombotic• Trauma to the endothelial cells of the venous wall causes red blood cells to adhere to the vein wall, forms a clot or Thrombosis• Drip rate slows, line does not flush easily [slideshare.net]
Ulcers, tetanus, cellulitis, septicemia, and thrombosis are all very real complications of injecting drugs along with the potential risks of injecting toxic and harmful adulterant substances. [alcoholrehab.com]
Dirty equipment may cause users to develop abscesses, tuberculosis, bone infections, thrombosis, Hepatitis, and HIV, among other diseases. Of the 16 million individuals who inject drugs globally, approximately 3 million of them have HIV. [sobercollege.com]
Venous thrombosis— A condition in which a vein is clogged off by foreign matter or a blood clot that results in decreased blood flow and oxygen to specific parts of the body. Resources BOOKS "Intravenous Administration." [encyclopedia.com]
Deep vein thrombosis is one type of dangerous blood clot that IV treatment can cause. IV drug administration is a fast, effective way to send medication into your bloodstream. [healthline.com]
Liver, Gall & Pancreas
- Jaundice
Symptoms of hepatitis C include: Fever Fatigue Poor appetite Nausea/vomiting Stomach pain Joint or muscle pain Abnormal urine or bowel movements Jaundice Mortality rates from chronic HCV have been on the rise, and in 2007 surpassed those of HIV infections [americanaddictioncenters.org]
Skin
- Ulcer
Abstract Leg ulceration is an often unrecognised problem associated with intravenous drug use. This article describes why ulceration occurs and how an outreach team developed skills to reach users of i.v. drugs and manage these complex wounds. [ncbi.nlm.nih.gov]
Learn more Intravenous drug use can result in leg ulceration, causing pain and distress. Healthcare services need to respond to this frequently unrecognised problem Subscribe for full online access and get... [nursingtimes.net]
Diseases are easily contracted, spread and transmitted to others, abscesses, ulcers and other infections are frequent and tolerance and dependence to a drug happens easier for intravenous drug users. [alcoholrehab.com]
Subcutaneous injection (skin popping) can cause characteristic circular scars or ulcers; there may be signs of previous abscesses. [merckmanuals.com]
Mean differences between BMI, care dependency, pressure ulcer risk, skin barrier characteristics TEWL, SCH and pH were minor. [bmcgeriatr.biomedcentral.com]
- Flushing
After the IV line is flushed the second time, the line can be reopened and the IV flow rate reset to the appropriate setting. [encyclopedia.com]
resistance is felt• Never forcible flush a catheter10/20/2012 Dr.T.V.Rao MD @ Hospital care 20 21. 10/20/2012 Dr.T.V.Rao MD @ Hospital care 21 22. [slideshare.net]
But HIV infection from blood can occur in other ways as a result of injecting drug use: Through sharing water used to flush blood out of a needle and syringe. [aidsmap.com]
Sodium chloride diluent for injection: 0.9% Sodium chloride solution for injection: 0.9% prefilled syringe, normal saline flush 0.9% solution, sodium chloride 0.45% solution (1/2 NS), sodium chloride hypertonic 3% solution, sodium chloride hypertonic [medicinenet.com]
Unstable narrow-complex regular tachycardias while preparations are made for electrical cardioversion Stable, regular, monomorphic, wide complex tachycardia as a therapeutic and diagnostic maneuver 6 mg IV as a rapid IV push followed by a 20 mL saline flush [eccguidelines.heart.org]
- Pruritus
Pruritus and dysesthesia. In: Dermatology. 3rd ed. Philadelphia, Pa.: Saunders Elsevier; 2012. https://www.clinicalkey.com. Accessed July 27, 2016. Goldsmith LA, et al., eds. Atopic dermatitis. [mayoclinic.org]
In medical terminology, itching is known as pruritus. Generalized itch that occurs all over the body is often more difficult to treat than localized itch. [medicinenet.com]
History and Physical The presentation of intertrigo is generally a chronic subtle onset of pruritus, burning, tingling, and pain in the skin folds and flexural surfaces. [ncbi.nlm.nih.gov]
Psychiatrical
- Fear
Furthermore, stigma and discrimination against people who use drugs needs to be tackled so they can access treatment freely without fear, and reduce the risk of being exposed to HIV. [avert.org]
We could identify deviations from practice that staff themselves did not notice and would not have brought up at interview, and we did not have to rely on their memory or fear their censoring of the data. [qualitysafety.bmj.com]
Neurologic
- Agitation
The effects of methamphetamine taken via intravenous injection are: Increased energy Agitation Lack of pain Euphoria Talkativeness Confidence Alertness Side effects of meth include: Heavy breathing Increased heart rate Feel stronger than normal Making [treatment4addiction.com]
/or vomiting Drowsiness Diarrhea Difference in pupil size or reactivity Tremors or convulsions Trouble breathing Irregular heart rate Increased blood pressure Changes in body temperature Sweating Unsteadiness Unconsciousness Hallucinations Confusion Agitation [dualdiagnosis.org]
Treatment
Some of these opinions may contain information about treatment or uses of drug products that have not been approved by the U.S. Food and Drug Administration. WebMD does not endorse any specific product, service, or treatment. [webmd.com]
Then the high cost of treatment has to be weighed against the possible outcomes of a lack of treatment. [americanaddictioncenters.org]
The prevention, treatment, and follow-up of severe histamine mediated reactions are considered. [ncbi.nlm.nih.gov]
Osteoporosis treatment: Medications can help Osteoporosis treatment may involve medication along with lifestyle change. Get answers to some of the most common questions about osteoporosis treatment. [mayoclinic.org]
Successful treatment is not the same for everyone and evidence-based treatment plans take personal preferences as well as scientific research and clinical expertise into account. [dualdiagnosis.org]
Prognosis
Surgery may be required in some cases Untreated Intravenous Drug Abuse Endocarditis can lead to an extremely poor prognosis and is almost always be fatal. With appropriate early diagnosis and treatment, the outcomes are better. [dovemed.com]
Prognosis The prognosis is positive for the majority of patients. The underlying risk factors should be addressed to diminish the intertrigo outbreaks. [ncbi.nlm.nih.gov]
Aspects on epidemiology, clinical and laboratory findings and prognosis. Scan J Infect Dis 1983; 41(suppl): 49-58. Baddour LM: Twelve year review of recurrent native valve infective endocarditis. A disease of the modern antibiotic era. [medigraphic.com]
Etiology
[Etiology of intertrigo in adults: A prospective study of 103 cases]. J Mycol Med. 2017 Mar;27(1):28-32. [PubMed: 27554869] 8. Kalkan G, Duygu F, Bas Y. [ncbi.nlm.nih.gov]
Etiology of intertrigo Intertrigo develops from mechanical factors and secondary infection. Heat and maceration are central to the process. Opposing skin surfaces rub against each other, at times causing erosions that become inflamed. [emedicine.medscape.com]
(Etiology) In most cases, Intravenous Drug Abuse Endocarditis is caused by bacteria that include the following: Staphylococcus aureus, which is the most common infection agent Streptococcus sp. Enterococcus sp. [dovemed.com]
Ndiaye M, Taleb M, Diatta BA, Diop A, Diallo M, Diadie S, Seck NB, Diallo S, Ndiaye MT, Niang SO et al: [etiology of intertrigo in adults: a prospective study of 103 cases]. Journal de mycologie medicale 2017, 27(1):28–32. 7. [bmcgeriatr.biomedcentral.com]
Epidemiology
Author information 1 National Centre for Epidemiology and Population Health, Australian National University, Canberra, ACT. Abstract Residual HIV-infected blood in needles and syringes is a source of HIV infection. [ncbi.nlm.nih.gov]
Página 45 - A mathematical model of a heroin epidemic: implications for control policies", Journal of Epidemiology and Community Health, vol. 33, 1979, pp. 299-304. 6. [books.google.es]
Lange M, Salaki JS, Middleton JR: Infective endocarditis in heroin addicts: epidemiological observations and some unusual cases. Am Heart J 1978; 96: 144-152. [medigraphic.com]
Div of Field Svcs, Epidemiology Program Office, CDC. Editorial Note Editorial Note: Fungal endophthalmitis is a recognized complication of IV-drug use (1). Infection results from hematogenous spread after nonsterile injection (2). [cdc.gov]
Pathophysiology
Pathophysiology Environmental factors and genetic causes play a leading role in the development of intertrigo. One of these factors is the friction caused by adjacent skin surfaces causing inflammation of the epidermis. [ncbi.nlm.nih.gov]
Pathophysiology When injecting a drug intravenously, the individual introduces a bolus of the drug into the vein, producing a rapid and powerful drug high. [emedicine.medscape.com]
The drug pK a is constant, but the normal urinary pH may vary from 4.5 to 8.0, depending on diet, pathophysiology, and drug intake. The undissociated drug is easily reabsorbed from the renal tubule back to the body. [intechopen.com]
Prevention
Amy Lansky, deputy director in the Division of HIV/AIDS Prevention at CDC, said the findings will be used as CDC focuses on prevention efforts on high-risk populations. [reuters.com]
Prevention models studied Of the prevention programs simulated in the model, the authors found that opioid agonist therapy, or OAT, was the most cost-effective. [sciencedaily.com]
The prevention, treatment, and follow-up of severe histamine mediated reactions are considered. [ncbi.nlm.nih.gov]
1 1.2 Million Hospitalizations are impacted by preventable adverse drug errors associated with injectable medications. 2 [baxter.com]