Question of the Week

Question :

Posted On : 22 Nov 2006

While giving Inj Penidure,Pencom{benzathine Penicillin} I,M for prevention of recurrence of Rheumatic fever ,the needle often gets blocked and the whole of solutin can not be injected due to its high density. Even recommended amount of distilled water and using 22 Gauge needle fails to solve the problem. What is your experience and suggestion about this practical problem?

Expert Answer :

No expert answer available.

Answer Discussion :

DR MAHUYA KANJILAL

by using a wide bore needle,one can avoid blockage,moreover the solution should be shaken well after dissolving and drawn instantaneously.

18 years ago

DR C KOTHANDARAMAN

21 G needle may solve the problem.

18 years ago

dr.subhash c sapra

shake well for at least 5mts.take two needles one for loading the syringe and another for injecting and inject immediately and as fast as possible.

18 years ago

samir

i think itis better to increased the recomended amount to double the normal and then dividing the dose in two amount egual and each divided dose giving IM in each gluteal muscle...
if this is difficult itis better to give patient aral pencilline or erythromycine preparations as prophylactic instead of benzathine Penicillin

18 years ago

Dr. Geoby Paul

reconstitute and give it stat it works... should be very fast

18 years ago

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