Intramuscular injection children

A child with fibrodysplasia ossificans progressiva developed permanent heterotopic ossification at the injection site after intramuscular DTP immunization (80). The authors considered that intramuscular injections in children with fibrodysplasia ossificans progressiva were potentially risky, but that subcutaneous injections could be carried out. 

II. Toxic dose. The range of toxicity is highly variable and unpredictable. Fatal atropine poisoning has occurred after as little as 1-2 mg was instilled in the eye of a young child. Intramuscular injection of 32 mg of atropine was fatal in an adult. 

An intramuscular injection with a licensed pharmaceutical preparation that contains hydrocortisone sodium succinate would constitute a major treatment option. However, the child s parents do not want to give an injection to their child. Klaartje drinks very reluctantly as all babies with the Trader Willi syndrome. The parents don t consider administration with the feeding of the contents of a capsule or of crushed tablets as a reliable option. Therefore, the doctor has suggested a rectal preparation. 

Smith JA, Santer LJ. Respiratory arrest following intramuscular ketamine injection in a 4-year-old child. Ann Emerg Med 1993 22(3) 613-15. 

Intramuscular iodine injections Numerous studies have confirmed that iodine supplementation by injection before a woman becomes pregnant can prevent endemic cretinism and that a single injection can prevent goitre for up to 3-4 years. Other documented benefits of maternal supplementation observed in several controlled studies include reduced infant and young-child mortality, improved birth weight, and better manual function in children born to iodine-supplemented mothers. 

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