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A 27-year-old male asked:

I just injected 600000 units of penicillin g procaine but i forgot to draw back on the syringe to check for blood vessel. wat should i do?

3 doctor answers9 doctors weighed in
Dr. Scott Diede
A Verified Doctoranswered
31 years experience
Good follow up: Accidental administration into an artery or nerve can cause severe neurovascular damage. Serious complications of suspected intravascular administration include immediate pallor, mottling, or cyanosis of the extremity, both distal and proximal to the injection site, followed by bleb formation. I would instruct patient to call if any concerning symptoms (pain, swelling, skin changes, numbness).
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Dr. Thomas Wright
Phlebology 31 years experience
Probably nothing: You should check for side effects or complications. If none are detectable there is nothing further to do. If a small say 23 needle was used probably no harm was done. Be more careful next time.
Created for people with ongoing healthcare needs but benefits everyone.
Dr. Kyle Shank
Dentistry 15 years experience
Nothing anymore: Once it's injected, nothing much more to do. The effects of an intravadcular injection are seen within minutes if not seconds. If you don't see those effects shortly after injecting, it's probably safe to assume you did not inject into a vessel.
Created for people with ongoing healthcare needs but benefits everyone.
Last updated Mar 21, 2015

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