Puffy Hand Syndrome. Your doctor may teach you how to give this medicine (intravenous fluids). It is given as an infusion into a vein over a period of time. The dangers of intravenous drug use are well documented. Follow all instructions closely. Capillary refill, which is observed by squeezing a fingertip and then watching the red color return, is a reflection of perfusion. Intravenous injections of drugs can cause venous thrombosis, and septic or embolic complications. solution. If capillary refill is decreased, then perfusion to that extremity is decreased. As swelling and joint inflammation worsen, using the hands can become more difficult. I happened to miss in his hand for the first time last night. A 23-year-old female with a history of IV drug use presented to our ED with complaint of a swollen left hand. Moderator edit: This thread contains many discussions of missed shots, abscess after injection or swollen hands. One study found that 32% of injection drug users in a neighborhood in California currently had abscesses, cellulitis, or both. 1 If left untreated, cellulitis can become serious. Excess fluids in the body produce hypervolemia, which can cause swelling and other potentially harmful effects. Puffy hand syndrome develops after long-term intravenous drug addiction. The patient’s discomfort with palpation of the hand limited the physical examination. Clots, infections, hepatitis, heart failure, malnutrition. Use this medicine (intravenous fluids) as ordered by your doctor. In order to understand what is going on, you have to know why swelling may occur. I have never really had a problem with circulation untill the last month or two. But like all treatments, IV fluids can have side effects, particularly if the body receives more than it needs. She had injected heroin into her left hand one week prior. Its really starting to stress me out as I have been clean for 3 months after going on suboxone (16mg). Pain (dull or burning), especially when using the hand (or after using it) Stiffness; Swelling around the joint; Arthritis is a leading cause of swollen hands and fingers. Today's physician, seeing patients with a nontraumatic acutely swollen hand, must consider the possibility of drug abuse. I have been researching and can't figure out if this happens sometimes or if I should be worried about it. Cellulitis, in particular, is a common infection in IV drug users. Frequency and severity of the complications of this syndrome are rarely reported. Local infectious complications such as cellulitis can be severe and can enable the diagnosis. Three long-term intravenous drug users, two males, one female, mean age 30.6 years (26-37) presented puffy hands. It is an inflammation in the joints, and causes swelling and pain. The puffy hand sign is a more uncommon complication of hard-core injection addicts. Her exam was notable for a swollen, warm, extremely tender dorsal left hand. Wash your hands before and after use. My hands and legs (below the knee) swell up, my legs get really bad after I have been to the gym or out for a long walk. I was an IV drug user for 6years. Follow how to use carefully. Read all information given to you. Although most available information focuses on the very high risk of overdose and the diseases associated with sharing needles (both very real dangers), injecting drugs can also be incredibly harmful to the body in many other ways. Depending on the type of fluid, changes in electrolytes in the blood may also occur, leading to additional side effects. Some long-term intravenous drug users will get a swollen hand. my hand has been hurting and is pretty swollen. It is characterized by a nonpitting edema, affecting the dorsal side of fingers and hands with puffy aspect. The hand problem may be infection, Volkmann ischemia, skin bullae due to barbiturate overdose, or endarteritis due to intra-arterial injection. Treatment: In the case of intraarterial injection, it is the intravenous drugs which pose severe problems, rather than the I.V.
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