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Uses Infection Treatment: IV/IM antibiotics (ceftriaxone, vancomycin, piperacillin-tazobactam, meropenem) for sepsis, pneumonia, UTI, and hospital-acquired infections Oncology & Chemotherapy: Injectable anticancer agents (paclitaxel, doxorubicin, pemetrexed, pembrolizumab) Critical/Emergency Care: Epinephrine, atropine, naloxone, lidocaine, magnesium sulfate for resuscitation and life-threatening emergencies Anesthesia & Analgesia: Propofol, fentanyl, ketamine, morphine, dexmedetomidine for surgical, procedural, and ICU sedation/pain relief Chronic Disease Management: Insulin for diabetes, adalimumab & etanercept for autoimmune diseases, hormone injections (testosterone, estradiol, progesterone) Vitamins & Nutrition: Injectable B12, iron, magnesium, folic acid, total parenteral nutrition (TPN) Vaccines & Immunization: Influenza, COVID-19, hepatitis, tetanus, pneumococcal, rabies post-exposure Specialty Biologics: Monoclonal antibodies, growth factors, erythropoietin, biosimilars Types of Injectable Medications Intravenous (IV): Direct infusion into bloodstream for rapid onset (e.g., antibiotics, chemotherapy, anesthesia) Intramuscular (IM): Delivery into muscle for steady absorption (e.g., vaccines, depot antipsychotics) Subcutaneous (SubQ): Slow-release into fat layer (e.g., insulin, GLP-1 agonists, heparin, biologics) IV Push/Bolus vs

Resting vascular tone is determined to some extent by not only the basal endothelial cell secretion of nitric oxide (NO) (vasodilator) and endothelin-1 (vasoconstrictor) (Cipolla, 2009

Loss of SIRT4 decreases GLT-1-dependent glutamate uptake and increases sensitivity to kainic acid

Pillay J, den Braber I, Vrisekoop N, et al

CKD occurrences due to diabetes, hypertension, and glomerulonephritis follow similar pathways involving inflammation and oxidative stress, leading to renal fibrosis through extracellular matrix production by myofibroblast activation [234]
