What? Don’t think so. The booster is simply more of the tetanus toxoid antigen.
The booster, as Karl has stated, is more antigen.
There is an injection that exists that has the immunoglobulin. That appears to be used in acute exposures when the person has not had recent boosters.
it would be tough to bounce a 1" needle off of an adults femur, you’d have half the syrenge in too. the needle would not penatrate the bone, but damn it would hurt.
excuse me, syringe… not syrenge.
Having worked in at a hospital for 12 years I’ve had to get a tetanus shot twice, once when I first started and again 10 years later (and I dreaded it coming the whole decade!) I asked the nurse why it hurt so much. She said that if the serum is mixed thoroughly before injecting it doesn’t. And she was right.
I made two inadvertant mistakes:
One of them was corrrected in my subsequent post, about the “booster”: it is an ANTIGEN. About the needle: I’d use 5cm for IM into thigh (femur*), and 10cm (2’) into butt.
Yeah: attenuated means live, but weakened. The pathogen itself could be inactivated. Or dead. In the case of tetanus, it’s dead. The immunogenicity of a vaccine is usually, but not necessarily less than that made of live pathogen. The whole point is irrelevant to the OP. What is relevant is what the nurse in Ant’s hospital said. She did not say, though, what it should be mixed with. I’d be interested to know, is it an antiinflammatory something or a pain killer?
*Femur has two meanings. Femur is a bone. It is also the proximal part of the lower member of the body, situated between the pelvis and the knee. That’s why I put “thigh” in parentheses, next to it. But some people here are just as thick.
Looks like you’re up to three. In tetanus the vaccine is the toxoid (the attenuated form of the toxin). It’s neither dead nor alive. How can you call a protein “dead”?
I’ve never heard of an injection into the femur, I have heard of injections into the femoral region.
Unless you plan on going for an IO injection, but then you are braver than I.
I’ve got into a company of purists. I tought we answered the OP, just the Antnurse’s clarification. Or do you guys want to nail me on anything? It’s the TTA, USP, the absorbed toxoid. The point is that it’s a foreign protein, foreign body and causes inflammation.
I do not know why any cop who stopped me for speeding (not for rating) said: “You went at a high rate of speed, sir”. I thought it was just high speed. I do not know why you were taught to inject into femoral area. I do not know why and how the femoral region is different from the femur. Perhaps, it was lateral upper femoral region. Your teachers shortened it to femoral region.
If I recall correctly, I said that’s how I inject myself./ It is my leg and I reserve the right to call it by its name, femur. If you prefer, Kinoons, you may inject into the femoral region. Or femoral area. Or femoral zone. Or whatever. I will allow you to use the names you like, as long as I understand them, E.g., you can call the nose the nasal region, the eyes - eye or visial region, the penis - penile-, or for short, dick region, etc. Your parner will be impressed if you say: “And now, honey, I want you to suck on my penile region”. It will have class. It will certanly beat vulgar “dick”.
That’s great that you want to say you are putting your injection into your femur, but in terms of two words or less…
your not!
In the spirit of eliminating ignorance, I am not going to let an oversight like that pass. You may know what you mean, but not everyone else will. There is a big difference between the soft tissue in the femoral region and the femur itself.
You are all wrong, BTW. 
The reason the tetanus toxoid vaccine is such a bitch is because it contains an adjuvant. This is a chemical which causes inflammation (on purpose). The tetanus toxoid IIRC is not that antigenic, and the body doesn’t form a great reaction to it. The adjuvant spurs it on a bit – it activates antigen-presenting cells (monocytes in that particular place IIRC) by non-specific inflammation. The monocytes become sensitized, and present any foreign things they find in the area to B cells in order to make antibody.
And you can thus develop a resistance to the tetanus toxin.
Tx, Edwino. I hope, it will help Jay.
Kinoons still takes “femur” as “thighbone” and ignores its other deinition. I’m not going to argue this issue, the life (mine) is too short. I will continue to inject into the upper lateral femur, he may continue to inject into femoral region, or femoral area, or femoral zoe, or sector, or segment, or belt, or district or whatever he likes. As long as we do IM injection into the anatomically correst location, it does not matter. Still hurts.
Are you sorry you asked?
well, even if he is, I’m not. Very enlightening. Thank you, all.
“Kinoons still takes “femur” as “thighbone” and ignores its other deinition”
Lets see – webster’s dictionary
Main Entry: fe·mur
Pronunciation: 'fE-m&r
Function: noun
Inflected Form(s): plural fe·murs or fem·o·ra /'fe-m&-r&, 'fem-r&/
Etymology: New Latin femor-, femur, from Latin, thigh
Date: circa 1771
1 : the proximal bone of the hind or lower limb – called also thighbone
2 : the segment of an insect’s leg that is third from the body
how about cambrige –
femur noun [C] SPECIALIZED
the long bone in the upper part of the leg
maybe the Academic Press Dictionary of Science and Technology –
femur [f´mr] ( pc | mac ) plural, femora [fem´r ]. Anatomy. the large long bone of the thigh or upper leg that articulates with the hip joint above and the tibia and patella below; the longest and largest bone in the body. Also, THIGH BONE. Invertebrate Zoology. 1. the third segment from the base of an insect’s leg, often greatly enlarged.the third segment from the base of an insect’s leg, often greatly enlarged. 2. the large fourth segment from the base of the legs of some crustaceans. Also, MEROPODITE.the large fourth segment from the base of the legs of some crustaceans. Also, MEROPODITE.
lycos’ online dictionary – fe•mur (), n., pl. fe•murs, fem•o•ra (femr ).
-
the long upper bone of the hind leg of vertebrates, extending from the pelvis to the knee; thighbone.
-
the often enlarged third segment of an insect leg, between the trochanter and the tibia.
the newbury house online dictionary –
fe·mur n. femurs or femora the bone in the leg that is above the knee: The skier broke his femur. -adj. femoral .
Okay, I’m going to stop there – Peace the ball is in your court. Care to provide a source for using the noun femur to descrive the soft tissue surrounding the bone by the same name?
Dorland’s Illustrated Medical Dictionary, 26th Ed.,p.491.
You appear to belong to this loosely defined group of people who think they know everything and are always right. You may think that in this particular case I made a no-no mistake and said that the (tetanus) injection is done into the thighbone (femur). If you assumed that I am such an idiot and do not understand the difference between soft tissue (muscle) and bone, why did you spent all this time discussing fine points here, like what is “booster” and immune globulin and trying to answere the OP about pain?
As far as the terminology goes, as I said, you may call every part of the body as you want, as long as I unferstand it. I gave you some examples. You may also call me: “Thick head region”, or say: “My stomach region hurts”, or “I can’t believe my ear regions” or “Use your brain region, Peace”.
Thankyou very much for the cite.
No, I’m not one of those people who must know everything about everything, but when I do hear something that is contrary to everything I have been taught, I’d just like to know where it came from.
Kinoons, I reread my last post: it is rude. So, pardon me. I was surprised myself, when I tried to find the ref for you, and I could not. That’s why I gave you my 1981 dictionary. I ain’t that old, but that’s (femur) the name I learned initially and used all my live (and thigh, and even akward upper lower extremity; I never actively used “lower member”, although it’s in dictionaries and some books). At one point you sounded almost sarcastic, that I was about to inject into the femoral bone. By now you know that I know better than that.
Apology accepted…
I didn’t mean to imply that you were injecting into the femur, however, someone with just enough knowledge of the human body and medicine to be dangerous may have gotten the wrong idea. Once that issue had been resolved (probably about 2 posts earlier than I continued to peruse the issue) I just became curious about where you had been taught to call the femoral region the femur in general.
It can be awkward to describe the extremities. It gets wordy real quick. Femoral region, left superior lateral lower extremity. Talk about crazy
Some people seem to say that getting a tetanus shot feels like just a little prick. They’re lucky! Getting a tetanus really hurts! That’s because of several things. (1) the tetanus needle generally is longer than other needles, about an inch to an inch and a half long (2) it sticks deep into your deltoid muscle up high by the shoulder (3) when the doctor or nurse pushes down on the syringe they do it so fast, in just a second the tetanus shot is on your muscle all of a sudden and it bruises your muscle (4) the tetanus shot they usually give is a dip-tet booster with diphtheria and tetanus all in one needle, and the dip-tet toxoids burn your muscle when the booster shot pushes in because dip-tet is a muscle irritant (5) usually the doctor or nurse will grab your deltoid muscle and give it a few squeezes to try to relax your muscle before sticking the needle in, but then when they give you the tetanus on your muscle they let go of your muscle and with the same hand that was squeezing your muscle so it relaxed, they grab the syringe to hold it steady while they push the dip-tet onto your muscle. without their hand squeezing your muscle into a large sort of relaxed mass, your muscle reacts to the burning of the dip-tet pushing in by constricting, and this just makes the tetanus shot hurt even more when your muscle tightens because about a teaspoon [0.5cc] of dip-tet gets forced deep into your deltoid muscle really fast in a narrow stream, and it pushes your tightened muscle tissue apart.
I hope that answers the question fully. If you do need a tetanus shot it’s best to wear a tank top so your deltoid muscle is exposed and the doctor or nurse can give the tetanus way up high by the shoulder. That’s where the most muscle mass is. Believe it or not, it’s best to get the tetanus on the arm that you use a lot, so that after you get the tetanus on the your muscle you have to move that arm around and use the deltoid muscle for basic arm movements–and that helps work the tetanus into your muscle a bit faster.
I guess the tetanus shot goes deep in the deltoid muscle up by your shoulder because the deltoid muscle usually has the best mass of muscle on your arm, and the tetanus shot has to go really deep into your muscle so it’s absorbed quickly.
Your muscle will probably ache for a day or two where the doctor or nurse puts the tetanus up by your shoulder. But the muscle ache does go away! Just be glad you only have to get a tetanus needle every ten years or so, or whenever you do something careless like step on a rusty nail!
If you got it within ten years, I don’t think you need one if you step on a rusty nail. Incidentally, anyone who hasn’t had a tetanus booster since this thread was opened is overdue for another one now.