Parenteral

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poctally (into the rectum) various drugs in forms of suppository and enema.

Parenteral (by injection or infusion)

Intravenous (into a vein) e.g. many drugs, parenteral nutrition

Intramuscular (into a muscle) e.g. many vaccines, antibiotics

Intra-arterial (into the artery) e.g. vasodilator drugs in the treatment of


vasospasm

Intracardiac (into the heart) e.g. adrenaline during cardiopulmonary resuscitation.

Subcutaneous (under the skin) e.g. insulin

Intradermal (into the skin)

Intra-atecal (into the spinal canal) commonly used for spinal anaesthesia and
chemotherapy.

Intraosseous (into the bone marrow) this route is occasionally used for drugs and
uid in emergency medicine in pediatrics when i.v access is dif cult

Intraperitoneal (infusion or injection into the peritoneum)

Others include transdermal (infusion through the intact skin) transmucosal


(diffusion through a mucuos membrane) epidural (injection or infusion into the
epidural space) e.g. epidural anaesthesia.
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