#Injection administration

[maxinhealthcare]

Intramuscular Injection: What You Need to Know

Intramuscular injections, commonly abbreviated as IM injections, are medical procedures involving the administration of medications directly into the muscle tissue. These injections are commonly used for various purposes, including delivering vaccines, antibiotics, hormones, and certain medications. Understanding the ins and outs of intramuscular injections can provide valuable insights into their purpose, administration, risks, and benefits. Here's what you need to know:

Purpose of Intramuscular Injections:

The primary goal of administering medication via intramuscular injections is to ensure its efficient absorption into the bloodstream. By delivering the medication directly into the muscle tissue, it allows for a faster onset of action compared to some other routes of administration, such as oral medications.

Administration of Intramuscular Injections:

Site Selection: Intramuscular injections are typically administered in specific muscle groups, such as the deltoid muscle of the upper arm, the vastus lateralis in the thigh, or the gluteal muscles in the buttocks. The choice of site depends on factors like the type of medication and the patient's age.

Preparation: Before administering the injection, the healthcare provider cleans the injection site with an antiseptic solution and prepares the medication and syringe.

Injection Technique: The healthcare professional inserts the needle into the muscle tissue at a 90-degree angle and slowly injects the medication. They may aspirate the syringe to ensure it's not in a blood vessel before injecting the medication.

Post-Injection Care: After administering the injection, the area may be massaged gently to distribute the medication and reduce discomfort.

Potential Risks of Intramuscular Injections:

While intramuscular injections are generally safe, there are potential risks and considerations to be aware of:

Pain or Discomfort: Some individuals may experience temporary pain, soreness, or discomfort at the injection site.

Infection: Improper injection technique or inadequate sterilization of equipment can lead to infections at the injection site.

Nerve or Blood Vessel Injury: If the injection is not administered correctly, there is a small risk of injury to nearby nerves or blood vessels.

Allergic Reactions: Some individuals may be allergic to certain medications or components of the injection, leading to allergic reactions.

Benefits of Intramuscular Injections:

Rapid Medication Absorption: Intramuscular injections allow for quick absorption of medications, ensuring faster therapeutic effects.

Accurate Dosage: Healthcare providers can precisely administer the intended dosage of medication with IM injections.

Long-Lasting Effects: Certain medications administered intramuscularly can provide sustained therapeutic effects over an extended period.

Convenience and Compliance: For patients who have difficulty swallowing medications or require long-term therapy, IM injections can offer convenience and improved compliance.

Understanding the intricacies of intramuscular injections empowers individuals to make informed decisions about their healthcare. While these injections offer numerous benefits, it's essential to ensure they are administered by qualified healthcare professionals following proper protocols. If you have concerns or questions about intramuscular injections, discussing them with your healthcare provider can provide clarity and peace of mind.

For more details visit - https://maxinhealth.com/

[danielledelayed]

domming an adorable secretary, call that subcutaneous administration

[ardentperfidy]

.

[leonardburton]

rpg genderqueer pc mechanic where you roll a dice to see how people perceive your gender. is that anything

[donaldtrumpsexcrimesagainst]

GAMES PROVIDED FALSE DATA VIA COMMUNICATION OR DATA INJECTION ATTACKS THAT SUGGESTS SOMEONE WAS ALREADY ON THEM OR JUST JOINED OR JUST LEFT

[livealthbiopharma]

https://livealthbiopharma.com/products/isoprenaline-hydrochloride-injection-usp-2-mg/

[kavehater]

I hope I get an epidural and it goes wrong 😓

[atoznursing]

IV Injection: Uses and Complications

Intravenous (IV) injections are a common medical procedure used to administer medications, fluids, or other substances directly into the bloodstream. This method allows for rapid absorption and distribution of the substance throughout the body. IV injections are commonly performed in hospitals, clinics, and emergency settings, and are administered by trained healthcare professionals. Uses of IV…

[simplivia]

Enhance Patient Safety and Protect Healthcare Workers with Simplivia's Closed System Drug Transfer Devices (CSTDs)

Simplivia's closed system drug transfer devices (CSTDs) offer a revolutionary solution for safe and efficient drug handling, protecting both patients and healthcare workers from the harmful effects of hazardous drugs (HDs).

Why Choose Simplivia's CSTDs?

Enhanced Patient Safety: Reduce the risk of exposure to HDs and minimize the potential for medication errors with our closed system design that prevents the escape of hazardous drug vapors and aerosols.

Increased Protection for Healthcare Workers: Shield healthcare workers from accidental needle sticks and protect their health with our integrated needle-shielding mechanisms.

Improved Workflow Efficiency: Streamline your drug administration process with our user-friendly design and intuitive features.

Reduced Costs: Save time and money by minimizing waste and contamination with our closed system approach.

Key Features of Simplivia's CSTDs:

Closed System Design: Prevents the escape of HDs and aerosols, ensuring a safer environment for patients and healthcare workers.

Needle-shielding Mechanisms: Automatically retract needles after use, protecting healthcare workers from accidental needle sticks.

Luer-lock Connectors: Ensure secure connections and prevent leaks.

One-way Valves: Eliminate the risk of backflow and contamination.

Transparent Tubing: Allows for clear visibility of the medication flow, facilitating easy monitoring.

Wide Range of Compatibility: Works with various drug containers and vials.

Applications of Simplivia's CSTDs:

Chemotherapy administration: Protect healthcare workers and patients from exposure to hazardous chemotherapy drugs.

Injections of biosimilars and other hazardous drugs: Ensure safe handling and minimize the risk of medication errors.

Compounding pharmacies: Enhance the safety of drug preparation and mixing processes.

Benefits of Choosing Simplivia:

Proven Safety: Our CSTDs are rigorously tested and meet the highest safety standards.

Reliable Performance: Deliver consistent and reliable performance in challenging environments.

User-Friendly Design: Easy to use and integrate into existing workflows.

Exceptional Customer Support: Our dedicated team is always available to answer your questions and provide expert support.

Make the switch to a safer and more efficient drug administration process with Simplivia's CSTDs.

[wellhealthhub]

Type 2 Diabetes Shots: Managing Your Blood Sugar Levels

The journey of living with the challenging ailment that is type 2 diabetes necessitates unwavering dedication to proper management, thereby engendering the prospect of leading a life that is not merely healthy but replete with fulfillment. Among the fundamental tenets of efficacious type 2 diabetes management is the judicious utilization of insulin or alternative medications in the form of shots,…

[robertreich]

10 Worst Things About The Trump Presidency

Donald Trump left office with the lowest approval rating of any president ever. But some people now seem to be suffering from amnesia.

Let me jog your memory. Here are 10 Worst Things About the Trump Presidency — in no particular order.

#1. Trump fueled division and sparked a record uptick in hate crimes.

#2. Murder went way up under Trump. He presided over the largest ever single-year increase in homicides in 2020. A number of factors might have contributed to that, but a big one is…

#3. Gun sales broke records under Trump, who has bragged about how he “did nothing” to restrict guns as president in spite of…

#4. Under Trump, America suffered more than 1,700 mass shootings.

#5. Trump said there were "very fine people" among the neo-Nazis in Charlottesville.

I’m halfway to ten. If you think I’m missing something big, leave it in the comments.

#6. Trump allied himself with the Proud Boys, a violent hate group who helped orchestrate the Jan 6 Capitol attack.

#7. Trump’s not wrong when he says…

TRUMP: I got rid of Roe v. Wade.

It is entirely because of Trump’s judicial appointments that 1 in 3 American women of childbearing age now lives in states with abortion bans.

#8. One of Trump’s Supreme Court justices was Brett Kavanaugh, a man accused of sexual assault by multiple women.

#9. Trump’s White House interfered in the FBI’s investigation of Brett Kavanaugh’s alleged sexual assaults.

And now: #10. Trump has been convicted of committing 34 felonies while in office. The criminally false business filings he got convicted for in New York? All of them were committed while he was president.

I’m sorry, did I say the 10 Worst Things About the Trump Presidency? I meant 15.

#11. Trump’s failed pandemic response is estimated to have led to hundreds of thousands of needless deaths. By the time Trump left office, roughly 3,000 Americans were dying of covid every day. That’s a 9/11-scale mass casualty event every single day. How did Trump screw up so badly?

#12. Trump’s White House discarded the pandemic response playbook that had been assembled by the Obama administration.

#13. Trump disbanded the National Security Council’s pandemic response team.

#14. Trump repeatedly lied about the danger of covid, saying it was no worse than the flu or that it would go away on its own.

But behind closed doors, Trump admitted he knew covid was deadly.

#15. Trump promoted fake covid cures like hydroxychloroquine and even injecting people with disinfectants.

After Trump’s “disinfectant” remarks, poison control centers received a spike in emergency calls.

That’s fifteen things. Should I keep going? Ok, I’ll keep going. The 20 Worst Things About the Trump Presidency.

#16. Trump presided over a net loss of 2.9 million American jobs — the worst recorded jobs numbers of any U.S. president in history.

#17. Trump profited off the presidency, making an estimated $160 million from foreign countries while he was president.

#18. Trump also billed the Secret Service over $1 million for the privilege of staying at his golf clubs and other properties while they protected him. That’s your money!

#19. Trump caused the longest government shutdown in U.S. history when he didn’t get funding for his border wall, which he said Mexico was going to pay for.  

#20. Under Trump, the national debt increased by about 40% — more than in any other four-year presidential term — largely because of his tax cuts for the rich and big corporations.

You didn’t really think I was stopping at 20, did you? We’re going to 25 —

#21. Trump separated more than 5,000 children from their parents at the border, with no plan to ever reunite them, putting babies in cages.

#22. The Muslim Ban. Yes, Trump really did try to ban Muslims from entering the country.

#23. Trump sparked international outrage by moving the American Embassy in Israel to Jerusalem while closing the U.S. mission to Palestine.

#24. Trump tasked his son-in-law Jared Kushner with drafting a potential Middle East “peace plan” with zero Palestinian input.

#25. And finally, Trump recognized Israel’s occupation of the Goh-lahn Heights, which is considered illegal under international law.

So there you have it, folks: The 25 Worst — Wait a minute. Wait a minute. Did I mention the impeachments? We’ve got to do the impeachments. Let’s go to 30.

#26. Trump broke the law by trying to withhold nearly $400 million of U.S. aid for Ukraine in an effort to extort a personal political favor from Ukraine’s Pres. Zelensky. Trump wanted Zelensky to interfere in the 2020 election by announcing an investigation into the Bidens. Delaying this aid to Ukraine weakened Ukraine and strengthened Russia.

#27. Trump personally attacked and ruined the careers of everyone who stood in the way of his illegal Ukraine scheme, including Ambassador Marie Yovanovitch and Lt. Colonel Alexander Vindman.

#28. To cover up the scheme, Trump ordered the White House and State Department to defy congressional subpoenas.

#29. For these reasons, on December 18, 2019, Trump became the third U.S. president to be impeached. He was charged with Abuse of Power and Obstruction of Congress.

#30. Even while he was being investigated for trying to get Ukraine to interfere in the U.S. election, Trump publicly called for China to interfere in the election.

So those are the 30 Worst Things —

I’ll go to 35.

#31. Long before Election Day, Trump started making false claims that the election would be rigged.

#32. After losing, Trump falsely claimed the election was stolen, even though his own inner circle, including his campaign manager, White House lawyers, and his own Justice Department and attorney general told him it was not.

#33. Trump kept telling his Big Lie even after more than 60 legal challenges to the election were struck down in court, many by Trump-appointed judges.

#34. Trump ordered the Department of Justice to falsely claim that the election “was corrupt.”

#35. Trump and his allies used threats to pressure state leaders in Arizona and Georgia to falsify the election results.

We may go to 40.

#36. When none of the previous schemes worked, Trump and his allies produced fake electoral votes cast by fake electors in multiple swing states. His former White House chief of staff and Rudy Giuliani are among the many members of his inner circle who have been criminally indicted for this scheme.

#37. Trump tried to bully Vice President Pence into obstructing the certification of the election.

#38. Trump invited a mob to the Capitol on Jan 6 with his “be there, will be wild” tweet.

#39. Sworn testimony alleges that when Trump was warned that members of the crowd were carrying deadly weapons, he ordered security metal detectors to be taken down.

#40. Knowing the crowd had deadly weapons, he ordered them to go to the Capitol and…

TRUMP: …fight like hell.

#41 — Yes, yes, I know, bear with me.

Trump betrayed his oath to defend the nation by doing nothing to stop the Jan 6 violence. Instead, according to witness testimony, he sat and watched TV for hours.

#42. On January 13, 2021, Trump became the only president ever to be impeached twice. This time he was charged with incitement of insurrection. It was a bipartisan vote.

#43. The majority of senators — 57 out of 100 — voted to convict Trump, including 7 Republican senators.

So that’s the two impeachments and the Big Lie, but wait, we haven’t dealt with Russia, right? So we’re going to 50.

#44. In a likely obstruction of justice, Trump pressured then FBI Director James Comey to stop the FBI’s investigation into Trump’s National Security Adviser, Michael Flynn. This was documented in the Mueller report.

#45. When Comey didn’t bend to Trump’s will, Trump fired him.

#46. Trump tried to shut down the Mueller investigation by ordering White House Counsel Don McGann to fire Mueller. McGann refused because that would be criminal obstruction of justice.

#47. When news got out that Trump tried to fire Mueller, Trump repeatedly told McGann to lie — to Mueller, to press, to public — and even create a false document to conceal Trump’s attempt to fire Mueller.

#48. Trump ordered his staff not to turn over emails showing Don Jr. had set up a meeting at Trump Tower before the 2016 election with representatives of the Russian government.

#49. Trump convinced Michael Cohen to lie to Congress about Trump’s plans to build a Trump Tower in Moscow, and Cohen served prison time for lying to Congress.

#50. Trump was not charged for criminal obstruction of justice because it’s the Justice Department’s policy not to indict a sitting president, but more than a thousand former federal prosecutors who served under both Republicans and Democrats, signed a letter declaring there was more than enough evidence to prosecute Trump.

So those are the 50 Worst Things About the Trump Presidency. Now I could go on…

And I will! The 75 Worst Things About the Trump Presidency.

#51. Trump said he’d hire only the best people, but…

His campaign chair was convicted of multiple crimes.

So was one of his closest associates.

His deputy campaign chair pleaded guilty to crimes.

So did his personal lawyer

His National Security Adviser

The Chief Financial Officer of his business

A campaign foreign policy adviser

And one of his campaign fundraisers.

They all committed crimes, and Trump pardoned most of them.

#52. Trump said he’d drain the Washington swamp. But he appointed more billionaires, CEOs, and Wall Street moguls to his administration than any administration in history

#53. Trump intervened to get his son-in-law, Jared Kushner top-secret clearance after he was denied over concerns about foreign influence.

#54. Trump hosted a Russian Foreign Minister to the Oval Office, where Trump revealed top-secret intelligence.

Oh, and Trump’s economic policies!

#55 Trump promised that the average American family would see a $4,000 pay raise because of his tax cuts for the wealthy and big corporations. How’d that work out? Did you get a $4,000 raise? Of course not! Nobody did!

#56. Trump vowed to protect American jobs, but offshoring increased and manufacturing fell.

#57. Trump said he would fix America’s infrastructure, but it never happened. He announced so many failed “infrastructure weeks” they became a running joke.

#58. Trump said he would be “the voice” of American workers, but he filled the National Labor Relations Board with anti-union flacks who made it harder for workers to unionize.

#59. Trump’s Labor Department made it easier for bosses to get out of paying workers overtime, which cheated 8 million workers of extra pay.

#60. Trump repeatedly suggested he might serve more than two terms in violation of the Constitution — and continues to do so.

#61. Trump called Haiti and African nations “shithole” countries.

#62. Trump tried to terminate DACA, which protects immigrants brought to the U.S. as children. Luckily this was struck down by the courts.

#63. Trump called climate change a “hoax.”

#64. Trump pulled out of the Paris Climate Agreement.

#65. Trump rolled back more than 100 environmental protections.

#66. Every budget Trump proposed included cuts to Social Security and Medicare.

#67. Trump tried (and failed) to repeal the Affordable Care Act, which would have resulted in 20 million Americans losing insurance. And striking down the ACA’s protections for the roughly 130 million people with pre-existing conditions could have driven up their insurance premiums or led to a loss of coverage.

#68. Trump made it easier for employers to remove birth control coverage from insurance plans.

#69. By the end of Trump’s term, the number of people lacking health insurance had risen by 3 million.

#70. Trump lied. Constantly. He made 30,573 false or misleading claims while president — an average of 21 a day, according to Washington Post fact-checkers.

#71. Trump allegedly took hundreds of classified documents on his way out of the White House, reportedly including nuclear secrets, which he then left unsecured in various parts of Mar-a-Lago, including a bathroom. He was even caught on tape showing them off to people.

#72. Trump seriously discussed the idea of nuking a hurricane.

#73. When Hurricane Maria hit Puerto Rico, Trump delayed $20 billion of aid and allowed Puerto Rico to be without power for 181 days.

#74. Trump suggested withholding federal aid for California wildfire recovery and said the solution was to “clean” the “floors” of the forest.

#75. Trump pulled out of the Iran deal, placing Iran on a path to developing nuclear weapons.

Honestly, there’s so much more, from exchanging “love letters” with North Korea’s brutal dictator to publicly denigrating a Gold Star military widow and making her cry, to the way he attacked journalists, to late night tweet binges.

Look, I can understand why a lot of people want to block all of this out of their memories. But we cannot afford to forget just how terrible Trump’s time in the White House was for this nation.

And we sure as hell can’t afford to put him back there.

[risestarkiss]

Rise Rambling #449

You know what I think about from time to time?

Donnie didn’t just “place” trackers on his brothers. No. The trackers were placed subcutaneously.

Subcutaneous is a medical term that describes the route of administration. "Sub-" means "under" and "cutaneous" means "skin."

Therefore, a "subcutaneous tracker," by definition, is a tracker placed just under the skin.

Placing a subcutaneous tracker would require either a large/thick hypodermic needle or a scalpel to make an incision, the latter requiring a stitch or two to close the wound.

...Regardless of the method, the conclusion is the same.

At some arbitrary point, Donnie either injected a large needle into or performed minor surgery on each individual brother in order to place a tracker under their skin. …and they had no clue.

[strange-aeons]

My friend @wordslikesilver asked me if she could promo this in my discord server and I thought it could be helpful to share on Tumbr as well.

This is a study being run by the Canadian Drug Administration to improve Trans Healthcare in Canada — they’re looking for Canadian Trans Women / anyone on Estrogen who isn’t Cis to participate.

The study is explicitly about oral vs transdermal HRT usage. This doesn’t include injected estrogen or testosterone suppressants but does include things like progesterone & other hormone medications if you’re taking them with your oral/transdermal estrogen.

Details for contacting them directly to participate as well as compensation details are in the final screenshot!

[incandescent-mushroom]

if you were a trans patient in House MD, House would call you sooo many slurs to your face, fuck up your pronouns intentionally, invent a new offensive term that hadn’t previously existed and look up your deadname so he can use it pointedly in every single sentence. then after the end of episode shenanigans he’d casually be like “btw i lied to the administration and told them you needed hormone injections and insurance subsidized top surgery to live. better not tell lol” and you’d just have to accept the fact that you’ve been hatecrimed AND gender-affirmed in the span of like 24 hrs

[wilwheaton]

The two programs under which Haitians fleeing some of the worst political chaos and gang violence in the Western Hemisphere have been OK’d by the Biden administration to remain in the United States as protected refugees are perfectly legal, and if Vance thinks otherwise he should challenge the rulings in court, not by demagoguing it on the campaign trail. There’s considerable evidence that the 20,000 figure that Vance and other right-wingers have claimed is the number of Haitians who’ve moved to Springfield during the President Joe Biden years is a big exaggeration. And even local Republican politicians are calling out Vance’s lies, including a heartfelt essay by GOP Gov. Mike DeWine, who’s from the Springfield area. [...] Three days after the debate, Vance tweeted: “In Springfield, Ohio, there has been a massive rise in communicable diseases, rent prices, car insurance rates, and crime." [...] The claim about a massive rise in communicable disease in Springfield or surrounding Clark County is just a flat-out lie. To the contrary, county officials say 2023 was actually the lowest overall for contagious illnesses in eight years. Vance’s false claim hinges on a yearly rise in two specific diseases — tuberculosis and HIV injections — yet local officials note these numbers are so small they tend to fluctuate from year to year, and there’s no evidence Haitian Americans played any role.

Will Bunch: JD Vance’s new lies about immigrants are worse than ‘eating dogs and cats’

Lies on top of lies, wrapped up in lies.

Because he has no record of his own, and Trump’s record is indefensible.

And they have no plan to help anyone but themselves and a handful of oligarchs. And, of course, Russia. 

We are not going back. Check your voter registration every week between now and your state’s deadline. Make a plan to vote, and vote as early as you can.

The sooner we don’t ever have to hear these clowns again, the better. Let’s do this.

[nornities]

How to use DXVK with The Sims 3

Have you seen this post about using DXVK by Criisolate? But felt intimidated by the sheer mass of facts and information?

@desiree-uk and I compiled a guide and the configuration file to make your life easier. It focuses on players not using the EA App, but it might work for those just the same. It’s definitely worth a try.

Adding this to your game installation will result in a better RAM usage. So your game is less likely to give you Error 12 or crash due to RAM issues. It does NOT give a huge performance boost, but more stability and allows for higher graphics settings in game.

The full guide behind the cut. Let me know if you also would like it as PDF.

Happy simming!

Disclaimer and Credits

Desiree and I are no tech experts and just wrote down how we did this. Our ability to help if you run into trouble is limited. So use at your own risk and back up your files!

We both are on Windows 10 and start the game via TS3W.exe, not the EA App. So your experience may differ.

This guide is based on our own experiments and of course criisolate’s post on tumblr:  https://www.tumblr.com/criisolate/749374223346286592/ill-explain-what-i-did-below-before-making-any

This guide is brought to you by Desiree-UK and Norn.

Compatibility

Note: This will conflict with other programs that “inject” functionality into your game so they may stop working. Notably

Reshade

GShade

Nvidia Experience/Nvidia Inspector/Nvidia Shaders

RivaTuner Statistics Server

It does work seamlessly with LazyDuchess’ Smooth Patch.

LazyDuchess’ Launcher: unknown

Alder Lake patch: does conflict. One user got it working by starting the game by launching TS3.exe (also with admin rights) instead of TS3W.exe. This seemed to create the cache file for DXVK. After that, the game could be started from TS3W.exe again. That might not work for everyone though.

A word on FPS and V-Sync

With such an old game it’s crucial to cap framerate (FPS). This is done in the DXVK.conf file. Same with V-Sync.

You need

a text editor (easiest to use is Windows Notepad)

to download DXVK, version 2.3.1 from here: https://github.com/doitsujin/DXVK/releases/tag/v2.3.1 Extract the archive, you are going to need the file d3d9.dll from the x32 folder

the configuration file DXVK.conf from here: https://github.com/doitsujin/DXVK/blob/master/DXVK.conf. Optional: download the edited version with the required changes here.

administrator rights on your PC

to know your game’s installation path (bin folder) and where to find the user folder

a tiny bit of patience :)

First Step: Backup

Backup your original Bin folder in your Sims 3 installation path! The DXVK file may overwrite some files! The path should be something like this (for retail): \Program Files (x86)\Electronic Arts\The Sims 3\Game\Bin (This is the folder where also GraphicsRule.sgr and the TS3W.exe and TS3.exe are located.)

Backup your options.ini in your game’s user folder! Making the game use the DXVK file will count as a change in GPU driver, so the options.ini will reset once you start your game after installation. The path should be something like this: \Documents\Electronic Arts\The Sims 3 (This is the folder where your Mods folder is located).

Preparations

Make sure you run the game as administrator. You can check that by right-clicking on the icon that starts your game. Go to Properties > Advanced and check the box “Run as administrator”. Note: This will result in a prompt each time you start your game, if you want to allow this application to make modifications to your system. Click “Yes” and the game will load.

2. Make sure you have the DEP settings from Windows applied to your game.

Open the Windows Control Panel.

Click System and Security > System > Advanced System Settings.

On the Advanced tab, next to the Performance heading, click Settings.

Click the Data Execution Prevention tab.

Select 'Turn on DEP for all programs and services except these”:

Click the Add button, a window to the file explorer opens. Navigate to your Sims 3 installation folder (the bin folder once again) and add TS3W.exe and TS3.exe.

Click OK. Then you can close all those dialog windows again.

Setting up the DXVK.conf file

Open the file with a text editor and delete everything in it. Then add these values:

d3d9.textureMemory = 1

d3d9.presentInterval = 1

d3d9.maxFrameRate = 60

d3d9.presentInterval enables V-Sync,d3d9.maxFrameRate sets the FrameRate. You can edit those values, but never change the first line (d3d9.textureMemory)!

The original DXVK.conf contains many more options in case you would like to add more settings.

A. no Reshade/GShade

Setting up DXVK

Copy the two files d3d9.dll and DXVK.conf into the Bin folder in your Sims 3 installation path. This is the folder where also GraphicsRule.sgr and the TS3W.exe and TS3.exe are located. If you are prompted to overwrite files, please choose yes (you DID backup your folder, right?)

And that’s basically all that is required to install.

Start your game now and let it run for a short while. Click around, open Buy mode or CAS, move the camera.

Now quit without saving. Once the game is closed fully, open your bin folder again and double check if a file “TS3W.DXVK-cache” was generated. If so – congrats! All done!

Things to note

Heads up, the game options will reset! So it will give you a “vanilla” start screen and options.

Don’t worry if the game seems to be frozen during loading. It may take a few minutes longer to load but it will load eventually.

The TS3W.DXVK-cache file is the actual cache DXVK is using. So don’t delete this! Just ignore it and leave it alone. When someone tells to clear cache files – this is not one of them!

Update Options.ini

Go to your user folder and open the options.ini file with a text editor like Notepad.

Find the line “lastdevice = “. It will have several values, separated by semicolons. Copy the last one, after the last semicolon, the digits only. Close the file.

Now go to your backup version of the Options.ini file, open it and find that line “lastdevice” again. Replace the last value with the one you just copied. Make sure to only replace those digits!

Save and close the file.

Copy this version of the file into your user folder, replacing the one that is there.

Things to note:

If your GPU driver is updated, you might have to do these steps again as it might reset your device ID again. Though it seems that the DXVK ID overrides the GPU ID, so it might not happen.

How do I know it’s working?

Open the task manager and look at RAM usage. Remember the game can only use 4 GB of RAM at maximum and starts crashing when usage goes up to somewhere between 3.2 – 3.8 GB (it’s a bit different for everybody).

So if you see values like 2.1456 for RAM usage in a large world and an ongoing save, it’s working. Generally the lower the value, the better for stability.

Also, DXVK will have generated its cache file called TS3W.DXVK-cache in the bin folder. The file size will grow with time as DXVK is adding stuff to it, e.g. from different worlds or savegames. Initially it might be something like 46 KB or 58 KB, so it’s really small.

Optional: changing MemCacheBudgetValue

MemCacheBudgetValue determines the size of the game's VRAM Cache. You can edit those values but the difference might not be noticeable in game. It also depends on your computer’s hardware how much you can allow here.

The two lines of seti MemCacheBudgetValue correspond to the high RAM level and low RAM level situations. Therefore, theoretically, the first line MemCacheBudgetValue should be set to a larger value, while the second line should be set to a value less than or equal to the first line.

The original values represent 200MB (209715200) and 160MB (167772160) respectively. They are calculated as 200x1024x1024=209175200 and 160x1024x1024=167772160.

Back up your GraphicsRules.sgr file! If you make a mistake here, your game won’t work anymore.

Go to your bin folder and open your GraphicsRules.sgr with a text editor.

Search and find two lines that set the variables for MemCacheBudgetValue.

Modify these two values to larger numbers. Make sure the value in the first line is higher or equals the value in the second line. Examples for values: 1073741824, which means 1GB 2147483648 which means 2 GB. -1 (minus 1) means no limit (but is highly experimental, use at own risk)

Save and close the file. It might prompt you to save the file to a different place and not allow you to save in the Bin folder. Just save it someplace else in this case and copy/paste it to the Bin folder afterwards. If asked to overwrite the existing file, click yes.

Now start your game and see if it makes a difference in smoothness or texture loading. Make sure to check RAM and VRAM usage to see how it works.

You might need to change the values back and forth to find the “sweet spot” for your game. Mine seems to work best with setting the first value to 2147483648 and the second to 1073741824.

Uninstallation

Delete these files from your bin folder (installation path):

d3d9.dll

DXVK.conf

TS3W.DXVK-cache

And if you have it, also TS3W_d3d9.log

if you changed the values in your GraphicsRule.sgr file, too, don’t forget to change them back or to replace the file with your backed up version.

OR

delete the bin folder and add it from your backup again.

B. with Reshade/GShade

Follow the steps from part A. no Reshade/Gshade to set up DXVK.

If you are already using Reshade (RS) or GShade (GS), you will be prompted to overwrite files, so choose YES. RS and GS may stop working, so you will need to reinstall them.

Whatever version you are using, the interface shows similar options of which API you can choose from (these screenshots are from the latest versions of RS and GS).

Please note: 

Each time you install and uninstall DXVK, switching the game between Vulkan and d3d9, is essentially changing the graphics card ID again, which results in the settings in your options.ini file being repeatedly reset.

ReShade interface

Choose – Vulcan

Click next and choose your preferred shaders.

Hopefully this install method works and it won't install its own d3d9.dll file.

If it doesn't work, then choose DirectX9 in RS, but you must make sure to replace the d3d9.dll file with DXVK's d3d9.dll (the one from its 32bit folder, checking its size is 3.86mb.)

GShade interface

Choose –           

Executable Architecture: 32bit

Graphics API: DXVK

Hooking: Normal Mode

GShade is very problematic, it won't work straight out of the box and the overlay doesn't show up, which defeats the purpose of using it if you can't add or edit the shaders you want to use.

Check the game's bin folder, making sure the d3d9.dll is still there and its size is 3.86mb - that is DXVK's dll file.

If installing using the DXVK method doesn't work, you can choose the DirectX method, but there is no guarantee it works either.

The game will not run with these files in the folder:

d3d10core.dll

d3d11.dll

dxgi.dll

If you delete them, the game will start but you can't access GShade! It might be better to use ReShade.

Some Vulcan and DirectX information, if you’re interested:

Vulcan is for rather high end graphic cards but is backward compatible with some older cards. Try this method with ReShade or GShade first.

DirectX is more stable and works best with older cards and systems. Try this method if Vulcan doesn't work with ReShade/GShade in your game – remember to replace the d3d9.dll with DXVK's d3d9.dll.

For more information on the difference between Vulcan and DirectX, see this article:

https://www.howtogeek.com/884042/vulkan-vs-DirectX-12/