If you have elected intravenous administration of the Nembutal, you need to be able rotate the small wheel that opens the IV line that will be attached to the cannula in your arm. If you have weakness in your fingers or limited movement in your hands and and arms, then Pegasos has developed an ingenious device that requires a simple bump to start the infusion. This can be operated with one’s arm, body or even feet. A slight turn of the head also works and even with your tongue. If you have chosen to drink the drugs, the least you will need to be able to do is swallow. If you do not have movement of your arms, you must be able to suck the liquid through a straw. If you do have movement of your arms then this method should present no problems for you.