Get your supplies:
Syringe with needle
Depending on the amount of medication to be given:
1 cc syringe with 27-gauge needle
3 cc syringe with needle—used when solution is more than 1 cc
- Extra needle for mixing
- Alcohol pad
- Cotton ball or gauze pad
- Bottle of medicine
- Medication log
- Container for needle disposal
Giving the Injection:
- Wash your hands well with soap and warm water or use alcohol based hand sanitizer.
Check the label for correct medication.
Assembling and Mixing
(Decapeptyl, Diphereline, Menopur, Bravelle, Pregnyl, Gonapeptyl)
- A1. Remove the soft metal or plastic cap protecting the rubber stopper of the vial.
- A2. Clean the top of the medicine bottle with an alcohol pad.
- A3. Pick up the syringe and the needle for mixing. Twist to secure needle.
- A4. Open the vial of diluent.
- A5. Insert the needle into the vial of diluent and pull the plunger to withdraw the diluent.
- A6. Slowly and cautiously deposit the diluent into the vial of powdered medication.
- A7. Rotate the vial between your thumb and index finger until the solution is clear.
- A8. With the needle still in the bottle, turn the bottle upside down
- A9. Pull back on the plunger and withdraw the newly mixed medication back into the syringe.
Remove the syringe from the vial.
- If Mixing More than One Vial(Menopur, Bravelle)
- Inject the contents of the syringe (powdered medication mixed with diluent) directly into the next vial of powdered medication. Do not use more diluent for additional vials.
- Again, rotate the vial between your thumb and index finger until the solution is clear.
- Withdraw the newly mixed medication from the second vial back into the syringe.
- Repeat until you have reached your prescribed vial dosage.
- Withdraw the medication mixture from the final vial into the syringe.
- A11.Tap the barrel of the syringe to move any air bubbles toward the needle.
- A12. Remove the mixing needle and replace it with the smaller subcutaneous injection needle.
- Choose injection site, rotating sides daily.
- Clean your skin site with an alcohol pad.
- Push on the plunger to clear any air out of the syringe, or to adjust the dose to the amount you are to take.
- Hold the syringe like a pencil and gently pinch up the skin at the site.
- With a quick motion, insert the entire needle and depress the plunger slowly.
- Remove the needle and quickly press the alcohol pad or your finger onto the site.
- Put the used syringe and needle into a puncture proof container with a lid. Do not recap the needle.
- Mark the date, time and site of your injection on the calendar or record sheet.
Things to Know
- A subcutaneous injection is one that is given into the layers of skin and fat on top of the muscle.
- Store the medicine as you are directed.
- If the needle bends or it is bent when you remove the needle cover, you should not use it for an injection.
- If you notice any bleeding on the site of the injection, hold pressure for a few seconds.
- Be sure to mark the medicine bottle with the date you opened it.
- Check for how long you can use the medicine bottle after it is opened.
- Keep your medicine, syringes, needles and old needles and syringes away from children and pets.
- You can use an empty heavy plastic bottle with a lid as a needle disposal container
- Ask your nurse how you should throw away your container of used needles and syringes.