Preparation of necessary materials:
- Syringe with needle / PEN
- Long needle for preparing the solution
- Alcohol / disinfectant swab
- Medication
- Treatment plan
- Needle storage container
Preparation of the solution from the powder medication
(Diphereline, Menopur, Meriofert, Pregnyl, Gonapeptyl, Cetrotide)
- Remove the metal or plastic cap that protects the vial stopper
- Disinfect the bottle cap with an alcohol swab
- Attach the longer needle to the syringe for dissolution
- Open the solvent vial by breaking in the narrow area
- Insert the needle into the solvent vial and aspirate the solvent into the syringe
- Inject the solvent and air into the vial with the powder medication
- Gently rotate the vial to allow it to dissolve
- With the needle inside, turn the vial upside down over the syringe
- Load the syringe with the resulting mixture, holding the tip of the needle in the groove of the stopper
- Remove the needle and syringe from the medication bottle
- Gently tap the syringe to push the air bubbles toward the needle
- Replace the long needle with a small needle for subcutaneous administration
Adjusting pen-type devices - PEN
Subcutaneous injection
- Check the medication label
- Check the dose in the treatment plan
- Choose the injection site, alternating every day
- Wash your hands
- Disinfect the injection site with alcohol
- Load and check the dose to be injected
- Gently push the plunger to remove air bubbles
- Hold the syringe like a pencil and gently lift the skin with your other hand
- With a quick motion, fully insert the needle
- Slowly inject the solution and wait another 5 seconds
- Remove the needle and hold it with an alcohol swab at the injection site
- Discard the needle and syringe in a rigid container with a lid
- Mark the administration of the injection on the treatment plan
Preparation of a dose greater than one ampoule (several ampoules at a time)
- Inject the mixture (dissolved powder medication) into the next powder medication bottle
- Do not use a new solvent for additional ampoules
- Rotate the vial again to mix the solution obtained
- Fill the mixture into the second vial into the syringe
- Inject the new mixture into the third vial of powder if you have 3 ampoules to make
- Load the medication mixture from the last vial into the syringe
- For the dose of 3 ampoules, you will have 3 vials of powder dissolved in a single solvent
Watch this video
Other information and tips:
- Administer the injection into a fold of abdominal skin
- Keep medicines as directed
- If the needle bends or is already bent, do not use it
- If bleeding occurs at the injection site, hold
- Write the date of opening on the bottle, if you do not use it in full
- Store the prepared medication in the refrigerator
- Check the shelf life of an open bottle
- Keep medicines, syringes and needles out of the reach of children or animals
- Use a plastic bottle with a lid to store needles
- Discuss with the nurse how and where you can throw the container with needles and syringes
You benefit from free medication administration lessons in the clinic.