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Injection Protocol and Instructions
Read this document carefully and fully prior to first administration.
The following information has been prepared for safe and effective
self-administration of your inje ctable therapies.
Preparing for self-administration injections:
1. Wash hands thoroughly with soap and warm water.
2. Select a well-lit, clean hard surface preferably with a mirror
(e.g. Bathroom countertop).
3. Ensure you have all necessary supplies and that all packaging
and wrappings are intact and there are no signs of tampering. Double
check the expiration dates on all medications. Note: With Testosterone
(Intramuscular injections) You will use (2) two needles: (1) one
needle for drawing the medication, referred to in these instructions
as the "drawing needle" and (1) one needle for administration
of the solution, "administration needle".
Drawing solution into syringe:
1. Use alcohol wipes to clean the tops of the vials – move
in one direction and use one wipe per vial.
2. Remove syringe with needle from packaging and fill syringe with
an equal amount of air as the intended dose by pulling plunger back
to the desired mark (i.e. If you are drawing up 2 ml's of
solution you would pull plunger to the "2" on the syringe).
3. Insert the needle straight through the rubber stopper, into the
vial. If you touch the stopper with your finger clean it with a
fresh alcohol wipe prior to withdrawing medication.
4. Turn the medication vial upside down keeping the needle tip inside
the liquid.
5. Inject the air into the medication vial. This helps to maintain
a balance of internal/external pressure when using glass vials;
this also makes future medication withdrawal easier.
6. Hold the vial and syringe in one hand and slowly draw up that
amount of liquid into syringe. Diagram 1 shows technique on holding
vial.
7. While holding the vial upside down and maintaining drawing needle
inside the vial, gently tap the side of the syringe until air bubbles
rise to the top of the barrel of the syringe. Gently push the plunger
to eject ONLY THE AIR BUBBLES through the needle.
8. Remove needle and syringe from vial.
9. Recap needle by placing the plastic needle cap on countertop
and safely guiding the needle into the cap. This reduces the possibility
of accidentally sticking yourself.
10. For Testosterone and/or IM injections remove the drawing needle
and discard it in an OSHA approved Sharps container. Federal Regulations
require needles and sharps objects to be disposed of in a proper
bio-medical waste container. If you are missing or need sharps containers
please call us immediately. Make sure to always properly dispose
of all used needles.
Injecting of solution:
Keep syringes and materials clean and do not let anything touch
the tip of syringe or needle. If you accidentally touch the tip
or accidentally contaminate it in any way you must discard and start
all over. This eliminates the possibility of infection.
1. For Testosterone or IM injections Remove fresh administration
needle from packaging and inspect for any defects. Do not remove
plastic cap until ready for injection.
2. Firmly twist administration needle on to syringe and maintain
in front of you on countertop until you are ready for administration.
3. For SUBQ injections the small insulin syringe is preloaded with
needle which cannot be removed and will be used for administration.
4. Use an alcohol wipe to clean skin at the injection site; let
it air dry. Throw away the wipe. NOTE: Do not use any areas in which
you feel lumps, bumps, firm knots or pain. Do not use any area in
which the skin is discolored, depressed, scabbed, or is broken open.
If you are in doubt call your representative.
5. Remove the needle cap from the needle and gently pinch the skin
together around the site (to lift it up a bit) See Diagram 2 . The
best areas for injection are away from joints, nerves, bones, and
other important body. Refer to last page for injection site diagram.
The preferred areas for Intramuscular (IM) injections, such as Testosterone,
are the gluteus maximus (buttocks) and the quadriceps muscles. The
preferred area for Subcutaneous (SUBQ) injections, such as Growth
Hormone and HCG is around the navel, stomach area.
6. With a swift motion stick the needle into the skin at a 90°
angle for intramuscular (IM) injections and at a 45° angle for
subcutaneous (SUBQ) injections. *STEP 7 is for INTRAMUSCULAR (IM)
INJECTIONS ONLY! SUBQ injections Go to Step 8.
7. (IM) While needle is in the muscle pull back on the plunger slightly
and look for blood inside syringe. *Rarely will there be blood but
if you experience this - it just means you are near or hit a blood
vessel. Immediately pull needle and syringe out and gently massage
area with gauze or clean tissue. Discard the needle and Go back
to Step 2 in this section and repeat after selecting another injection
site.
8. Inject the medication by using a slow steady push on the plunger
until the syringe is completely empty. Hold a cotton swab or gauze
near the injection site.
9. Swiftly and safely remove the needle from the skin and gently
massage the injection site with a dry cotton ball or gauze. 10.
Immediately discard the syringe and the needle in an OSHA sharps
container.
11. Maintain all supplies and medication in a safe place and away
from the reach of children and others. Ensure proper storage of
medical supplies and refrigerated medicines.
12. Once you have filled the OSHA approved sharps container to the
‘recommended fill line' you can call your local waste
management and follow local guidelines for proper disposal.
Information listed in this document is provided for informational
purposes and is not meant to substitute for the advice provided
by your own physician or other medical professional. You should
not use the information contained herein for diagnosing or treatment
of a health problem or disease, or prescribing any medication. If
you have or suspect that you have a medical problem, promptly contact
your health care provider or your representative.
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HGH getting started
secretion signal from an E. coli protein.
This precursor is directed to the plasma membrane of the cell. The signal sequence
is removed and the native protein is secreted into the periplasm so that the
protein is folded appropriately as it is synthesized.
