Where do you inject Epogen?

Asked by: Joel Bond

Epogen can be injected directly into a layer of fat under your skin. This is called a subcutaneous injection. When giving subcutaneous injections, follow your healthcare provider’s instructions about changing the site for each injection. You may wish to write down the site where you have injected.

Where is epoetin administered?

Epoetin alfa injection products come as a solution (liquid) to inject subcutaneously (just under the skin) or intravenously (into a vein). It is usually injected one to three times weekly.

How do you give an EPO injection?

Adults—Dose is based on body weight and must be determined by your doctor. The starting dose is 100 units per kilogram (kg) injected into a vein or under the skin three times a week for 8 weeks. Your doctor may adjust the dose as needed. Children—Use and dose must be determined by your doctor.

Where can I inject Procrit?

– Choose an area of skin on the front of your thigh, or on your stomach, at least 2 inches away from your belly button. If you have a trained caregiver, they can choose the upper outer areas of your arms or buttocks. – Always rotate sites where you inject, to avoid injuring the skin.

Where do you give a subcutaneous injection?

Choose Your Injection Site

At least 3 inches (7.5 centimeters) below your shoulder and 3 inches (7.5 centimeters) above your elbow, on the side or back. Outer side of upper thighs. Belly area. Below your ribs and above your hip bones, at least 2 inches (5 centimeters) away from your belly button.

What is the best time to inject epoetin?

Typically we give it when returning a dialysis patient, but most doctors say it is fine to inject EPO 20 to 25 minutes before dialysis patient termination by saying it is a protein.

Is Epogen and PROCRIT the same?

Epogen and Procrit are both epoetin alfa, but they are marketed by two different pharmaceutical companies. The FDA approved epoetin alfa in June 1989.

Can erythropoietin be given subcutaneously?

According to the results, the injection of erythropoietin in the subcutaneous method was more effective than intravenous. It is recommended to use this approach to improve blood indices in hemodialysis patients.

Is EPO an intramuscular?

EPO was intravenously, intramuscularly or subcutaneously injected to partially nephrectomized anemic rats in 3 types of prescriptions (300 units of EPO per kg of body weight was respectively given in a dose at the first day, in 4 divided doses every 4 days, and in 7 divided doses every 2 days for 2 weeks).

How long does it take for erythropoietin to start working?

When epoetin begins to work, usually in about 6 weeks, most people start to feel better. Some people are able to be more active. However, epoetin only corrects anemia. It has no effect on kidney disease, cancer, or any other medical problem that needs regular medical attention.

What happens if you give a subcutaneous injection wrong?

The most common complication of a subcutaneous injection is pain near the injection site for 1 to 2 days afterward. Pain near the injection site can happen when inserting the needle at the wrong angle, or when it moves slightly during the injection.

Which layer of skin is best for subcutaneous injections?

Subcutaneous (SC) injections are administered into the adipose tissue layer just below the epidermis and dermis. This tissue has few blood vessels, so drugs administered by this route have a slow, sustained rate of absorption.

Do you pinch skin giving subcutaneous injection?

Take your thumb and index (pointer) finger and pinch the skin. Lift the skin away from your body. Pinching and pulling gently will pull the subcutaneous tissue away from the muscle. Remove any safety device from the needle.

What happens if you inject an air bubble subcutaneously?

Injecting a small air bubble into the skin or a muscle is usually harmless. But it might mean you aren’t getting the full dose of medicine, because the air takes up space in the syringe.

What angle should a subcutaneous injection be given?

Generally, a 25- to 27-gauge, 5/8-inch-long needle is appropriate. If you can pinch a 1-inch (2.5-cm) tissue fold, insert the needle at a 45-degree angle; for a 2-inch (5-cm) fold, insert it at a 90-degree angle. Warm the medication as recommended.

How do you know if you hit a nerve when injecting?

Unlike some veins, nerves are not visible from outside the body, although you will definitely know if you’ve hit one while injecting because you’ll experience extreme pain and no blood will enter the syringe when you pull back to register. You may feel an electric “burn” along your limb.

Where do you inject in the buttocks?

Glutes – your glutes are the safest place to inject. If you imagine that your buttock is divided into four, you need to inject into the upper, outer quarter (see diagram). This is so you don’t hit the sciatic nerve, which runs down the centre of your buttock.

What happens if you hit a blood vessel during an injection?

Hitting an artery can be painful and dangerous. Arterial blood travels away from the heart so whatever is injected goes straight to body limbs and extremities. Injection particles get stuck in blood capillaries and cut off circulation. This can result in a lack of blood flow, eventually causing the tissue to die.

How do you locate the injection sites?

Intramuscular injections are often given in the following areas:

1. Deltoid muscle of the arm. The deltoid muscle is the site most typically used for vaccines. …
2. Vastus lateralis muscle of the thigh. …
3. Ventrogluteal muscle of the hip. …
4. Dorsogluteal muscles of the buttocks.

What are the 5 injection sites?

IM injections are administered in five potential sites: deltoid (commonly used for adult vaccinations), dorsogluteal, ventrogluteal, rectus femoris, and vastus lateralis^3,10,11 (Figure 1).

Why injection is given in buttocks?

The buttocks is composed of variable amounts of fat over the underlying muscle. In the presence of a large amount of fat, it is probable that some injections will be injected into a subcutaneous location. Subcutaneous fat has poorer vascularity than muscle.

Where do you inject in the thigh?

Typically, people who need to self-administer injections use the vastus lateralis muscle in the thigh. To locate the correct spot, imagine dividing the thigh vertically into three equal parts. Give the injection into the outer top part of the middle section.

What are the 4 injection sites?

Summary. There are four sites on your body that can be used to give yourself an intramuscular injection. These include the upper arm, thigh, hip, and buttocks.

How do I find a ventrogluteal site?

Finding the ventrogluteal site

Have your friend, family member, or caregiver, place the palm of their hand on the greater trochanter of the femur. This is the bony part that sticks out of your upper thigh near your hip. They will then locate the anterior iliac crest and place your index finger on it.

What types of shots are given in the buttocks?

Common sites for intramuscular injections include the deltoid muscle of the upper arm and the gluteal muscle of the buttock.

What is the peanut butter shot?

The “peanut butter” shot, in the military, is a slang term for the famous bicillin vaccination every recruit receives unless they have an allergy — and can prove it. But if you can’t, you’re in for an experience of a lifetime.

What is the name of the line that divides the buttocks?

The intergluteal cleft or just gluteal cleft, also known by a number of synonyms, including natal cleft, butt crack, and cluneal cleft, is the groove between the buttocks that runs from just below the sacrum to the perineum, so named because it forms the visible border between the external rounded protrusions of the …