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Hep C Discussion Forum -> On Treatment -> Pre Filled Syringe Issues
Post Info TOPIC: Pre Filled Syringe Issues
Caryn


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RE: Pre Filled Syringe Issues
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Thanks for the tips everyone, this will all certainly help next week!  



__________________

1a, CT. Incivek triple 1/2013, vl 810 @ 2 weeks, 610 @ 4 weeks, 3000 @ 8 weeks, tx stopped. 

4/2014 - tx with Sovaldi/Olysio/Riba. VL 39 mil. - VL 230 @ 1 week, VL 40 @ 3 weeks, 5 weeks UND, EOT - UND, EOT @ 4 weeks UND, EOT @ 12 weeks UND!
mallani


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Hi Caryn,

If you do a subcutaneous injection in the abdomen, there are no significant blood vessels to worry about.

Make sure you get all the air out of the syringe . Hold it upright, tap the sides of the syringe, and gently depress the plunger. All the air will come out- stop when you see a drop of fluid on the needle bevel.

Remove from refrigerator 10 minutes before use. Insert syringe and needle with the bevel up. DON'T draw back on the plunger. Inject until plunger hits syringe base. Leave in place for 10 secs. then remove. Put a cotton bud at injection site and tape in place for a few hours.

Make sure you have good lighting and I needed a backlight.



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Geno 1b, IL28B CT,  x3 prior relapser,  ex-cirrhotic, 75 yo, did 48 weeks with Victrelis/Peg./Riba.  VL 1.28m at start, UNDET. at 8 ,12 ,16 ,24 ,30  and 48 weeks.  EOT 15 Feb 2013 , UNDET. at EOT + 28 weeks. SVR!  Still Undet. at EOT +5 years

Malcolm
Northern


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I am nurse doing treatment for the third time. This time using the pre-filled syringes. I pull my syringe out of the fridge and let set for a few minutes. For injections sites I use my abdomen. Using my button as a center I rotate around that 4-5 inches out. I have used my thigh in the past but I found it easier pulling shirt than dropping pants smile I carefully remove the remaining air in the syringe after placing the needle on. Pick my site, clean with alcohol and inject. What feel is important is leaving the needle in for a few seconds so the med does not follow out the needle track. I have never pulled back on the plunger for blood check. I jab, hold, pull. That is my method. Works for me.



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1b, 3rd time around on treatment. Stage IV cirr. Undetectable at 8 weeks with Incviek. Been infected since the late 70s. 48wk treatment completed. Sustained undetectable. 
2willy


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I do the eprex also with the interferron injections and I inject in the front part of my thigh and in my belly above belly buttona and atleast 4 " away.  I am a type 2 diabetic but not injections.  The Diabeatic society told and should me for future that injections to be put in 45 to 90 degrees and where I mentioned really not an issue with blood veins.  Main issue was to make sure area cleaned with alcohol and dried.  I only tap suringe and make sure bubbles out of it.  warm both suringes under hot water.

Hope that helps

Bill and Family



__________________

Geno type 1  rib and peg September 2012 , 5 weeks tripple and viral down to < 15 und april Aug 25 finished stay at peg 3 rib and eprex + blood transfussion finished treatment Aug 25 2013
Shep


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Hey Caryn--giving yourself shots is a nerve rattlling business. I was worried about hitting a vein when I started also. My dear sweet nurse was pretty old school about the shots and taught me to pull the plunger back to check for blood but after some discussion here on the forum discovered that others were not trained in this way. The needles are so thin and small the chance of striking a vein are very, very slight. It helped me to hear that others did not pull the plunger back and it makes giving the shots less tense. Don't worry--after a few weeks it gets a lot easier! But just to double check -if you do have a nurse or medical person you can call--never hurts to talk with some one. The pharmacy where I got my meds had people you could call and speak with around the clock. They were also helpful and got me to relax when I thought I was messing up!
Good luck

__________________

Diagnosed 1996 genotype 1b VL alot tx starting 12/23/11 Victrelis UND week 8!!! 28 weeks of tx

Completed tx 7/6/12--still UND!!!!
JoAnneh


Guru

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You sound like me...so concern if shot is
Properly injected. do you have phone number
for nurse that works w Pegys company?
I bleed after some shots but hope of the time
I don't. I like to see blood so I know the shot
Was injected.
Anyway, I keep getting UND so I must
Be doing something right. I use the pen
Syringe.
You are doing good, call the nurse and ask them.
Xxoo

__________________

JoAnne

Genotype 1a, Triple therapy w/Invicek started May 19, 2012

DET 4 wk. UND 2,6,12,24 48 treatment. Achieved SVR 2013!
Caryn


Senior Member

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I was too tired to post last night, but I am having some issues with the pre filled syringes. I get super nervous when injecting becasue I am so freaked out I am going to hit a blood vessel. Getting the needle in is not a problem as I dont even feel it, but when it comes time to pull back on the plunger I cannot tell if I have pulled back far enough or not. Because I am so nervous anyway, I swear the needle  moves a little bit and who the heck knows  if I am in the same spot anyway??? That is one problem. The second is twice now after injections I have had medicine left in the syringe. Not a lot, but there is some there.  I push the plunger down while injecting and hold it for a few seconds, but when I pull out I look at the syringe and the plunger is all the way down, but if I press the plunger harder mediciine squirts out.  Again, it is not a lot, but still there.  Last night for the first time there was blood when I squirted the plunger. That could be from the small amount that is there after the injection, but I don't know.  Any suggestions? I dont want to short myself of one drop of the medicine. Also, I wish the lettering and plunger was not red....duh, the same color as blood! Makes it just a tad bit more difficult to see if blood is in there  anyway. 



__________________

1a, CT. Incivek triple 1/2013, vl 810 @ 2 weeks, 610 @ 4 weeks, 3000 @ 8 weeks, tx stopped. 

4/2014 - tx with Sovaldi/Olysio/Riba. VL 39 mil. - VL 230 @ 1 week, VL 40 @ 3 weeks, 5 weeks UND, EOT - UND, EOT @ 4 weeks UND, EOT @ 12 weeks UND!
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