Littleluke

This is for newbies to needles which includes myself.

I sourced this from http://www.pharmaeurope.com/where_inject.php.

Supplies:

• Medicine
• Syringe and needle
• Alcohol pad
• Heavy plastic empty container with a wide mouth and secure cap. Used to put syringe and needle into after the injection is given.

Getting Ready:

1. Wash your hands with soap and water. Clean thoroughly between your fingers and under your nails. Dry your hands.
2. Gather the needed supplies.

Drawing Up The Medicine Into The Syringe:

1. Check the label on the medicine bottle to make sure the right medicine is used. Check the expiration date on the bottle. Do not use expired medicine. Inspect medication for any discoloration. Do not use if discolored.
2. Remove the cap from the medicine bottle, if it is a new bottle. Clean the top of the bottle each time with an alcohol pad. Do not touch the top of the bottle after it is cleaned with the alcohol.
3. Attach and / or tighten the needle onto the syringe.
4. Take the needle cap off the needle and place the cap on the table.
5. Pull back on the end of the plunger. Draw air into the syringe equal to the amount of medicine ( _____ cc / ml) to be drawn up. Do not touch the plunger or the needle.
6. Insert the needle into the rubber stopper on top of the bottle.
7. Push down on the plunger to push the air into the bottle. Leave the syringe in the bottle.
8. Invert the bottle and syringe so the bottle is on top and the syringe below. Be sure to support the syringe and the bottle so the needle is not bent.
9. Pull down on the plunger allowing the medicine to fill the syringe. Stop at the amount ordered.
10. Check for bubbles in the syringe. If air bubbles are present:
    • Tap the barrel of the syringe with your finger to move any bubbles to the top of the syringe.
    • Push the plunger slightly up to move any air bubbles out of the syringe
    • Pull down on the plunger again and fill the syringe with the correct amount of medicine.
    • Check again for air bubbles and if present, repeat the steps above.
11. Remove the needle from the bottle.
12. Carefully replace the needle cap.

Selecting The Site For Injection:

• Carefully select the site for injection so major blood vessels and nerves are avoided.
• Use different sites to prevent repeated injections in the same area. Change sites with each injection.
• Do not use areas that are bruised, tender, scarred from surgeries or injury, or swollen.
• Your nurse can help you choose the site that is best for you.

Buttock (Gluteus Medius) Site For IM Injection

1. Find the trochanter. It is the knobby top portion of the long bone in your upper leg (femur). It is the size of a golf ball.
2. Find the posterior iliac crest. Many people have "dimples "over this bone. The nurse will help you find the bone landmarks.
3. Draw an imaginary line between the two bones.
4. After locating the center of the imaginary line, find a point one inch toward your head. This is where (X) you will put the needle in.
5. Stretch the skin tight.
6. Hold the syringe like a pencil or dart. Insert the needle at a right angle to your skin (90 degrees).
7. You may give up to 3 ml. (cc) of fluid in this site.

Hip (Ventrogluteal) Site For IM Injection

1. Find the trochanter. It is the knobby top portion of the long bone in your upper leg (femur). It is about the size of a golf ball.
2. Find the anterior iliac crest. The nurse will help you find the bone landmarks.
3. Place the palm of your hand over the trochanter. Point the first or index finger toward the anterior iliac crest. Spread the second or middle finger toward the back, making a 'V'. The thumb should always be pointed toward the front of the leg. Always use the index finger and middle finger to make the 'V'.
4. Give the injection between the knuckles on your index and middle fingers.
5. Stretch the skin tight.
6. Hold the syringe like a pencil or dart. Insert the needle at a right angle to the skin (90 degrees).
7. You may give up to 3 ml. (cc) of fluid in this site.

Leg (Vastus Lateralis) Site For IM Injection

1. To find the thigh injection site, you will be making an imaginary box on your upper leg. Find the groin. One hand's width below the groin becomes the upper border of the box.
2. Find the top of knee. One hand's width above the top of the knee becomes the lower border of the box.
3. The center of the top to your leg becomes the left border of the box.
4. The center of the side of your leg becomes the right border of the box. The nurse will help you find the landmarks.
5. The best areas to use for injection is in the middle of this imaginary box. The sites are marked with X's.
6. Stretch the skin to make it tight.
7. Insert the needle at a right angle to the skin (90 degrees) straight in.
8. You may give up to 2 ml. (cc) of fluid into the site.

Arm (Deltoid) Site For IM Injection

1. To find this site you will form an imaginary box on the upper arm.
2. Find the knobby top of the arm (acromion process).
3. The top border of the box is two finger widths down from the acromion process.
4. The bottom border is an imaginary line running from the crease of the armpit, from front to back.
5. To make the two side borders, divide the arm into three equal sections, from front to back. The site is in the center of the middle third.
6. Stretch the skin and then bunch up the muscle.
7. Insert the needle at a right angle to your skin (90 degrees). The nurse will show you how.
8. Caution: This is a small site. Give only 1 ml. (cc) or less of fluid in this site. Use only if other sites are not available.

Giving The IM Injection

1. Choose the site you will use for the injection.
2. Clean your skin with an alcohol pad in a circular motion. Let the alcohol dry.
3. Pull the needle cap straight off the needle (do not twist). Set the cap aside.
4. Hold the syringe like a dart or pencil. Stretch the skin at the injection site. If you are thin, you may need to pinch the tissue using your thumb and index finger. Be careful not to touch the injection site itself.
5. Insert the needle at a 90 degree angle into the prepared injection site. Use a quick dart-like motion. The quicker you insert the needle, the less discomfort.
6. Release the skin. Hold onto the syringe so that it will not move. Pull back on the plunger to check for blood in the syringe. Remove the needle if you see blood in the syringe. You will need to discard this syringe and start over again if blood is in the syringe.
7. Inject the medicine by pushing down on the plunger at a moderate rate. Be sure to inject all the medicine in the syringe.
8. Hold the alcohol wipe near the injection site. Remove the needle and quickly press the alcohol pad onto the site. Hold the pad tightly for a minute or rub the skin in a gentle circular motion. Check the area for any redness, bleeding or bruising. If bleeding occurs, wipe it off. It may be necessary to apply a bandage to the site.

Clean Up The Supplies:

• Put the used syringe and needle into a heavy puncture-resistant plastic container and secure the cap. Do not recap the needle. Dispose of all other supplies in the trash.
• Wash your hands again after disposing of all materials.
• Record the date, time and site of injection on the attached record sheet.

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Paul1

Concerning point 5 on drawing air in to the syringe. Why would you draw unsterile air into a sterile syringe and then inject that in to your medicine?

I suspect they have put this in as they want to make the pressure difference inside the bottle equal, but I still think that this is a little unhygienic....

bassline boy

its ok maye i do this and if you go to the hospital and watch them they do the same thing so it must be ok.

DannyBoy81

Nice one Luke,

Getting ready to do my 1st shoots soon (well soon as my shoulder is better anyway), and I must admit was a little worried incase I fu** it up !

The only site I saw was the spot injections one....!

Paul1

For the sake of having a little pressure inside your vial, is it really worth contaminating all of your drug. Just because hospitals do this doesn't mean its right, in fact I remember reading a post some time back where someone said that a doctor used a green for a delt shot and didn't even swab....

Drawing air inside your syringe cant be good, car fumes, fag smoke, people coughing all contribute to the air being filthy, so even though the doctors do it I still dont think its right IMO

DannyBoy81

Just converted it into a PDF make it easy to download....

:lift:

Intramuscular Injection.pdf

bassline boy

i use greens all the time dont bother me done this for years for all my shots and pulled in the air your contaminating yer body anyway lol with some nice juice.if i ant got any swabs ill use a bit of lynx or aftershave.

Paul1

Fair point about the greens, however if you dont want a lot of scar tissue I would opt for the blues

What excuse do you have for not having any swabs? You get them free!
I think you are asking for troube by sterilisng yourself with Lynx, it sounds like a bit of a redneck method to me

DannyBoy81

I got my self some 21g & 23g needles

21g was gonna be for oil based, its that too big ? Rather keep the scar tissue to a min. & 23g for any waterbased...? What size are the blues ?

Paul1

I havn't got them to hand but the blues come in 2 lengths and I haven't had any problem injecting oil based gear with them, personally I use the long blues and inject into my delts.

I only use the greens for drawing the stuff up

Great White

I dont know many people that inject outside on a road, in a smoke filled room, in a room full of people coughing, etc.

Drawing air into the barrel will not contaminate your gear.

If your sensible, you will be injecting after you have had a bath/shower and in a sterile enviroment (in the bathroom, bedroom) not somewhere when you have people coughing, car fumes or smoke!!

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Great White

Blues are fine for oil based injections.

Hell, ive even managed to get NNP and Oxytest into an insulin syringe (took about 5 minutes to get 1ml tho )

I use 18g to draw, then 23g to shoot

Anything water based, I just use insulin needles.

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DannyBoy81

Ok Cheers Paul,

I'll see how i get on with what I got there at my dads place for now dont even know whats turned up, but I think i orderd 21g (greens) 1 1/5" & 23g (blues) 1 1/4" because was gonna be sticking to glutes so only got longs, was just worried that the oil might be quite hard to pass down a 23g.... otherwise i wud have just got 23g if i knew.

If anyone else has got experience with needle sizes & whats best for what solution oil/water etc and areas would be good to know, they say you learn from your mistakes ?

Magic Torch

Bingo

I put 2ml of sust in my Delt last night with a long blue, green to draw. I bought the needles with the green pin attached, then draw it up and swap for a blue.

.....and I sucked up contaminated air LMAO

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Paul1

Paul, I understand where you are coming from but I consider this an unnecessary step. People may not have been smoking etc in the vicinity but germs and bacteria can travel through the air. Bathrooms may be clean, but I think that they are far from sterile.

I used to draw air into the syringe but the people at the n/ex advised me not to for the same reasons I gave. As I said earlier you dont really need to inject air in, it just makes getting the stuff out easier