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Instructions for Injecting Novarel® 5,000 IU Subcutaneously | Encompass Fertility Treatment


[MUSIC PLAYING] Hey, there. I’m Sophia, and I’m
going to walk you through how to inject
Novarel under the skin or subcutaneously. One thing before
you begin, Novarel can also be injected
into the muscle or intramuscularly,
so just be sure you know which method your
health care provider has instructed you to follow. These instructions are broken
up into five quick steps, which you can jump to at any
time using the chapters below. Let’s start by making
sure you’ve got all your supplies ready to go. A vial of no viral
5,000 IU, also known as HCV, a vial of bacterial
static water for diluting, a sterile syringe, a mixing
needle, which may or may not arrive attached to the syringe. An injection needle, plus
alcohol pads, sterile gauze, a sharps container,
and a clean surface. You may get prescriptions
or supplies that use CC or ML interchangeably. Don’t worry. They’re just different names
for the same amount of volume. For example, one CC
is equal to one ML. I’m going to share instructions
on how to mix and inject 5,000 IUs today. But if you need
a different dose, check with your health care
provider on next steps. Now, go ahead and wash
your hands really well with soap and water. Then you’re on to preparing the
area where you’ll give yourself the injection. There are a few places where
you can inject your medication under the skin. In the abdomen, just below or to
the side of your belly button, or in the leg, in the upper,
outer area of your thigh. No matter which
area you pick, try to avoid injecting yourself
in the same exact spot each time, to lower your
risk of a skin reaction. And never inject into any area
that’s tender, red, bruised, or hard. For today, I’ll show you how
to inject in the abdomen, since it’s the most common spot. First, use an alcohol wipe to
clean the skin about two inches around the injection area. Then, give it a
couple of seconds to dry while you get
your medication ready. Up next, you are going to mixed
a diluent with the powdered Novarel. To get started, remove
the caps from both vials, and wipe the tops of each
with an alcohol swab. Unwrap the syringe. If there isn’t a needle
already attached, twist the mixing needle
onto the syringe, and remove the needle cap. Next, you’ll draw
air into the syringe, so pull back the plunger
to the amount of diluent your health care
provider has recommended. Usually one CC or one ML. Place the vial on
a flat surface, and insert the needle
through the rubber stopper and into the vial. Gently press the
plunger all the way in, which pushes the
air into the vial and makes it easier to withdraw. Then, without
removing the needle, turn the vial upside down. Make sure the tip of the needle
stays submerged in the solution as you slowly pull
back the plunger to withdraw the recommended
amount of diluent. When you’re done, place
the vial on a flat surface and withdraw the needle. Now, place the vial of powdered
Novarel on a flat surface, and take the syringe
you just prepared and slowly insert the needle
through the rubber stopper. Holding the syringe
at a slight angle, slowly push the plunger
to inject the solution. With the syringe
still inside the vial, gently swirl until the
solution is dissolved. If the solution isn’t clear, or
you see any particles floating around, don’t use it and call
your health care provider right away for next steps. Without removing the needle,
turn the vial upside down. Make sure the tip of the needle
stays submerged in the solution as you slowly pull back the
plunger to withdraw your dose. Now, you’re ready
to switch needles. First, remove the
mixing needle, recap it, and twist off the needle
and cap from the syringe. Toss both the vial
and the needle into the sharps container. Next, twist the injection
needle onto the syringe, and remove the cap. To get rid of any air bubbles,
point the needle up and gently pull back on the plunger,
or tap or flick the syringe until the bubbles
rise to the top, then press the plunger
slightly until a tiny droplet of medication appears at
the tip of the needle. A droplet is a good thing. It means your medication
is ready to go. Now you’re ready to inject the
medication, so let’s do it. Hold a syringe in one hand,
and with the other hand, pinch or fold the skin
around the injection area. Insert the entire needle
straight into the skin at a 45 to 90 degree angle,
slowly push the plunger until you’ve injected
all of the medication. Do a quick count of 1, 2, 3,
and then let go of the skin your pinching. Press down firmly on the
injection area with a gas pad, and remove the needle. Nice job. Now, your final step is cleanup. If there’s Novarel
left in the vial, store it in the fridge
for up to 30 days. Then go ahead and toss
to use needle and syringe into the sharps container. And that’s it. Thanks so much for
watching today. Take care. [MUSIC PLAYING]

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