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Repronex
Repronex is a brand name for hMG which
is a combination of the hormones FSH (follicular stimulating)
and LH (luteinizing). Follistim & Gonal-F contain
only pure FSH. These drugs stimulate the ovaries directly to cause the recruitment and development of numerous follicles. Many of these products may be given
as a less painful subcutaneous (under the skin) injection.
Side effects may include abdominal distention/discomfort,
bloating sensation, mood swings, fatigue or restlessness.
Multiple births may occur with these medications because of the increased number of eggs.
Repronex Intramuscular Injection: (If
the physician or nurse has instructed you to use
this medication subcutaneously, see the directions
for Gonal-F and Follistim.)
- Wash and dry hands thoroughly.
- Assemble supplies: one 3cc syringe,
one 25-30 gauge 1.5"needle, one 22 gauge 1.5"
needle, two alcohol wipes, one tissue, one ampoule
of water, and the designated ampoules of medication.
- Unwrap supplies.
- Attach syringe to a 22 gauge 1.5"
needle.
- Using an alcohol wipe, cover finger
and thumb and snap open all glass ampoules. For Repronex,
remove the plastic protective caps and wipe the rubber
stopper. Insert the needle through the rubber stopper.
- Remove needle cover and draw 1cc
of water into the syringe, then distribute between
the powder and ampoules. It dissolves immediately.
- Fill the syringe with all the medication
by inserting the needle as far into the ampoules as
possible and at an angle, then pulling back the syringe
plunger. Stop before it reaches the end of the syringe,
even if there is more medication. Push the syringe
straight up and flick firmly with the finger. Remove
all excess air in syringe.
- Change needles to the thinner 25
gauge 1.5"needle and express a drop of medication.
- Holding the syringe and new alcohol
wipe in the right hand.
- Select injection site, rotating sides
for comfort. Pinch your skin gently with the left
hand. Standing on the opposite leg relaxes the muscle
to be used.
- Wipe skin with alcohol then slide
under left thumb.
- Hold syringe like a dart, perpendicular
to the skin, insert needle quickly to 1 1/2"
of depth to pass the skin and fat to the muscle.
- Slowly inject medication and withdraw
the needle swiftly. Slide alcohol wipe over the
area then wipe area with a Kleenex.
- All supplies are discarded in a milk
carton or strong containers after single use. You
may also place all needles in a glass jar with a dilute
bleach solution.
Gonal-F/Follistim/Bravelle Subcutaneous
Injection
- Wash and dry hands thoroughly.
- Assemble supplies: one 3cc syringe,
one 25 gauge 1.5"needle, one 25 gauge 5/8"needle,
two alcohol wipes, one tissue, one ampoule or vial
of water, and the designated ampoules of medication.
- Using an alcohol wipe, cover finger
and thumb and snap open all glass ampoules or remove
the plastic cover over the vial's rubber stopper.
- Remove needle cover and draw 0.5cc
of water (1 cc for Follistim) into the syringe then
distribute between the powder and ampoules. It dissolves
immediately.
- Slowly turn the vial upside down,
the medication will not run out. Fill the syringe
with all the medication by inserting the needle as
far into the ampoule as possible and at an angle then
pulling back the syringe plunger. Stop before it reaches
the end of the syringe, even if there is more medication.
Push the syringe straight up and flick firmly with
the finger. Remove all excess air in the syringe.
- Switch to the shorter (5/8 th inch)
25 gauge needle.
- Hold the syringe needle up and flick
with finger to remove any air bubbles.
- Hold the syringe and new alcohol
wipe in the right hand.
- Choose injection site rotating sides
daily. Pinch skin gently with the left hand.
- Wipe area then save wipe to wipe
the area again after the injection.
- Holding the syringe like a dart,
perpendicular to the skin, briskly insert small needle
quickly and just under the skin.
- Slowly inject all medication, release
the pinch and remove syringe covering area with alcohol
wipe then with tissue.
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