Bleeding after intramuscular injection - ESPGHAN. [ 16] 2016. “Healthy newborn infants should either receive: (a) 1 mg of Vitamin K 1 by IM injection at birth, OR. (b) 3 × 2 mg Vitamin K 1 orally at birth, at 4 to 6 days and at 4 to 6 weeks, OR. (c) 2 mg Vitamin K 1 orally at birth, and a weekly dose of 1 mg orally for 3 months.”.

 
Vitamin B12 (cobalamin) is an essential vitamin and medication used to manage and treat pernicious anemia, ileal resection, treatment of spinal cord myelopathy, and other conditions. This activity reviews the indications, action, and possible contraindications for cobalamin as a valuable agent. This activity will highlight the …. Hannam supermarket

Apr 1, 2024 · Check with your doctor right away if you have pain or tenderness in the upper stomach, pale stools, dark urine, loss of appetite, nausea, vomiting, or yellow eyes or skin. These could be symptoms of a serious liver problem. This medicine may cause swelling of the breasts (gynecomastia) and breast pain in some patients. Possible negative effects of testosterone therapy may include: an increased risk of cardiovascular complications. worsened symptoms in the lower urinary tract. polycythemia, a rare type of blood ...Mens et al [3] described disturbances of the menstrual pattern after a local intramuscular injection with triamcinolone acetonide in premenopausal patients.Intramuscular Administration ... After injecting, press the area lightly but do not rub. ... Irregular bleeding decreases to 30% after 24 months and 10% thereafter. Fifty-five percent of women report amenorrhea after 12 months of therapy, and that number goes up to 68% after two years. The following adverse effects of medroxyprogesterone ...The navel is a part of the body that doesn't get much attention and is often overlooked. The navel is a part of the body that doesn't get much attention and is often overlooked. Su...1. INTRODUCTION. Intramuscular injections have traditionally been avoided in persons with haemophilia because of the need of factor concentrate prophylaxis and the risk of serious haemorrhage. 1, 2, 3 Muscle bleeds in haemophilia are difficult to manage and may require several days or weeks of clotting factor treatment. 4, 5, 6 Feared sequelae include fibrosis and contracture. 6, 7 The World ...More than likely, if there is blood, it is from slight bleeding after the injection. Takeaway A subcutaneous injection is a minor and very safe medical procedure when …After getting the injection the person: Gets a rash. Feels very itchy. Has trouble breathing (shortness of breath). Has swelling of the mouth, lips, or face. Call the provider if: You …The cold winter months can be bleak and unrelenting. Old Man Winter has already reared his ugly head this season causing cold, snowy, blustery and icy conditions. While a landscape coated in a fresh blanket of snow can be very beautiful, it can also be extremely dangerous, and even deadly. January 28, 2024 • Read time: 2 min read.Ketorolac tromethamine IM injection solution: 60 mg/2 mL. Oral tablets: 10 mg ... The recommended oral dosing in adults is a 20 mg single dose after IV or IM therapy, then 10 mg every 4 to 6 hours, not exceeding 40 mg in 24 hours. ... due to the increased bleeding risk, patients should be closely monitored for GI bleeding; the …Avonex Prefilled Syringe (Intramuscular) received an overall rating of 7 out of 10 stars from 3 reviews. See what others have said about Avonex Prefilled Syringe (Intramuscular), i...The meta‐analysis found that ventrogluteal injection site had significant relation to lower pain in 9 studies (SMD = −0.63, 95% CI = −0.87, −0.39), bleeding in 4 …It's common to get irregular bleeding. That can be a mixture of bleeding, spotting (pink/brown/red), or no bleeding at all, until you've had 2 or 3 shots, & then you typically find that your periods stop, altogether, until you come off Depo Provera. Sometimes you can get a little irregular bleeding/brown discharge in between shots, especially ...11 DESCRIPTION. FASLODEX® (fulvestrant) injection for intramuscular administration is an estrogen receptor antagonist. The chemical name is 7-alpha-[9-(4,4,5,5,5-penta fluoropentylsulphinyl) nonyl]estra-1,3,5-(10)- triene 3,17-beta-diol. The molecular formula is C32H47F5O3S and its structural formula is:Abstract. The intramuscular route allows for rapid absorption of drugs into the circulation. Using the correct injection technique and selecting the correct site will minimise the risk of complications. Citation: Shepherd E(2018) Injection technique 1: administering drugs via the intramuscular route. Nursing Times[online]; 118: 4, 23-25.Intramuscular ketorolac injections are being used regularly by orthopaedic surgeons and primary care sports medicine physicians in their care of athletes. ... bleeding time increased 50% after a single IM dose of 60 mg of ketorolac. 29 There have been conflicting studies in the otolaryngology literature with regard to an increased risk of post ...To return every 13 weeks for a repeat injection of intramuscular (IM) or subcutaneous (SC) depot medroxyprogesterone acetate (DMPA; off-label use for IM DMPA). ... consider giving the injection from 10 weeks after the last injection. If the bleeding is unacceptable to the woman, consider changing to a different type of contraceptive method. ... The injection site is in the middle of the deltoid muscle, about 2.5 to 5 cm (1 to 2 inches) below the acromion process. To locate this area, lay three fingers across the deltoid muscle and below the acromion process. The injection site is generally three finger widths below, in the middle of the muscle. Step 5. After the injection · Press a gauze pad onto the site. · Hold the pad tightly for a minute. · Check the area for redness, bleeding, or bruising. &middo...Choose your injection site and begin the steps: Clean the site: Wash your hands and clean the injection site with rubbing alcohol. Allow your skin to dry. Prepare the syringe: Carefully remove the ...May 6, 2024 ... If blood comes back, remove the needle immediately. Do not inject the medicine. Dispose of both the syringe and the medicine. Get more medicine ...Vitamin K 1 Injection (Phytonadione Injectable Emulsion, USP) is a yellow, sterile, nonpyrogenic aqueous dispersion available for injection by the intravenous, intramuscular and subcutaneous routes. Each milliliter contains phytonadione 2 or 10 mg, polyoxyethylated fatty acid derivative 70 mg, dextrose, hydrous 37.5 mg in water for injection ...So, for intramuscular injections, you have some blood vessels that are in your muscles. Used to be, you put the needle in and then you’d have to pull back on the plunger to see if you got any ...Apr 1, 2024 · Check with your doctor right away if you have pain or tenderness in the upper stomach, pale stools, dark urine, loss of appetite, nausea, vomiting, or yellow eyes or skin. These could be symptoms of a serious liver problem. This medicine may cause swelling of the breasts (gynecomastia) and breast pain in some patients. Leuprolide injection is a synthetic (man-made) hormone that is similar to a natural hormone that is produced in the brain. It is used to treat a number of medical problems including: Anemia caused by bleeding from uterine leiomyomas (fibroid tumors in the uterus), or Cancer of the prostate that is ...Choose your injection site and begin the steps: Clean the site: Wash your hands and clean the injection site with rubbing alcohol. Allow your skin to dry. Prepare the syringe: Carefully remove the ...Side effects of a cortisone injection include weakened or ruptured tendons, local bleeding from broken blood vessels, and soreness, atrophy or depigmentation of the skin at the inj...Insert the needle into the progesterone vial. Inject 1 mL of air into the vial. Keeping the needle in the vial, turn the vial upside down. Make sure the needle tip is in the liquid. Pull back on the plunger to get 1 mL of fluid (or the amount directed by your healthcare provider). Remove the needle from the vial.It manifests itself as shoulder pain and limited range of motion occurring after a patient receives a vaccine intended for intramuscular administration. These symptoms are thought to occur as a result of unintended injection of vaccine antigen or trauma from the needle going into and around the underlying bursa of the shoulder, resulting in an ...What is SIRVA? Shoulder injury related to vaccine administration is an under-reported, preventable series of events caused by incorrect technique or landmarking for intramuscular deltoid injections. 1, 2 Specifically, SIRVA occurs when an intramuscular deltoid injection is administered into the shoulder joint. 1, 2 This results in an …IM injection: The first injection should be given on the day after the last active contraception tablet, or at the latest, on the day following the final inactive contraception tablet. SC injection: The first injection should be given within 7 days after the last day taking the last active contraceptive tablet, or after removing the patch or ring.A: While a blood spurt after an intramuscular injection can be alarming, it is usually not dangerous. However, if the bleeding does not stop or if you ...Naltrexone injection also blocks the useful effects of narcotics. Always use a non-narcotic medicine to treat pain, diarrhea, or a cough. If you have any questions about the proper medicine to use, check with your doctor. Naltrexone injection will not prevent you from becoming impaired when you drink alcohol.Ketorolac is a medication used in the management and treatment of acute moderate to severe pain. It is in the nonsteroidal anti-inflammatory drug class. This activity outlines the indications, actions, and contraindications for ketorolac as a valuable agent in treating acute pain. It will also highlight the mechanism of action, adverse event profile, …Oct 20, 2009 · The major disadvantage of IMP is the discomfort associated with intramuscular injections, in addition to the potential risks for local inflammatory reactions and abscesses that could arise from repetitive injections of the oil vehicle . The formulation of progesterone as a vaginal gel, from a practical perspective, is very convenient and well ... bleeding, discoloration, erythema, and skeletal injury. Injection into the buttock has resulted in cases of gas gangrene [see Warnings and Precautions (5.3)]. Rare cases of …Fortunately, it's easy to prevent VKDB with a vitamin K shot. The injection is given in your baby's thigh within 6 hours of birth. One shot is all it takes to protect your baby from getting vitamin K deficiency bleeding. This is why, as pediatricians, we have recommended since 1961 that all newborns get a vitamin K shot at birth.There are no specific contraindications to COVID‐19 vaccination for people with inherited bleeding disorders. The COVID vaccine trials demonstrating efficacy have only been performed using an intramuscular (IM) route of administration. Therefore, subcutaneous administration, which is an option for other types of vaccines for people in …There are different treatment protocols, but the single-dose regimen is most common. 15 This includes an intramuscular injection of 50 mg of methotrexate per m 2, followed by close monitoring of ...Possible negative effects of testosterone therapy may include: an increased risk of cardiovascular complications. worsened symptoms in the lower urinary tract. polycythemia, a rare type of blood ...Jul 14, 2023 ... Out of all possible outcomes, the only ones we were able to report are pain, bleeding, hematoma and SAT that indicates, potentially, an ... After getting the injection the person: Gets a rash. Feels very itchy. Has trouble breathing (shortness of breath). Has swelling of the mouth, lips, or face. Call the provider if: You have questions about how to give the injection. After getting the injection, the person gets a fever or gets sick. a Two patients had minor bleeding events after IM vaccination. Patient #1 was a 53‐years‐old man treated with rivaroxaban 20 mg OD for long‐term therapeutic anticoagulation. After IM injection with ChAdOx1 nCoV‐19 vaccine, he developed a 3‐cm superficial subcutaneous hematoma at the site of injection.Jul 28, 2019 ... ... intramuscular (IM) injection ... blood vessels at the recommended injection sites” (2016, p. ... A total of 340 studies were found after the initial ...pale skin. puffiness or swelling of the eyelids or around the eyes, face, lips, or tongue. ringing in the ears. swelling of the face, fingers, feet, or lower legs. tightness in the chest. unusual tiredness or weakness. weight gain. Some side effects may occur that usually do not need medical attention.After an IM injection how much bleeding is ok? T Injections. I injected myself as instructed, on the side of my thigh muscle, needle parallel to the ground and injected …Amenorrhoea: if, when the second injection is due, bleeding has not occurred in the preceding eight weeks the second injection should not be given until pregnancy has been ruled out. Partial metabolization of norethisterone to ethinylestradiol . Norethisterone is partly metabolised to ethinylestradiol (EE) after intramuscular administration in ...Depo-Provera (contraceptive injection): Depo-Provera is a well-known brand name for medroxyprogesterone, a contraceptive injection for women that contains the hormone progestin. Depo-Provera is given as an injection once every three months. Depo-Provera typically suppresses ovulation, keeping your ovaries from releasing an egg. Depo-Provera ...The thigh is a good place to give an injection to yourself or a child less than 3 years old. Look at the thigh, and imagine it in 3 equal parts. Put the injection in the middle of the thigh. Hip: The hip is a good place to give an injection to adults and children older than 7 months. Have the person lie on the side.Intramuscular injection technique 33,34. For intramuscular injection, use a 25 mm needle in most cases (see Table. Recommended needle size, length and angle for administering vaccines). Depending on the injection site, position the limb to relax the muscle that the vaccine is being injected into.If you experience a blood spurt after an intramuscular injection, it is essential to remain calm. Follow these steps for appropriate treatment: Apply pressure: Immediately apply gentle pressure to the injection site using a clean cloth or sterile gauze. This helps control the bleeding and promotes clot formation. Let it dry. Remove the cap from the needle. Hold the syringe like a dart close to the site. Keep your fingers off the plunger. Stretch the skin flat using your fingers and thumb of one hand. Place the syringe at a 90-degree angle to the shot site. The needle should stand straight up from the skin. ESPGHAN. [ 16] 2016. “Healthy newborn infants should either receive: (a) 1 mg of Vitamin K 1 by IM injection at birth, OR. (b) 3 × 2 mg Vitamin K 1 orally at birth, at 4 to 6 days and at 4 to 6 weeks, OR. (c) 2 mg Vitamin K 1 orally at birth, and a weekly dose of 1 mg orally for 3 months.”.Typically, an injection-site reaction is considered to be any pain, swelling, rash, bleeding, or redness that occurs at the site of an injection, although, serious reactions can occur …Extended-release injectable naltrexone is a microsphere formulation of the opioid antagonist (blocker) medication naltrexone. It is administered by intramuscular (IM) gluteal injection once a month. The extended-release injectable form helps address patient noncompliance, which can limit the effectiveness of oral naltrexone (Volpicelli et al., 1997).If you get a blood return, that means that the needle is in a blood vessel rather than in the muscle. Don't panic! The quick fix for this problem is to remove ...Push down on the plunger to push the air into the bottle (Image 1). Leave the syringe in the bottle. Now turn the bottle upside down so that the bottle is on top and the syringe is on the bottom (Image 2). Make sure that the tip of the needle is below the level of the liquid in the bottle. Pull back on the plunger.In other conditions requiring intramuscular injections, such as the administration of penicillin in patients treated with oral anticoagulants, data has shown to be safe with a low incidence of haematomas.. The subcutaneous route has been considered as a possible strategy to avoid bleeding complications of vaccination in anticoagulated patients.It's common to get irregular bleeding. That can be a mixture of bleeding, spotting (pink/brown/red), or no bleeding at all, until you've had 2 or 3 shots, & then you typically find that your periods stop, altogether, until you come off Depo Provera. Sometimes you can get a little irregular bleeding/brown discharge in between shots, especially ...In one clinical trial, 38 preterm infants born at less than 32 weeks’ gestational age were randomized to receive a single dose of vitamin K at birth of 0.5 mg IM, or 0.2 mg IM, or 0.2 mg by IV injection. Biochemical indices of vitamin K status were measured at birth, at 5 days and after 2 weeks of achieving full enteral feeds (> 150 mL/kg/day).persistent pain, pus, or bleeding at the injection site; yellowing of the eyes or skin; hives; difficulty breathing; swelling of the face, mouth, tongue or neck.For a syringe, vertically insert the full length of the needle at a 90-degree angle into the skin fold. Slowly press down on the plunger (or button, if using an auto-injector pen) with your finger ...Descriptions. Oxytocin is a hormone used to help start or continue labor and to control bleeding after delivery. It is also sometimes used to help milk secretion in breast-feeding. Oxytocin may also be used for other conditions as determined by your doctor.Table 1: Needle selection guidelines for IM injections in the deltoid muscle using needle gauge 22-25 for children >12 months to 12 years of age. Age of Vaccine Recipient Needle Length >12 months – 12 years of age 1.6 cm–2.5 cm (⅝ inch – 1 inch) Table 2: Needle . selection guidelines for IM injections in the deltoid muscle using needleThree days after receiving the therapeutic enoxaparin injection, she was admitted to hospital following a collapse and complained of severe abdominal pain radiating to the back for one day. The pain was throughout the abdomen and worse on the lower abdomen and both groins. She felt cold, drowsy, and tired. She denied nausea, vomiting, bowel ...Heparin use's typical adverse effects include bleeding, thrombocytopenia, injection site reactions, and other adverse effects only seen with chronic heparin administration. Bleeding is a major complication associated with heparin use. Patients should undergo monitoring for new bleeding that may present in the urine or stool.Subcutaneous injections. These are for medications like insulin, growth hormones, heparin, and others. They are given into fatty tissue and absorbed more slowly due to less blood flow in adipose tissue found above the muscle. Site. for infant less than 1 year old, give in the thigh. for 1 year and older, give in the upper outer triceps of the arm.The contraceptive injection (Depo-Provera, Sayana Press or Noristerat) is used to prevent pregnancy. If used correctly, the contraceptive injection is 99% effective. This means that 1 in 100 people who use the injection will become pregnant in a year. In real world use about 6 in 100 people become pregnant in a year because people forget to get ...The navel is a part of the body that doesn't get much attention and is often overlooked. The navel is a part of the body that doesn't get much attention and is often overlooked. Su...Of the 100 patients whose charts were reviewed, 67 bled (group A) before progesterone treatment was discontinued (17 days after oocyte retrieval) and 33 (group B) bled after progesterone treatment was discontinued (> 17 days). Mean onset of bleeding was 16.2+/-2.6 days after oocyte retrieval.They classified IM injections as minor procedures (procedures associated with little tissue trauma, but relevant bleeding risk, along with transluminal cardiac, …• Intramuscular (IM) injection is the process of administering medication into deep muscle tissue. • Subcutaneous (SC) injection is the process of administering medication into the subcutaneous tissue. • The term “clinician” will be used throughout this document and refers to a staff member who may administer an injection.The major disadvantage of IMP is the discomfort associated with intramuscular injections, in addition to the potential risks for local inflammatory reactions and abscesses that could arise from repetitive injections of the oil vehicle . The formulation of progesterone as a vaginal gel, from a practical perspective, is very convenient and well ...Introduction. Injections are among the most common health care procedures throughout the world, with at least 16 billion administered in developing and transitional countries each year. 1 Intravenous (IV), subcutaneous (SC), and intramuscular (IM) are three most frequently used injection routes in medication administration. IV injection is … After four rounds, a final list of statements was compiled. Recommendations: Consensus was achieved that COVID-19 vaccines licensed only for intramuscular injection should be administered intramuscularly in hemophilia patients. Prophylactic factor replacement, given on the day of vaccination with a maximum interval between prophylaxis and ... Olanzapine (Injection)(Intramuscular) received an overall rating of 5 out of 10 stars from 3 reviews. See what others have said about Olanzapine (Injection)(Intramuscular), includi...The Z-track method is an intramuscular injection (IM) technique used to ensure the medication stays in the muscle instead of leaking into the surrounding tissue. Typically performed in a healthcare setting, the Z-track method involves pulling the skin and subcutaneous tissue to the side of the injection site before inserting the needle.Stretch the skin flat (Z-tracking if applicable) Inject the needle to the hub at a 90-degree angle. Do not aspirate or drawback as this can increase pain and discomfort in children. Inject the medication at a slow and steady pace. Remove the needle and apply a cotton ball. Place the needle in a sharps container.Your healthcare provider has prescribed a medicine that must be given by intramuscular (IM) injection. IM injections use a needle and syringe to send medicine to large muscles in your body. ... Check the area for redness, bleeding, or bruising. Apply a bandage to the site, if needed. The other person will put the needle and syringe in a special ...Understanding Post-Injection Inflammation . After any injection, swelling and irritation (inflammation) can occur at the site where the needle entered the skin. This is a reaction to the needle or to the medicine that was injected. Or it may be a reaction to both. The reaction may happen right away. Or it may start hours after the injection.There was an assessment of intramuscular (IM) injection, but researchers observed an increased level of pain, irritation, and hematoma formation with IM injections of heparin. Adverse Effects. Heparin use's typical adverse effects include bleeding, thrombocytopenia, injection site reactions, and other adverse effects only seen with …Introduction. Injections are among the most common health care procedures throughout the world, with at least 16 billion administered in developing and transitional countries each year. 1 Intravenous (IV), subcutaneous (SC), and intramuscular (IM) are three most frequently used injection routes in medication administration. IV injection is …

Platelets help to clot the blood. Rho(D) immune globulin is also used to prevent antibodies from forming after a person with Rh-negative blood receives a transfusion with Rh-positive blood, or during pregnancy when a mother has Rh-negative blood and the baby is Rh-positive. It belongs to a group of medicines called immunizing agents.. Underground pizza company baltimore photos

bleeding after intramuscular injection

The major disadvantage of IMP is the discomfort associated with intramuscular injections, in addition to the potential risks for local inflammatory reactions and abscesses that could arise from repetitive injections of the oil vehicle . The formulation of progesterone as a vaginal gel, from a practical perspective, is very convenient and well ...If you're bleeding after you remove the needle, apply direct pressure to stop the bleeding. Clean the wound with soap and water, and cover it with a bandage, if needed, to protect it. If you can't remove the needle, or if a broken part of the needle didn't come out, you need medical attention. A doctor will help remove the needle.Table 1: Needle selection guidelines for IM injections in the deltoid muscle using needle gauge 22-25 for children >12 months to 12 years of age. Age of Vaccine Recipient Needle Length >12 months – 12 years of age 1.6 cm–2.5 cm (⅝ inch – 1 inch) Table 2: Needle . selection guidelines for IM injections in the deltoid muscle using needledamage. It makes it the safest place to get an injection in your glute area. You may feel some pain or tenderness after the injection. This is normal and expected. Figure 4. Your injection site Before you give the injection, wipe the injection site with the alcohol pad for 15 seconds, then let it dry for 15 seconds.The contraceptive injection (Depo-Provera, Sayana Press or Noristerat) is used to prevent pregnancy. If used correctly, the contraceptive injection is 99% effective. This means that 1 in 100 people who use the injection will become pregnant in a year. In real world use about 6 in 100 people become pregnant in a year because people forget to get ...pale skin. puffiness or swelling of the eyelids or around the eyes, face, lips, or tongue. ringing in the ears. swelling of the face, fingers, feet, or lower legs. tightness in the chest. unusual tiredness or weakness. weight gain. Some side effects may occur that usually do not need medical attention.The major disadvantage of IMP is the discomfort associated with intramuscular injections, in addition to the potential risks for local inflammatory reactions and abscesses that could arise from repetitive injections of the oil vehicle . The formulation of progesterone as a vaginal gel, from a practical perspective, is very convenient and well ...hives. itching. difficulty breathing or swallowing. swelling of the face, throat, tongue, lips, eyes, hands, feet, ankles, or lower legs. fast heartbeat. unusual bleeding. Oxytocin injection may cause other side effects. Call your doctor if you have any unusual problems while receiving this medication. If you experience a serious side effect ...Caused by injection of oil or emulsion drugs into the blood vessels. Prevention: after inserting the needle, before injecting the drug, must test the syringe to ... If worn, perform hand hygiene and change gloves between patients. 1. Use the correct syringe and needle. Administer vaccine using either a 1-mL or 3-mL syringe. Use a 22- to 25-gauge needle. Use the correct needle length based on the patient’s gender and weight. For adults, use a 1- to 1.5-inch needle. 1.5 in (38 mm) OR. Mens et al [3] described disturbances of the menstrual pattern after a local intramuscular injection with triamcinolone acetonide in premenopausal patients.The time to reach therapeutic concentrations (5 or 10 mg L-1) after a single intramuscular TXA 1 g injection are 4 or 11 min, with the time above these concentrations being 10 or 5.6 h, respectively. Conclusions: In bleeding trauma patients, intramuscular TXA is well tolerated and rapidly absorbed.Side effects that you should report to your care team as soon as possible: Allergic reactions—skin rash, itching, hives, swelling of the face, lips, tongue, or throat. Heart rhythm changes—fast or irregular heartbeat, dizziness, feeling faint or lightheaded, chest pain, trouble breathing. Heavy vaginal bleeding.Some women also report fluid retention, worsening acne, headaches and breast discomfort. However, there is little evidence that the injection causes these symptoms. The most common reason for women to stop having the injections is because of irregular bleeding. The injection can lead to some 'thinning' of the bones.site of the intramuscular injection. • In adults, triptorelin may cause thinning of the bones (osteoporosis) with an increased risk of bone ... • Tell your doctor if you have bleeding after the first month of treatment. • Your periods should start …11 DESCRIPTION. FASLODEX® (fulvestrant) injection for intramuscular administration is an estrogen receptor antagonist. The chemical name is 7-alpha-[9-(4,4,5,5,5-penta fluoropentylsulphinyl) nonyl]estra-1,3,5-(10)- triene 3,17-beta-diol. The molecular formula is C32H47F5O3S and its structural formula is:Insert the needle into the progesterone vial. Inject 1 mL of air into the vial. Keeping the needle in the vial, turn the vial upside down. Make sure the needle tip is in the liquid. Pull back on the plunger to get 1 mL of fluid (or the amount directed by your healthcare provider). Remove the needle from the vial..

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