Follow-up: A site rotation scheme that is easy enough to actually follow
I read post #12 twice before replying, because I had assumed the opposite.
Air bubbles in a subcutaneous injection: the honest risk assessment is low. Tiny air bubbles in subcutaneous tissue do not behave like an air embolism in a blood vessel. A few air bubbles are not a reason to restart the entire injection.
Leak-back after withdrawal: a small amount of liquid on the skin after withdrawal is ordinary. Whether you lost a "meaningful" dose depends on concentration and your target dose, but some leak-back is universal and does not need to be treated as an error.
On post #25 — agreed on the reasoning, with one qualification.
Angle of injection: 90 degrees into pinched tissue ensures subcutaneous placement. It is not always necessary and shallower angles can work, but 90 degrees into a small pinch is the safest technique to learn first.
This follows post #32 rather than contradicting it.
Cold solution and stinging: warming the vial in your hands for a minute before injection reduces the stinging sensation substantially. This is the simplest thing to try if injections are uncomfortable.
I disagree with the reply above, and I think the disagreement is substantive rather than terminological.
The distinction being drawn does not survive when you look at the published data for this specific question. I would be glad to be shown wrong on this, because the version I am arguing against is more convenient.
Worth separating two things that post #52 runs together.
Cold solution and stinging: warming the vial in your hands for a minute before injection reduces the stinging sensation substantially. This is the simplest thing to try if injections are uncomfortable.
This follows post #61 rather than contradicting it.
Leak-back after withdrawal: a small amount of liquid on the skin after withdrawal is ordinary. Whether you lost a "meaningful" dose depends on concentration and your target dose, but some leak-back is universal and does not need to be treated as an error.
Injection discomfort: comes from needle gauge (finer = less discomfort), volume (smaller = less discomfort), temperature (room temperature or warmed is less uncomfortable than cold), and technique (smooth, purposeful injection is less uncomfortable than hesitant). All four are under your control.
Read the full topic (90 posts)
This topic was referenced in
- Bleeding at the injection site: normal, and what to do about itPractice › Administration · 3 replies
- Air bubbles in a subcutaneous injection: the honest risk assessment — does this still hold?Practice › Administration · 30 replies
Suggested topics
| Topic | Participants | Replies | Views | Activity |
|---|---|---|---|---|
|
A site rotation scheme that is easy enough to actually follow — a second dataset
A site rotation scheme that is easy enough to actually follow — a second dataset Writing it up because I had to work it out twice and would rather nobody else did. Practical question with the units stated,…
|
+6 | 10 | 1.2k | 7h |
|
Second pass at: Leak-back after withdrawal and whether you lost a meaningful dose
Second pass at: Leak-back after withdrawal and whether you lost a meaningful dose — setting out what I have, and where I think it stops being reliable. Reporting something rather than asking about it, in case…
|
+18 | 22 | 2k | 25d |
|
Angle of injection and whether 90 degrees is always right — the long version
Angle of injection and whether 90 degrees is always right — the long version Writing it up because I had to work it out twice and would rather nobody else did. Reporting something rather than asking about it,…
|
+50 | 55 | 15k | 2d |
|
Injection discomfort: needle gauge, volume, temperature, technique — one year on
Posting this under the heading it deserves: Injection discomfort: needle gauge, volume, temperature, technique — one year on Everything below is what sits behind that. Practical question with the units…
|
2 | 102 | 9mo | |
|
A genuinely late dose: what the labelling says and what people do
On the subject in the title: A genuinely late dose: what the labelling says and what people do Working notes rather than a conclusion. Reporting something rather than asking about it, in case the pattern is…
|
2 | 18k | 5mo |
Related topics — sharing the tags subcutaneous injection, injection site reaction, injection site rotation
| Topic | Participants | Replies | Views | Activity |
|---|---|---|---|---|
|
Revisiting: Filter needles: when they help and what they cost you
Revisiting: Filter needles: when they help and what they cost you — setting out what I have, and where I think it stops being reliable. A question about technique rather than about dose. I have been doing the…
|
+48 | 52 | 6.6k | 11mo |
|
A partial dose because the pen emptied mid-injection
A partial dose because the pen emptied mid-injection Writing it up because I had to work it out twice and would rather nobody else did. Practical question with the units stated, because I have seen how…
|
+108 | 120 | 1.5k | 7mo |
|
Pinch or no pinch, and how needle length changes the answer — the long version
On the subject in the title: Pinch or no pinch, and how needle length changes the answer — the long version Working notes rather than a conclusion. I have read the maintained page on this and I still have a…
|
+75 | 79 | 1.5k | 1mo |
|
Second pass at: Pen dose counters: what a click does and does not guarantee
Second pass at: Pen dose counters: what a click does and does not guarantee — setting out what I have, and where I think it stops being reliable. A question about technique rather than about dose. I have been…
|
+63 | 68 | 51k | 13mo |
|
Pen mechanics when the cartridge is nearly empty — does this still hold?
Asking directly, because I could not find a straight answer: Pen mechanics when the cartridge is nearly empty — does this still hold? Practical question with the units stated, because I have seen how quickly…
|
+37 | 47 | 61k | 6mo |