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Author Topic: Erythropoietin Injection Site  (Read 9148 times)
balapandian
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« on: September 03, 2012, 07:38:57 AM »

where do you inject the erythropoietin injection?  shoulder, thighs, or stomach near navel?
which site gives the best absorption?
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2012 Jun Bilateral Nephrectomy
2012 Jun Hemo Dialysis
chiawana
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« Reply #1 on: September 03, 2012, 07:42:19 AM »

We actually give it IV, before the heparin (we do home hemo).
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justme15
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« Reply #2 on: September 03, 2012, 10:11:37 AM »

I inject in my abdomen.  Not really close to the navel, but wherever I can grab a chunk of fat and inject.  I was getting injections in my shoulder, but I find abdominal injections are much less painful.  I'm not sure about whether one area absorbs better than the other,
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billybags
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« Reply #3 on: September 03, 2012, 11:19:10 AM »

My husband does the same as  justme15   grab some flab and jab, does not hurt.
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bevvy5
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« Reply #4 on: September 03, 2012, 06:02:54 PM »

Yep, Greg did it that way too when on PD.  Now it's through the machine at home on hemo.
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MaryD
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« Reply #5 on: September 03, 2012, 08:39:01 PM »

I use my thigh.
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KarenInWA
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« Reply #6 on: September 03, 2012, 08:45:48 PM »

I've always heard that an epo shot is going to be more potent if given intra-muscularly vs in the blood line. They were always big on this at my clinic, and even encouraged patients to stop a nurse if s/he was going to inject it into the line. The way I look at is, the drug is so danged expensive, I *want* to get it the most effective way possible!

I am no longer on D anymore, so my only choice is to get it in the arm or the stomach. I am 9 mos post-tx and am having issues with HGB and WBC.  That means I may get to have TWO different shots!!!  :urcrazy;

KarenInWA
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1996 - Diagnosed with Proteinuria
2000 - Started seeing nephrologist on regular basis
Mar 2010 - Started Aranesp shots - well into CKD4
Dec 1, 2010 - Transplant Eval Appt - Listed on Feb 10, 2012
Apr 18, 2011 - Had fistula placed at GFR 8
April 20, 2011 - Had chest cath placed, GFR 6
April 22, 2011 - Started in-center HD. Continued to work FT and still went out and did things: live theater, concerts, spend time with friends, dine out, etc
May 2011 - My Wonderful Donor offered to get tested!
Oct 2011  - My Wonderful Donor was approved for surgery!
November 23, 2011 - Live-Donor Transplant (Lynette the Kidney gets a new home!)
April 3, 2012 - Routine Post-Tx Biopsy (creatinine went up just a little, from 1.4 to 1.7)
April 7, 2012 - ER admit to hospital, emergency surgery to remove large hematoma caused by biopsy
April 8, 2012 - In hospital dialysis with 2 units of blood
Now: On the mend, getting better! New Goal: No more in-patient hospital stays! More travel and life adventures!
cassandra
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« Reply #7 on: September 04, 2012, 07:50:21 AM »

I give mine in any flab of my body, so arm-flab, upper leg-flap, belly-flab etc. If you warm the syringe up in your hand before you feel nothing. And I used 3x as much Epo in my bloodlines, than subcutaneous (under the skin, not in the muscle).

good luck Cas
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I started out with nothing and I still have most of it left

1983 high proteinloss in urine, chemo, stroke,coma, dialysis
1984 double nephrectomy
1985 transplant from dad
1998 lost dads kidney, start PD
2003 peritineum burst, back to hemo
2012 start Nxstage home hemo
2020 start Gambro AK96

       still on waitinglist, still ok I think
KAF454
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« Reply #8 on: September 04, 2012, 08:30:16 AM »

Anyplace you can pinch up a little fat. My pd nurse tells me it absorbs really well when injected in belly fat. I inject in the early morning so I don't risk dialyzing it out of my system overnight.
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PD catheter inserted 11/2011
CCPD begun 12/2011
Activated on transplant list 01/27/2012
PD efficacy tanked 12/2012. CVC inserted for hemo.
Elected to stay on hemo 01/2013. (10.5 hours per week instead of 8 hours every night? No contest!)

Today I will not worry unless the animals start lining up 2 by 2.
Darthvadar
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« Reply #9 on: September 04, 2012, 12:32:35 PM »

In the abdomen for Mum...

As she says 'Puncturing the spare tyre'.....

Darth....
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jeannea
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« Reply #10 on: September 04, 2012, 02:44:28 PM »

I let them put it in the upper arm. If you are even considering PD, the advice I was given was to NOT allow any stomach injections. When I'm in the hospital and they want to do heparin injections, I have them use my thigh or upper butt.
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Joe
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« Reply #11 on: September 04, 2012, 05:31:35 PM »

My PD team has me injecting EPO in the fat roll around my waist. Just grab the flab and jab, as has been shared.
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MaryD
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« Reply #12 on: September 04, 2012, 07:02:31 PM »

I have trouble using the flab around my stomach because I wear transitional lenses and I can't focus on my stomach unless I slide my glasses onto the end of my nose.  If they fall off I have trouble finding them again - and I'm scared I'll stand on them.  Oh dear - the joys of getting old!
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lmunchkin
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"There Is No Place Like Home!"

« Reply #13 on: September 04, 2012, 07:51:23 PM »

In his belly.

lmunchkin
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12/2004 to 6/2009 Home PD
6/2009 Peritonitis , PD Cath removed
7/2009 Hemo Dialysis In-Center
2/2010 BKA rt leg & lt foot (all toes) amputated
6/2010 to present.  NxStage at home
Kayholio
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« Reply #14 on: September 07, 2012, 07:11:29 PM »

Not to give TMI or anything, but I have a little bit of flab right below my belly button, so I just grab that and poke the needle in. :)
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December '99 : Diagnosed with kidney disease
September 15th '11 : Went into stage 5 ESRD
September 19th : Started hemo with permacath, PD cath inserted
September 28th : Started manual PD
November 9th '11: Started PD on cycler
KarenInWA
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« Reply #15 on: September 07, 2012, 09:52:15 PM »

I give mine in any flab of my body, so arm-flab, upper leg-flap, belly-flab etc. If you warm the syringe up in your hand before you feel nothing. And I used 3x as much Epo in my bloodlines, than subcutaneous (under the skin, not in the muscle).

good luck Cas

Thank you for correcting me, Cas! I was writing my post rather quickly, and couldn't think of the correct verbiage. Yes, sub-q or "in the flab" is where it's at!

KarenInWA
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1996 - Diagnosed with Proteinuria
2000 - Started seeing nephrologist on regular basis
Mar 2010 - Started Aranesp shots - well into CKD4
Dec 1, 2010 - Transplant Eval Appt - Listed on Feb 10, 2012
Apr 18, 2011 - Had fistula placed at GFR 8
April 20, 2011 - Had chest cath placed, GFR 6
April 22, 2011 - Started in-center HD. Continued to work FT and still went out and did things: live theater, concerts, spend time with friends, dine out, etc
May 2011 - My Wonderful Donor offered to get tested!
Oct 2011  - My Wonderful Donor was approved for surgery!
November 23, 2011 - Live-Donor Transplant (Lynette the Kidney gets a new home!)
April 3, 2012 - Routine Post-Tx Biopsy (creatinine went up just a little, from 1.4 to 1.7)
April 7, 2012 - ER admit to hospital, emergency surgery to remove large hematoma caused by biopsy
April 8, 2012 - In hospital dialysis with 2 units of blood
Now: On the mend, getting better! New Goal: No more in-patient hospital stays! More travel and life adventures!
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