Tuesday, March 3, 2020

https://www.stjude.org/treatment/patient-resources/caregiver-resources/patient-family-education-sheets/home-care-guidelines/making-liquid-medicine-for-an-injection.html

DO YOU KNOW...

Making liquid medicine for an injection

"Do you know..." is an educational series for patients and their families.

Browse By Category

View All Education Sheets

More Home Care Guidelines Education Sheets

Print This Page

Sometimes you need to make liquid medicine from powder to give your child an injection (shot). You do this by mixing the powder for the shot with a liquid.

It is important to keep the medicine sterile (germ free) and mix the right amount of liquid with the powder. This article will help you make the liquid medicine for the shot correctly.

Getting ready

Wash your hands with soap and water. Dry them well. See “Do you know … Clean hands.” Clean your work area with an alcohol prep pad or other disinfectant. Then gather your supplies in this area. You will need:

The vial (bottle) of powdered medicine you will give as a shot,
The vial (bottle) of liquid – This is usually sterile water or saline. Your child’s nurse or the pharmacy will tell you what to use,
2 empty syringes in different sizes – The nurse will tell you what sizes,
2 blunt (not sharp) needles for liquids,
One (1) sharp needle – For giving the shot to your child,
Alcohol prep pads, and
A sharps container – For throwing away needles.

Mixing the medicine for the shot

1. Prepare supplies

Check the medicine label and the prescription label. Make sure they match and all the information is correct. Then follow these steps.

Take the plastic caps off the vials of powdered medicine and liquid – Use your thumb to flip the tops up and off. You will see the rubber stoppers. Avoid touching the stoppers.
Clean the stoppers with an alcohol pad for 7 seconds. Let them dry by themselves. Do not blow air on them or fan them. Put the vials aside while you get the other items ready.
Open the packages with the needles and syringes. Leave them in the package until you are ready to use them.
Take the bigger syringe out of the package and put a blunt red needle on it. Carefully pull the cap straight off the needle.

2. Fill the syringe with liquid

Hold the larger syringe in one (1) hand. Pull back on the plunger of the syringe to fill it with air. How much you need depends on how much saline or water you need. You need to pull ____ ml of air into the syringe.
Put the vial of saline or water on a flat surface. Put the needle straight through the stopper.
Push the syringe plunger down so the air goes into the vial. Keep your thumb on the plunger so air does not come back into the syringe. This makes it easier to get the saline or water into the syringe.
Hold the syringe and vial of saline or water in your weaker hand. So if you are right-handed, hold them in your left hand. If you are left-handed, hold them in your right. Turn them upside down so the vial is above the syringe.
Pull back on the syringe plunger. Saline or water will flow into the syringe. Pull back until you have the right amount. Keep the tip of the needle inside the vial below the level of the liquid. You might need to pull the syringe down to keep the needle in the liquid.
Pull the needle completely out of the vial when you have the right amount of saline or water. Then put the needle straight through the stopper of the vial with powder.

3. Add liquid to the powdered medicine for the shot

Push the saline or water into the powdered medicine. Keep your thumb on the plunger so liquid does not come up into the syringe. If you are putting saline or water into more than one (1) vial, do the same thing with the second vial.
Take the needle out of the vial of powdered medicine. Throw away the needle in your sharps container
Gently roll the vial between your palms to mix the medicine well. Roll until all the medicine is dissolved. Do not shake the container.
Wipe the rubber stopper with an alcohol prep pad for 7 seconds. Let the stopper dry without blowing air on it.
Write the day and time that you mixed the medicine on the label of the vial. You can only use medicine for a certain amount of time after you mix it. So it is important to write down when you mixed it.

Putting the liquid medicine in a syringe for the shot

1. Prepare the syringe

Take out the smaller syringe.
Open the other blunt needle just enough to attach it to the syringe (keep the rest of the blunt needle in its package).
Then, hold your finger on the needle cap inside the package. Pull the syringe and needle straight back without twisting.

The needle cap should stay in the sterile package. This is so you can put the needle cap back on when you change to a sharp needle for giving medicine. Otherwise, you will not be able to use that needle cap when you change needles.

2. Fill the syringe with medicine for the shot

Pull back on the syringe plunger to fill the syringe with air. You need ____ ml of air.
Put the vial of medicine on a flat surface. Push the needle through the stopper of the medicine vial.
Push the syringe plunger down, so it pushes the syringe air into the vial. Keep your thumb on the syringe plunger so air does not come back into the syringe.
Turn the vial upside down with the needle still in it. Make sure to keep the tip of the needle below the level of the medicine. You might need to pull the needle back to keep the tip in the medicine.
Pull back on the syringe plunger until the right amount of medicine flows into the syringe. Follow the directions your nurse gave you about how much medicine to give. You will adjust it to the right dose before you give your child the shot.
Take the needle and syringe out of the medicine vial. Pull the syringe plunger back until you see a small amount of air at the tip of the syringe. This keeps you from pushing any medicine out by accident.
You can find more information by reading “Do You Know … Withdrawing Medicine from a Vial.”

3. Change the needle

Slide the needle into the needle cap that is still in its package. Hold the needle with one hand and the syringe with the other, and take the needle off the syringe. The blunt needle should stay inside the needle cap that is in the package. Avoid pushing any medicine out when you do this.
Put the smaller, sharp needle on the syringe. If you are giving it later, leave the needle cap on. Put the syringe in a clean plastic bag in the refrigerator until time to give the shot.

Giving the shot

When you are ready to give the medicine, pull the pink safety cover down out of the way. Pull the needle cap straight off.
Push the plunger gently forward so the air bubble at the end is pushed out. Adjust the medicine dose by pushing some medicine out. Do this until you have the amount in the syringe that your child needs.
Give your child the medicine. For more information on giving a shot, read “Do you know … How to Give Subcutaneous Injections.”

Throwing away needles

Put the pink safety cover back over the needle. Throw away all the used needles in your sharps container. Read “Do you know … Throwing Away Sharp Objects Safely” to learn more.

Questions?

Ask your child’s nurse or doctor if you have questions about making liquid medicine for a shot.

This document is not intended to take the place of the care and attention of your personal physician or other professional medical services. Our aim is to promote active participation in your care and treatment by providing information and education. Questions about individual health concerns or specific treatment options should be discussed with your physician.

St. Jude complies with health care-related federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, or sex.

ATTENTION: If you speak another language, assistance services, free of charge, are available to you. Call 1-866-278-5833 (TTY: 1-901-595-1040).

ATENCIÓN: si habla español, tiene a su disposición servicios gratuitos de asistencia lingüística. Llame al 1-866-278-5833 (TTY: 1-901-595-1040).

Monday, March 2, 2020

Maybe I should have left K awhile ago. I will never find someone to help me there. The person who wanted this suffering is very intense about it, obviously. But she is only interested in bucks, right? Well, I only want to know you, not what you have, so maybe she could stop this insanity and let everyone live happily whatever way they want. She obviously has no concern for human life, except her own, so..... just stop being a punching bag. You are so lovely, I cannot stand the thought that you could be suffering.
I want to hug you forever. Why does life have to be so unnecessarily damn difficult? YOU deserve to have a nice life with those who adore you and NOT a job that interferes with your personal life! I am worried that they may harm you. Please stay safe. I don't think life would be worth anything without you in it. Pray to the angel and ask her to help you and I will too. I think there comes a time when you say, "screw this!" and do what you need for yourself. I am behind whatever you decide.
Love, Me.

I like my renter and all that, but he stresses me out sometimes.

Maybe someone could find a place where I could go to get a second opinion, so I don't have to face people who want me dead. They could call me.

I can't imagine my life without you somewhere in it.

I may go to UCSF for a second opinion, unless that is a bad idea? I don't know. I left a message for the dept the dept to call me back. I don't know....Is it the right thing to do, or what? I am scared. I need your advice. I need your support. I miss you so much.

I want to take care of you and make you smile. Get away from awful people. Just feel secure that there is someone backing you.

You are so very loved.

I guess if I cannot find an affordable place for a second opinion, I will just have to wait until things are better. I hope you can leave there soon. People are treated like garbage.

I cannot trust them....any of them! I only trust one person to keep me safe.

Got a message from Surgery in RW City.....ummmm, maybe not!!!!

I don't know if I was being lured, or what, but I could not go there, otherwise I would get busted for one of the false things I have had stuck on me.

Could they have actually put cancer in me?

Run fast, run far. Come here, if you want.This is your home too, but whatever you do, be safe!

I think the breast cancer diagnosis, if untrue, is a distraction. I will get answers.

That place is a Hell hole. It is beneath you. They put you through insane antics and treat you like shit and even steal your identity by forgery. That isn't normal. You could sue for millions. Now, even your life could be in danger with an epidemic/pandemic! You deserve better. I do not know how they get away with it, but it is illegal. I will always back you up and stand up for you. I do not care what lies they may say about you; you are always the one who matters to me. They use lies and secrecy and that is disgusting. I would always stand up for you. I know who you are and that is all I need.

If he wants to see me again, it can't be up to me, because I do not know when it is over.

You will always be in my heart and in my dreams.

John Denver Greatest Hits 2017 - Best Songs Of Jonh Denver

John Denver / The Wings That Fly Us Home [09/21/1993]

Sunday, March 1, 2020

A View of memory

The most beautiful memory I have was when I was in the most horrible pain and you kept me safe and looked after. How could I have been so blessed to know you? That was the truest love one could have for another. You were so caring. I was overwhelmed by your kindness and felt as if I were enveloped in a protective cocoon by the person I so very deeply loved.
I have been so sad without you.

Sometimes I think I sense how you feel, but my own insecurity denies it.

You are adored.

What bothered me more than the thought of breast cancer, was that I might die before seeing you again. I guess that says it all.

Don't mind me. I am just a silly woman kind of falling apart....or actually trying to put it together.

There are many things I don't know about you, but what I see and feel are enough to make me care and want to know more. I feel like whatever you say, means a lot to me, or is the same way I feel too. I feel nervous. I had said I would probably faint at the reality of it. It is the best thing that could happen.

Please forgive my effusive behavior, but so much has happened and happening. I could be dying, but the only thing that causes me emotion is you. I cannot move past the day I see you again. I have ideas of being in nature with you for some quality time, if that is even in your mindset, otherwise I have no demands, even if I could. I just want to be there with you.

If you will give me a chance to show my lovely, devoted friendship to you and help me make sure I am getting a fair and safe chance to get well, I could not ask for more.

I have been at the raw end of brutal brainwashing about that you hate me, are embarrassed by me, so I write bold but feel so timid and unworthy. I just cannot risk missing out on the most wonderful person I have ever met. I can get over humiliation, but not missing you.

I have to believe the continued wait is beyond your control.

There is much more to me than my setbacks. You wouldn't even notice them....until I drop...I will be laughing and being silly until the end. :-)

I will get better and be there for you whenever you need.

Nothing better in life than looking into your eyes. That was intense, but transforming. It altered my sense of what was important. I could never find that feeling of home and comfort anywhere else again. You are it for me. I don't want to make you feel uncomfortable, but that experience was absolute magic. It has been my sustenance and my most desired repeat in life. I guess I am being open because my life is so tenuous and I need to tell my truth.

I hope you are well and stay well.

I think I need a second opinion.

Prior to the biopsy, Dr. Z absolutely reamed me out on the phone saying cancer was not painful, so when the pain went away, I decided I did not need the biopsy. (Besides the fact that the surgeon was so unprofessional behaving, playing with his long hair while talking to me). So that was Nov, then recently
I got a call saying my mammogram, ultrasound were so awful that she would be extremely worried if I were her mother, or daughter. Dr. Moon was so rude, which was a surprise, since she was nice prior, but made it sound like I was cold emotionally, but when I cried, because I was feeling afraid and wished you were there, she told me that she was glad I cried, otherwise she would have thought Something was wrong with me emotionally. What kind of thing is that to say to someone? I was so freaked out, I was stunned, but missing you made me cry. Why do people think it is always open season on attacking me? I don't think I can ever get fair treatment in that system. I was so dizzy too, I felt I was going to throw up. They are pissed at me, because they think I am some femme fatale and are standing up for someone who was wronged. Whatever. That place is like high school with better torture instruments. Like an MRI for 2.5 hours, where all kinds of very uncomfortable "mistakes" were made and a nurse jammed needles in both my arms so hard, they felt like electrical shocks and felt numb. I have been screamed at by doctors, or ignored by them. The whisper campaign was also "fun". Being screamed at by that Mr. Ed, who followed me around K and would not let me sit and rest, even after surgery. He always made me feel like I was a piece of crap. Then he made up contempt charges that got me jail time and he got a permanent job for his abuse of me. Now, he can roam around, keeping an eye on you as head janitor. The other security guard also got a permanent job in Communications, so he could set up phone traps....that place is absurd. Anyone can end up as a target. It is insane.
It is no place for a quality person to work.

I am beginning to think that truly what is going on could seriously be Dercum's. I have so much pain in my leg that often I cannot sleep. The pain began in my right breast with a lot of thickness. Then, I mega dosed Alpha Lipoic Acid and vit C and the breast pain stopped and the thickness went away, but then, unbearable pain hit my right leg. It sometimes feels better at times than others, but it throbs with awful pain at times, so I cannot sleep, or stand very long. Could I have Dercum's of the breast and not cancer, or have both at the same time? OR, is it a s*load of painful lipomas? If they took biopsies, did they indicate that it was particularly breast cancer? I had my pPNET present on my right thigh, could it be in my breast now? I suppose I could be selling the pathology lab short, but I get skeptical. I think I am a walking rarity all around. I believe the cancer was as a result of working in a nuclear pharmacy where the radiation was not controlled at safe levels. One guy who was making the medicine didn't know what he was doing and was just sending out random strengths. I told my boss what the guy was doing, saw I was right, so I was fired. Bizarre. My friend said my being fired was the best thing to happen to me. I wonder if the radiation may have caused all the other health issues too.

I cannot sleep. I just lie there staring into the partial darkness listening to my tiny dog make sleeping sounds that could probably challenge those of a brawny trucker. She is one who touches my heart. She does not know she is not a pagent winner physically, she is for some reason missing teeth, has skin allergies and fights my attempts at grooming. To see her though, she is so self-confident and seems like she thinks she is as much of a princess as it says on her t-shirt. She is my mentor and shining example of how not to give a crap about the small thinking of even smaller minds. If she can feel beautiful, so can I.

I have been beaten to a pulp, I am still alive...so far....and I have never purposely hurt anyone else. My life has been dedicated to treating people fairly and kindly. I do not understand how the savagely cruel people who took great pleasure in what they did to someone who did not deserve even a fraction of it, can live with it. If there is a Hell, they will sit center stage.

People have strange thinking about me and why I care so much about you. They made such weird accusations about it. They thought I was so desperate for just anyone, but that was so untrue. When I was in a tech startup I was going to party after party and meeting after meeting with important people, even Gavin Newsom. I was not ignored, but no one caught my attention. In fact, I was so tired of meeting people, I decided I was going to be alone forever after. I met someone (you) a few
years ago and was blindsided by my feelings. I never stopped loving you and never will. You showed me something more than anyone else; you showed me kindness. You risked your own job safety to do it. You have my loyalty, my trust, my faith and undying devotion. It has been everything I have ever needed and never really had before. It was too beautiful and too fulfilling to last. Some people hate the happiness of others and seek its destruction, even if it is sweet and pure. All I can do is hope and pray that I might have even a glimmer of it from you again. Life should not end on a sour note, but on sweetness and loveliness.

Writing down my thoughts here keeps them journaled and gives me some stress relief. It is all I have besides my prayers. It can help me not make mistakes, or forget what happened.
My angel sends my love to you and keeps you safe.

I made dumb mistakes awhile ago. I was so grateful and in love, that it took over reason. I should have known bad people did bad things. I fell into traps.

Way back then, those books were from you, weren't they? One was biographical, and one a SF romance. They meant more to me than you could ever imagine.

I will do anything to look and feel better, but only if I have your watchful eye keeping
things safe and correct. Prior, I was doing well with my walk group, which often only was a group of one, but I was shaping up, losing weight. Even then I was being put down and cruel things said. High fiving was fun and it made me feel great. But, thinking back, I
endured so much. I never could understand why things were being done to me. So many cruel and cowardly people surrounded you. It was confusing and hurtful. I just want to get all of this over and go from there. I love you madly, but good grief, I suffered terribly. I know it could not have been easy for you either. Be my friend. I want to make you happy, safe and secure. Unless you don't, that isn't a pleasant thought, but that is freedom of choice. You seemed to desire it anyway. I would sell my home and disappear. I would be too sad to stay even here, if you weren't my friend. I would probably not care what happened to me. It is like "Out of Africa" where Karen pushes the painful thoughts to the point of almost not being able to bear them any longer and then goes one step further. I torture myself with the sad thoughts to brace myself for the worst feelings and pain, so I won't fall apart as badly. I hope anyway. The people who put me (us) through the bad are monsters and cowards. Neither of us has any claim to those evil monikers. Grace and dignity are not their calling cards.
I also felt the most beautiful love ever. Thank you.

Wonder if I should choose a smaller place for treatment? (Less busy?) I will do whatever....