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Tuesday, January 10, 2017

Adminstration of Nivestim (Filgrastim)


  •  Availability: 30MU (300mcg) / 0.5 ml
Storage
  • Store and transport refrigerated (2°C – 8°C). Do not freeze.
  • Keep the pre-filled syringe in the outer carton in order to protect from light.
  • The syringe can be removed from the refrigerator and left at room temperature for a single period of maximum 7 days (but not above 25°C).
  • Do not use Nivestim if you notice it is cloudy or there are particles in it
Administration
  • Remove the Nivestim syringe from the fridge and allow it to reach room temperature (approximately 25 °C). This will take 15–30 minutes.
  • Hold the syringe with the needle pointing upwards.
  • Remove the protective cap from the injection needle. The syringe is now ready for use.
  • You may notice a small air bubble in the syringe. You do not have to remove the air bubble before injecting. Injecting the solution with an air bubble present is harmless
  • Clean the area of skin with an antiseptic wipe
  • Pinch a large area of skin, taking care not to touch the area you have cleaned.
  • With your other hand, insert the needle at an approximate 45˚ angle
  • Pull the plunger back slightly to check if any blood appears in the syringe. If you do see blood inside the syringe, remove the needle and re-insert it in a different site.
  • Depress the plunger while grasping the finger flange until the entire dose has been given. The passive needle guard will NOT activate unless the ENTIRE dose has been given
  • Remove the needle from your skin, then let go of the plunger and allow the syringe to move up until the entire needle is guarded and locks into place
  • Ensure the needle guard covers the needle

  •  videa at http://www.medicininstruktioner.se/pfizer/nivestim/
Reference:
  • Nivestim Package Information Leaflet

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