1、Octreotide Injections,April Boyd, RN,Octreotide therapy,Used to treat carcinoid syndromeDiarrheaFlushing (reddening of face and neck),Dosing,Your oncologist will prescribe the dose best for you considering yourSymptoms experiencedTolerance of therapy,Short-acting octreotide,Test doseSubcutaneous (un
2、der the skin)As needed or “break through” useSelf injection,Octreotide LAR,Monthly injectionAlternating site of injectionDose changes,Injection preparation,RefrigerationMixingAdministrationCommunication,Gluteal injection,Gluteal (buttock) musclePosturePreparation Site selection Dis-robingPressure,In
3、jection comfort,A good walkLocal gentle pressure or slight massageOver the counter products such as ibuprofen (Advil) or acetaminophen (Tylenol)Bleeding concerns,Communication with Health Care Provider,Injection toleranceSide effectsNew symptoms,Intramuscular vs. subcutaneous injection,Gastrointesti
4、nal Center Project,Injection success tips,Allow for adequate time and preparationAllow for thorough evaluation of injection siteAsk questions and provide feedbackUnderstand immediate and therapeutic goals Intramuscular injection Symptom control,Long term use,Pancreatic insufficiency Floating or oily
5、 stools Pancreatic enzymesGall stones/ gallbladder sludgeBlood glucose monitoring,Insurance coverage,FDA label includes carcinoid syndrome and VIPomaNCCN compendia includes depot octreotide for metastatic non-functional carcinoidsBilling codesBusiness Center,Frequently asked questions,How do my inje
6、ctions get scheduled?Can my schedule be changed without adverse effects?When do I report changes in my condition or a problem with my injection?Can I still use other anti-diarrheal medications as needed?,More frequently asked questions,How is an octreoscan different from an octreotide injection?If Im not having flushing or diarrhea and my doctor prescribed Sandostatin will this hurt me?,Test preparation,24 hour urine test for 5HIAAFasting for blood specimen collectionsOctreoscan,Questions?,Thank you!,
