A child with a growth hormone deficiency will be receiving daily subcutaneous injections of a biosynthetic growth hormone. The parents are being trained to administer the injections. It is important for the nurse to instruct the parents to:
1. Avoid cleaning the area with alcohol before giving the injection.
2. Use only the leg for injections.
3. Delay giving the injection by one day if the child becomes upset.
4. Rotate the injections sites daily.
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1. The area should be cleansed with alcohol.
2. Lipoatrophy can occur at injection sites; therefore, the sites should be rotated between the arms, lateral thighs, abdomen, and buttocks.
3. Establishing a set time for the injection can create a routine and decrease anxiety for the child.
4. Lipoatrophy can occur at injection sites; therefore, the sites should be rotated between the arms, lateral thighs, abdomen, and buttocks. The injection should be given at the same time each day so a routine can be established. This minimizes the trauma of receiving daily injections. Delaying giving the injection will only heighten the child's anxiety.
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