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Subcutaneous immune globulin 1 PATIENT INFORMATION PRESCRIPTION & ENROLLMENT FORM New patient Current Patients name Date of birth Male Female Last 4 digits of SSN Street address Apt # City State Zip
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How to fill out immune globulin subcutaneous
How to fill out immune globulin subcutaneous:
01
Wash your hands thoroughly with soap and water before starting the process.
02
Gather all the necessary supplies, including the immune globulin subcutaneous medication, alcohol swabs, sterile needles, and syringes.
03
Check the expiration date and the appearance of the medication. If it looks cloudy or discolored, do not use it.
04
Cleanse the injection site with an alcohol swab and allow it to dry completely.
05
Prepare the syringe by attaching a sterile needle to it.
06
Draw up the prescribed dose of immune globulin subcutaneous into the syringe, following the instructions provided by your healthcare professional.
07
Remove any air bubbles from the syringe by gently tapping or flicking it and pushing the plunger to expel the air.
08
Locate the fatty tissue just below the skin on the abdomen, thighs, or upper arms.
09
Pinch a fold of skin and insert the needle at a 45 to 90-degree angle into the subcutaneous tissue.
10
Push the plunger to inject the medication slowly and steadily.
11
Remove the needle and apply gentle pressure to the injection site with a sterile cotton ball or gauze pad.
12
Discard the used syringe and needle into a puncture-proof container.
Who needs immune globulin subcutaneous:
01
Individuals with primary immunodeficiency disorders, such as X-linked agammaglobulinemia or common variable immunodeficiency.
02
People with specific genetic or acquired disorders that affect their immune system's ability to fight infections.
03
Patients undergoing hematopoietic stem cell transplantation.
04
Individuals with chronic lymphocytic leukemia or multiple myeloma who experience recurrent infections.
05
Certain patients with autoimmune diseases, such as immune thrombocytopenic purpura or Kawasaki disease.
06
People with severe combined immunodeficiency (SCID) who lack a functional immune system.
Note: The above information is general and should not replace the guidance provided by your healthcare professional. It is important to consult with your doctor for specific instructions and to determine if immune globulin subcutaneous is appropriate for your condition.
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What is immune globulin subcutaneous?
Immune globulin subcutaneous is a medication used to treat primary immunodeficiency diseases.
Who is required to file immune globulin subcutaneous?
Patients who are prescribed immune globulin subcutaneous are required to file it.
How to fill out immune globulin subcutaneous?
Immune globulin subcutaneous can be administered by a healthcare professional through subcutaneous injection.
What is the purpose of immune globulin subcutaneous?
The purpose of immune globulin subcutaneous is to boost the immune system in individuals with primary immunodeficiency diseases.
What information must be reported on immune globulin subcutaneous?
The dose, frequency of administration, and any side effects experienced must be reported on immune globulin subcutaneous.
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