nd Diluent syringe in place.
Gently tap the barrel of the Diluent syringe with a finger (See Figure I).
Make sure all the Diluent has gone into the GATTEX vial.
Remove the Diluent syringe and needle from the GATTEX vial. Let the vial sit for about 30 seconds.
Do not put the needle cap back on the needle.
Dispose of the Diluent syringe and needle in your sharps disposal container.
After 30 seconds, place the vial between the palms of your hands. Gently roll the vial for about 15 seconds (See Figure J).
Do not shake the vial.
Do not touch the gray seal. If you do, clean it again with a new alcohol pad.
Let the vial stand on your work surface for about 2 minutes.
Step 4: Check the mixed GATTEX.
After 2 minutes, look at the vial of GATTEX. The liquid in the vial should be clear and colorless to pale yellow, and should not have any particles in it.
If there is any powder in the vial that did not dissolve, gently roll the vial between your hands for 15 seconds more.
Do not shake the vial.
Check the vial again for anything that did not dissolve.
Do not use the vial if there is anything in it that did not dissolve. Start from the beginning of this Instructions for Use to prepare a new vial. Use a new GATTEX vial, new Diluent syringe, and a new needle.
Step 5: Draw up your dose of GATTEX.
Remove the plastic dosing syringe from the package. Use the fold in the package to peel back the plastic cover (See Figure K).
Remove the needle cap from the dosing syringe (See Figure L).
Throw the needle cap away. Do not touch the needle or allow it to touch anything.
Carefully pull back on the plunger to the line that matches the dose prescribed by your healthcare provider.
Use one hand to hold the vial steady. Use your other hand to insert the needle straight down into the middle of the gray rubber seal on the GATTEX vial (See Figure M). You may feel some resistance as the needle passes through the rubber seal.
Gently push down the plunger until all of the air has gone from the syringe into the vial.
Turn the GATTEX vial and syringe upside down (See Figure N).
Hold the GATTEX vial with one hand.
Slowly pull back the plunger of the dosing syringe with your other hand.
Fill the syringe until the black tip of the plunger lines up with the mark that matches your prescribed dose (See Figure O).
Keep the syringe and needle in the vial.
You may see some bubbles inside the vial when the syringe is filled. This is normal. With the needle still in the vial, gently tap the side of the syringe with a finger to make any air bubbles rise to the top (See Figure P).
Slowly push the plunger up until all air bubbles are out of the syringe. Make sure the tip of the needle is in the fluid. Slowly pull back the plunger to draw up the right dose of GATTEX into the syringe.
Remove the dosing syringe and needle from the vial (See Figure Q). Do not touch the needle or allow it to touch anything.
Step 6: Inject GATTEX.
Choose an injection site on your stomach area (abdomen), thighs, or upper arms. Choose a different site to give the injection each day. Do not inject into areas where the skin is tender, bruised, red, or hard. (See Figures R and S)
Clean the skin where you plan to give the injection with a new alcohol swab pad. Do not touch this area again before giving the injection.
Use one hand to gently pinch up a fold of skin around the injection site (See Figure T).
Use your other hand to hold the syringe. Insert the full length of the needle into the skin at a 45-degree angle with a quick "dart-like" motion (See Figure U).
Let go of the skin. Hold the syringe barrel with one ha |
