Intra-articular, subcutaneous, and intravenous therapies

Abstract

This chapter provides an important overview of drug therapies that are administered by intra-articular, subcutaneous, or intravenous injection. Key factors including choice of steroids for injection, preparing the patient, and equipment required are discussed. For the nurse supporting the administration of intra-articular injections, care of the patient is discussed, together with guidance for more advanced nurses who may be trained to administer intra-articular injections. Management of specimens obtained during aspiration together with patient preparation and post-injection advice are outlined. An overview for all nurses responsible for administering intravenous or subcutaneous injections as well as those who need to educate and prepare patients to self-administer drug therapies is given. This chapter focuses on drug therapies used within the field including biological therapies, methylprednisolone, iloprost used for pulmonary hypertension, and treatments used to manage osteoporosis. Checklists, practical considerations, and nursing care (pre and post administration) are given. Finally, resources including key references, information for patients, and further reading are provided for each of the intravenous and subcutaneous therapies outlined.