Where can you give subcutaneous heparin?

The abdomen, thigh, and arm as sites for subcutaneous sodium heparin injections.

Where do you inject subcutaneous heparin?

The heparin needs to go into the fat layer under the skin.

  • Pinch the skin lightly and put the needle in at a 45º angle.
  • Push the needle all the way into the skin. Let go of the pinched skin. Inject the heparin slowly and steadily until it is all in.


Can you give subcutaneous heparin in the arm?

According to this experience, subcutaneous application of heparin into the upper arms is to be recommended in patients who undergo lymphatic surgery of the lower part of the body.

Can you give heparin in the thigh?

Heparin should not be injected into a muscle, an area close to the bone, in a vein, in the face or scalp, in the navel, or the hands or feet. It should only be injected into the abdomen, the outer thigh, the buttocks, or the outer upper arm.

What sites would you use for subcutaneous injections?

The most common sites to administer a subcutaneous injection include:

  • Abdomen (at or under the level of the belly button, about 2 inches away from the navel)
  • Thigh (front of the thigh or inner thighs)
  • Arm (the back or side of the upper arm with sufficient subcutaneous fatty tissue)


Why does heparin have to be given in the abdomen?

6, 7, 8 The abdominal area is suggested to be used primarily for subcutaneous heparin administration. 9, 10 Depending on the assumption that there is more subcutaneous fatty tissue and less muscle activity in the abdominal area, it is stated that the risk of ecchymosis and hematoma is lower in this area.

How do you inject subcutaneous thigh?


Once the needle is in try not to move it around as this is what can cause discomfort gently push the plunger down injecting all of the fluid into the leg.

What is the route of administration for heparin?

Heparin comes as a solution (liquid) to be injected intravenously (into a vein) or deeply under the skin and as a dilute (less concentrated) solution to be injected into intravenous catheters. Heparin should not be injected into a muscle.

Do you massage after heparin injection?

Do not massage the site. Massage is not necessary and can damage underlying tissue. Massaging after a heparin injection can contribute to the formation of a hematoma.

What happens if you give a subcutaneous injection intramuscularly?

Subcutaneous injections can lead to localised cellulitis, granuloma formation and abscess. The COVID-19 vaccine has shown to have high efficacy if given correctly intramuscularly. Subcutaneous injection can happen inadvertently (figure 1), affecting efficacy of vaccination and potentiate local adverse events.

Where do you inject in the thigh?

Typically, people who need to self-administer injections use the vastus lateralis muscle in the thigh. To locate the correct spot, imagine dividing the thigh vertically into three equal parts. Give the injection into the outer top part of the middle section.

Where do you inject in the stomach?

To give an injection into the abdomen, pinch a section of fatty abdominal tissue, with fingers either side. The site should be between the waist and the hipbones about 2 inches away from the belly button. Avoid injecting near any scar tissue on the abdomen.

How do you give an injection in the Abdomen?

Quote from video:
Open the index finger and thumb of the non-dominant hand about 2 inches or 5 centimeters apart. And place them on either side of the planned injection spot.

Why is heparin given at 90 degrees?

Quick, firm insertion minimizes discomfort. Inserting at the correct angle prevents accidental injection into muscle. For an obese patient or one with significant fatty tissue, pinch the skin at the site and insert the needle at a 90-degree angle below the tissue fold.

What happens if heparin is injected into muscle?

This medicine must not be injected into your muscles. You should not receive any other injections into your muscles while having heparin as this may lead to bruising.

What is the route of administration for heparin?

Heparin comes as a solution (liquid) to be injected intravenously (into a vein) or deeply under the skin and as a dilute (less concentrated) solution to be injected into intravenous catheters. Heparin should not be injected into a muscle.

Why is heparin given as a subcutaneous injection?

Slow administration of heparin allows time for subcutaneous tissue to accommodate the injected volume, resulting in reduced pressure, capillary bleeding, and site pain, and minimising the likelihood of other damage (Chan 2001).

When is subcutaneous heparin not given?

Hypertension (high blood pressure), severe or. Liver disease or. Major surgery (eg, eye, brain, or spine) or. Menstrual bleeding (periods), heavy or unusual or.

Which of the following drugs is injected subcutaneously into the abdomen?

Insulin and some hormones are commonly administered as subcutaneous injections. Other drugs that need to be given very quickly can also be administered via subcutaneous injection. Epinephrine comes in an automated injector form, called an EpiPen, that’s used to quickly treat severe allergic reactions.

Why is LMWH given subcutaneously?

As a type of heparin, low molecular weight heparin (LMWH) is only administered subcutaneously [3]. LMWH is frequently prescribed for preventing or treating venous thromboembolism because of its high bio-availability and predictable anticoagulant effect [4], [5].

Where do you inject low molecular weight heparin?

Quote from video:
Use a different area you can use the tops of the legs the top upper outer thigh. Area. Some people like it some people don't just try it. So when you're going to do your injection.

Can unfractionated heparin be given subcutaneously?

Like low-molecular-weight heparin, unfractionated heparin also may be administered by subcutaneous injection.

Is heparin given IV or SC?

It is concluded that heparin may be used either intravenously or subcutaneously in the treatment of acute deep venous thrombosis. Thromboembolic complications occurred with both methods of treatment when anticoagulation was ineffective.

Can heparin be given via IV push?

By continuous intravenous infusion in 5% glucose or 0.9% sodium chloride or by intermittent intravenous injection, or by subcutaneous injection. As the effects of heparin are short-lived, administration by intravenous infusion or subcutaneous injection is preferable to intermittent intravenous injections.

How do you give a subcutaneous injection?

Quote from video:
And place them on either side of the planned injection spot. And pinch the skin while continuing this hold insert the needle into the skin in the center of the skin fold.

How fast can you push IV heparin?

Scrub the end of the PICC or Implanted Port line with alcohol pad for 15 seconds. 2. Attach the antibiotic syringe and push the IV medication slowly over 3-5 minutes, or as directed.

How do you administer 5000 units of heparin?

As the effects of heparin are short-lived, administration by intravenous infusion or subcutaneous injection is preferable to intermittent intravenous injections. followed by: 5,000 units subcutaneously every 8-12 hours, for 7-10 days or until the patient is fully ambulant.

Can you run heparin and normal saline together?

Interactions between your drugs



No interactions were found between heparin and Normal Saline Flush. However, this does not necessarily mean no interactions exist. Always consult your healthcare provider.

When do you hold heparin PTT?

Do not initiate on patient with platelets <50,000 or PTT>79 seconds. 3. Do not initiate on patients with suspected or proven DIC, TTP or HIT.

What should INR be on heparin?

A year to life time



Here, an INR of 3-4.5 is recommended. Warfarin should be started in conjunction with heparin or low molecular weight heparin when the diagnosis of venous thromboembolism is confirmed, although local protocols may vary in their starting doses and titration schedule.

Do you stop heparin drip before drawing PTT?

o If you are drawing a Heparin Unfractionated: If drawing from the same arm that the IV is in the IV must be turned off for 10 minutes. Waste an extra blue top tube before drawing the tube to be used for testing.