Subcutaneous Injection Complications | Medical Algorithm

Are you evaluating a patient who must have repeated subcutaneous injections?

Yes

Age of the person

years

Is the person injecting insulin?

Yes

Does the injection site show?

• simple bruising?

Yes

• hemosiderin deposits?

Yes

• pigmentation associated with the drug preparation?

Yes

• plaque formation?

Yes

• scarring?

Yes

• keloid?

Yes

• amyloid deposits?

Yes

• changes in subcutaneous fat?

Yes

Does/Is the patient?

• need to be concerned about appearances (actor, model, etc.)

Yes

• a hypochondriac?

Yes

Are the lesions?

• in a place that can be easily seen by others?

Yes

• visible if the person wears shorts or a bathing suit?

Yes

• too numerous or too large to hide?

Yes

Results

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Results Interpretation and Description References Next Steps

Data complete?

Evaluation appropriate?

Number of different types of lesions that may be visible

Number of reasons why the patient may be concerned by the appearance

Is there a potential cosmetic problem for the patient?

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Interpretation and Description

References

Next Steps in Evaluation

Diagnosis

Risk Factors
Clinical Diagnosis, Including Family History For Genetics
- Clinical Features of Allergic Flare Reaction to Intravenous Infusion of Drug
Severity, Prognosis, Stage
- Grading Severity of Infiltration and Extravasation Injury
Complications
- Techniques for Prevention of Extravasation Injury
- Continuous Insulin Infusion with Insulin Pump Risk Factors for Subcutaneous Abscess or Cellulitis

Therapy

Options
- Techniques for Prevention of Extravasation Injury
Administration
- Unsafe Injection Practices
- Sites of Insulin Injection (Lipoatrophy/Lipohypertrophy) | Changes in Subcutaneous Fat
Failure Handling And Therapy Escalation
- Unsafe Injection Practices
Prevention

Monitoring

Adverse Effects

Evaluation

Results

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Interpretation and Description

References

Next Steps in Evaluation

Diagnosis

Therapy

Monitoring

Specialty

Objective

ICD-10

Site of Repeated Subcutaneous Injections | Cosmetic Skin Changes

Purpose: To identify skin lesions that may be a cosmetic problem for a person who repeatedly makes subcutaneous injections.

Evaluation

Results

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Interpretation and Description

References

Next Steps in Evaluation

Diagnosis

Therapy

Monitoring

Specialty

Objective

ICD-10