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Discussion

Question about DDAVP

I know that when giving insulin or teaching diabetic clients about insulin injections, that it is important to rotate injection sites within the same anatomical area (rotate sites to reduce skin irritation, remain in the same region - abd, arm, leg - because absorption rates differ and changing regions can cause variability in insulin levels). Is this also true for clients with diabetes insipidus who receive DDAVP? I can't find anything about it.

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    HMM, didn't even know they gave this sc, i had only seen it via nasal spray...

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    I've never heard of injecting DDAVP sc before. If a pt is going to self manage DI why wouldn't they use oral or nasal preparations?

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    • Author

    pediatric client, very medically fragile, poor resp system, vomits often, and very sensitive to dosage changes

    no one i work with knows the answer to my question and i can't find it online

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    Interesting case, sorry I can't be of more help, my googling skills only led me to studies where that's how they administered it in their trials.

    Perhaps contact the physician prescribing it? Good luck!

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    • Author

    talked to the client's endocrinologist. he stated that there is no risk in rotating sites with DDAVP given sc. i also learned that when giving insulin, the benefits of rotating sites and reducing skin irritation/ lipohypertrophy outweighs the negative of a slightly variable insulin level :) so good to know!

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