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Turn on the faucet and place your hands under the cold running water. Place a small amount of soap in your hand. Rub your hands together until a thick lather forms, about 20 seconds. Rinse your hands until all of the soap is removed. Turn off the faucet and dry your hands with a clean paper towel. Remove the Humira syringe from your refrigerator. Place the syringe, an alcohol swab, and a cotton ball on a flat surface like a table or tray. Check your medication's expiration date to see if it has expired. Grab your sharps container as well.  If the medication has expired, do not use it and contact your pharmacy. If a nurse is coming to give the injection, remove the syringe from the refrigerator 30 minutes before the application. You could use a plastic milk jug for a sharps container, if necessary. The couch, a kitchen table chair, or an armchair are all suitable places to sit. However, make sure where you are sitting is well lit. This way you can inspect the syringe and the injection site thoroughly before you dispense the medicine. Shake the syringe, then hold it with the needle pointing down and inspect the liquid. The liquid should be colorless and clear. If the liquid is discolored, cloudy, or contains flakes or particles, do not use it. Choose a different syringe from your refrigerator instead and call your pharmacy to tell them the medication may be contaminated. If you choose your lower stomach area, make sure the injection site is 2 inches (5.1 cm) away from any side of your belly button. Additionally, do not choose a site that has sores, lesions, scaly patches, bruises, thick skin, scars, or stretch marks. Giving an injection in the fatty, outer part of your thigh will hurt less and is easy to access. Rub the injection site with the alcohol swab for 20 seconds. Let the injection site dry completely before injecting the medication, about 10 to 15 seconds.  If you are giving someone else the injection, sit in a chair in front of them. Use a cotton ball dipped in 70 to 90% isopropyl alcohol if you do not have an alcohol swab. Remove the needle's cover and set it aside. Turn the syringe so that the needle is pointing up. As you do this, you should see a bubble rise to the top. Use your other hand to push the plunger. Slowly push the plunger until you see 1 to 2 drops of liquid come out of the needle. Find the hole in the needle of the syringe. Turn the syringe so that hole in the needle the needle is facing down. Use your thumb and finger to hold the syringe's body like a pencil at a 45-degree angle. If you are giving someone else the injection, tell them to take a deep breath to relax. Let them know you are going to count to 3 and give the injection on the count of 3. Use the finger and thumb of your free hand to squeeze skin, about 1 inch (2.5 cm) in length, around the injection site. Using a quick, smooth motion, insert the needle into the injection site at a 45-degree angle. Once the needle is inserted, let go of your skin. Then gently pull the plunger back with your free hand.  If you are giving someone else the injection, do so on the count of 3. It is not unusual to see blood during the injection. If you see blood in the plunger, this means you entered a blood vessel. Stop pulling the plunger and slowly remove the needle at a 45-degree angle. Place it in the sharps container and use a new syringe. Slowly push the plunger until all of the medicine is injected, or the syringe is empty. Remove the needle from your skin at a 45-degree angle once all of the medication is injected.

Summary:
Clean your hands. Place your materials on a flat surface. Sit in a comfortable, well-lit area in your house. Check to see that the medication is clear. Choose the top of your thigh or lower stomach for the injection site. Clean the injection site. Remove the air from the syringe by pushing the plunger. Hold the syringe at a 45-degree angle. Insert the needle into your skin. Inject the medicine.