Octreotide Injections and Changes in Ileostomy Output

I have an overactive ileostomy and short bowel syndrome with urine sodium deficiency, which often results in severe dehydration and admittance to the hospital. This is my second admittance in 5 weeks for renal failure due to severe dehydration. My consultant originally suggested we think about a Hickman line but is now discharging me with octreotide injections today. I have not been shown how to draw it up, store it, inject a site, or dispose of the needle once used. I don't eat and have lost a huge amount of weight. I had the first injection last night, and now I have watery dark green output. Pre-injection, this was light brown. Normally, a dark green output for me indicates a bug, so I must assume this color is injection-related. Should I be worried?

I get Octreotide long-acting IM injections once a month, and it has helped a lot. Since mine are IM, they are done at an infusion center. Sometimes I have green waste right after the injection for a day or two.

You should have been educated on how to self-inject prior to discharge - shame on them! If I remember correctly, when I was in the hospital, they were giving them to me subcutaneously twice a day. If that's what your directions are, then you just grab up a little flab, like the back of your arm, inner thigh, or lower belly (away from the stoma), clean the area with an alcohol wipe and let it dry, then just push the needle in and push the plunger.

Hope this helps!

Hello Poshtottee

I would check back promptly with the ward - the duty sister or specialist nurse until you are able to have the consultant medic provide data and reassurance.

Best to check stuff out.

I say this not to scare - but because I do not know...

Do not be afraid to ask.

Good luck

Best wishes

~ ~ ~ Jayne ~ ~ ~