Curso Online Sincrónico “Interpretación e Implementación de Sistemas de Gestión de la Calidad, Medio Ambiente, Seguridad y Salud en el Trabajo (ISO 9001, ISO 14001, ISO 45001)”

26 y 31 de Mayo – 2 de Junio de 19:00 a 23:00 hrs de Chile, Impartido para SHEEQ Consulting y Valida Group.

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  1. Testosterone Intramuscular Route

    The testosterone injection is administered directly into a muscle tissue (intramuscular) using a needle.
    This method ensures fast absorption and high bioavailability, making it an effective treatment option.

    Subcutaneous Route

    When taking testosterone subcutaneously, the medication is injected just
    below the skin’s surface. This route is less common but can be used in certain cases where the
    intramuscular injection is not feasible or preferred.

    # Testosterone: Intramuscular vs Subcutaneous Administration

    ## Research
    Recent studies have highlighted the benefits of administering testosterone
    via the intramuscular (IM) and subcutaneous (SC) routes.

    The IM route has been shown to provide sustained release of testosterone, mimicking the body’s natural
    production patterns. In contrast, SC injections
    offer a different absorption profile, typically leading to quicker peak
    levels but with shorter duration. Research underscores the importance
    of proper administration technique to ensure efficacy and safety
    for both routes.

    ## Education
    Education on proper injection methods is crucial for healthcare providers.

    Training programs emphasize sterile technique to prevent infections and ensure patient safety.
    Compliance with dosing guidelines and regular monitoring are also
    stressed, as well as patient education on symptom recognition and follow-up care.

    ## Testosterone (Intramuscular & Subcutaneous Routes)
    Testosterone can be effectively administered via the IM or SC routes, each
    offering unique advantages. The IM route is preferred for its sustained release, while SC injections provide rapid
    absorption but require more frequent dosing. Both methods are equally effective
    when used correctly, though individual patient needs must guide choice.

    ## Before Using
    Before initiating testosterone therapy, consider
    indications such as hypogonadism or inoperable conditions
    like testicular cancer. Contraindications include active malignancy or untreated severe cardiovascular issues.

    Allergies to the medication or its components should be assessed,
    and prior medical history must be reviewed for conditions affecting absorption or metabolism.

    ## Pediatric Use
    Pediatric considerations are essential, especially for SC injections, as younger patients may
    have differing pharmacokinetics. The IM route is often preferred in children due to ease of administration and consistent absorption.

    ## Geriatric Use
    In geriatrics, both routes are viable but require cautious monitoring of side effects, such as
    cardiovascular risks. The potential for reduced mobility or dexterity in older adults may influence the choice
    between IM and SC administration.

    ## Breastfeeding
    The impact on breastfeeding is significant. Testosterone can be transferred through breast milk, potentially affecting infant development.

    Counseling patients on alternative feeding methods may be necessary.

    ## Drug Interactions
    Many medications can interact with testosterone, including those altering absorption (e.g., antacids) or metabolism
    (e.g., ketoconazole). Additionally, steroids or other hormones
    might influence testosterone levels indirectly.

    ## Other Medical Problems
    Conditions like obesity, diabetes, or chronic kidney disease may require dose adjustments.
    Monitoring of comorbidities is essential to optimize therapy outcomes.

    ## Proper Use
    Proper use involves infection prevention measures, such
    as sterile technique for SC injections and avoiding reuse of
    vials. Injection sites should be rotated to prevent tissue damage, particularly in the SC
    route.

    ## Dosing
    Dosing guidelines vary based on patient weight, diagnosis, and formulation. IM testosterone is often dosed weekly,
    while SC may require more frequent administration. Conversion between routes
    requires careful calculation to maintain therapeutic levels.

    ## Missed Dose
    If a dose is missed, it should be administered as soon as possible, with adjustment to the next scheduled
    dose to prevent subtherapeutic levels.

    ## Storage
    Storage should be in a secure location, avoiding exposure to
    heat or light that could degrade the medication. Proper labeling and storage conditions must be communicated to patients.

    ## Precautions
    Precautions include rotation of injection sites for
    SC administration to prevent lipodystrophy and adherence
    to sterile practices to minimize infection risk.

    ## Side Effects
    Common side effects include injection site reactions, which are more prominent in SC administration. Less common but notable side effects may involve cardiovascular or psychological changes, with
    incidence not always well-documented.

    ## Products & Services
    Mayo Clinic offers resources for researchers, healthcare professionals, and international patients.
    Their charitable care and financial assistance programs
    support access to care for all patients.

    This article provides a comprehensive overview
    of testosterone administration via the IM and SC routes, emphasizing
    research, education, safety considerations,
    and proper use to ensure optimal patient outcomes.

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