(Actually, I'm in grad school with my RN now! weehoo!) They always write and we're actually taught by protocol to aspirate (pull back on the syringe to check for blood) BUT...for intramuscular inj. yes.....SUB-Q shots like Humira?? It would be a very very RARE occassion to see a blood return. So no....you need not pull back the syringe & check for blood. Just inject at a 45 degree and you'll be fine.
Where is the shot going? I've found that it feels the best in the abdomen. The humira stings....and once I did it in my thigh.....OUCH! But the abdomen is super, much more comfortable in my opinion.
That's wonderful she felt a little better. True, the Humira has peak effect in the days 1 to 8 and then it starts to deplete. I am on Humira every 4 days. So, it may be that if she has success with this, and starts to notice that after day 12 she starts to feel badly/worse...the doc could increase the shots to once a week. The FDA and docs are really getting into the higher doses of therapy now. It's a great thing.
With remission...well, in my rheumatologists words, "You're in this for the duration". That's what I was told. I've been on injectables for 2 years now. If your daughter is pretty bad now...it may take a while, OR it could help rather quickly, but therapy will need to continue. How long will one need the shots? I don't know. To me, as long as they are working, and things aren't getting worse, I wouldn't quit! Even with a full remission....the meds might be needed to MAINTAIN the remission. I'm sure the doc can explain things even more.
I wish you all the best in the world! In my prayers. I'm very happy there was a difference noticed after the injections. Hang in there!