My quote on instructions was right from this booklet. I wish EVERY ped endo would give out this book and Laura wouldn't have to put together her information package because the PENS booklet have it all - including pictures and step by step on how give the cortisol injection. I have it in hard copy - not scanned also or pfd file. Also the NIH web site is has step by step pictures on how to give the cortisol (solu-cortef injection. I can mail it to anyone who wants it - email me preston@kreative.net I did not have this when my daughter died from an adrenal crisis and the ped endo did not tell me enough!! I had to search and search of information - I was going crazy!! (crazy with grief)