This document provides a short guide on insulin injection ...€¦ · Insulin Injection Technique...
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Insulin Injection Technique This document provides a short guide on insulin injection technique. Insulin should be stored in fridge 2 -8ºC Insulin in use can remain at room temperature for 4 weeks (5 weeks for Levemir). However avoid any exposure to direct sunlight or heat from radiator. Quick Acting (QA) insulins are clear in appearance. Long Acting (LA) Analogues (Lantus and Levemir) are also clear solutions so it is important to check the name on your insulin. Isophane insulins (Humulin I - Insulatard) and Mixed insulins are cloudy. These insulins need to be re-suspended because the insulin is bound to a protamine that slows its action. It is therefore essential to mix the insulin so that it is cloudy in appearance throughout.
Transcript of This document provides a short guide on insulin injection ...€¦ · Insulin Injection Technique...
InsulinInjectionTechniqueThisdocumentprovidesashortguideoninsulininjectiontechnique.
Insulinshouldbestoredinfridge2-8ºC
Insulininusecanremainatroomtemperaturefor4weeks(5weeksforLevemir).
Howeveravoidanyexposuretodirectsunlightorheatfromradiator.
QuickActing(QA)insulinsareclearinappearance.
LongActing(LA)Analogues(LantusandLevemir)arealsoclearsolutionssoitisimportanttocheckthenameonyourinsulin.
Isophaneinsulins(HumulinI-Insulatard)andMixedinsulinsarecloudy.Theseinsulinsneedtobere-suspendedbecausetheinsulinisboundtoaprotaminethatslowsitsaction.Itisthereforeessentialtomixtheinsulinsothatitiscloudyinappearancethroughout.
Insulincomesin:
• 10mlVials• Pen-fillCartridges• PrefilledPendevices
Checknameofinsulin
Checkexpirydate
Applyneedle-(maybe4mm5mm6mm8mm)
Primeneedle-2unitsinitially&untildropsobservedatneedletip
Noneedtodisinfectinjectionsite.
Insulinshouldbeinjectedintosubcutaneoustissueabdomen,thigh,andbuttocks.
Abdomenhasthequickestabsorptionrate.
Thighshaveamediumabsorptionrate.
Buttockshaveslowestabsorptionrate.
Injectinginthearmisnolongerrecommendedastheriskofinjectingintomuscleisincreased.Ifinsulinisinjectedintomuscletheinsulinisabsorbedtoofast.
Inserttheneedleata90degreeangleandpresstheplungerofthesyringeorpenallthewaydown.
Ifusinganinsulinpenholdtheneedleinplaceandcountto10secondsbeforeremovingtoensurethefulldoseofinsulinisreceived.
Withthecorrectneedlelengthnopinchupoftheskinisrequired.Howeverifyouareveryslimitmaybeadvisabletouseashorterneedlelength.
Heatincreasesinsulinabsorption,sobeawareofhotbaths/sauna/exercise.
Overuseofinjectionsitesshouldbeavoided.
Rotateinjectionsites.
Inoverused,fattylumpscandevelopininjectionsitesknownaslipohypertrophy(lipos).
Ifinsulinisinjectedintoareasoflipohypertrophy,theactionofinsulincanbeveryunpredictable.
Alwaysuseanewinsulinneedleforeachinjectionandfollowlocalguidanceforsharpsdisposal.
Manythankstofitforpermissiontousetheireducationalmaterial.
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