insulin injection technique
TRANSCRIPT
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Insulin Injection Technique
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Key Barriers to Insulin Initiation
Rubin RR et al. Diabetes Care 2006;29:124955.
More than 50% of patients are very worried about starting
on Insulin
More than 50% of patients believe that starting on Insulin mean that
they have failed to manage their disease
Only 20% believe that
Insulin can help them
manage their disease
More than 33% of HCPs postpone Insulin until
absolutely essential
67% use Insulin as a threat for their patients
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Blood vessels penetrate
each layer of skin
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But BLOOD FLOW differs considerably
from one layer to another
Dermis : small but swift flow and highly
variable
Subcutaneous : slow flow and very stable
Muscle : large, swift flow and highly
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Injection Sites
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Adults
Studies have shown that IM Injections occur
in 12 -34 % of injections depending on :
Injection site
Body habitus of patient
Length of needle
Use of pinch or not
How long pinch held and when realesed
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Thickness of SC in mm
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Injection Site Rotation
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Pen Injection Technique
Injection Techniques
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How is the correct Pinch Up?
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Angle of Needle with a pinch
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SUMMARY
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Store insulin in current use at room temperature(max 1 month and within expiry date )
Store unopenes insulin in an area of the
refrigerator when freezing in unlikely to occur
Cloudu insulin must be gently rolled and /or tipped( not shaken) for 20 cycles until the solutionbecomes milky white
Insulin Storage and Suspension
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Efek Samping Penyuntikan Insulin
LYPODYSTROPHY
&
LYPOHYPERTROPHY
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Lipohypertrophy
Sites should be inspected by the HCP at very visit
Making two ink marks at opposites edges of the
lipohypertrophy
Patients should not inject into areas of lipohypersthrophyuntil the abnormal tissue returns to normal
Switching injections from lipohyperthropy to normal tissue
The best current presentative and therapeutic strategies
for lipohypertrophy
Patients feels less pain when injecting in the lipohypertrophy
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Slide 17
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Keep insulin in use at room temperature
If using alcohol, injecting only when the alcohol has
fully dried
Avoid injecting at hair roots
Using shorter length and smaller dismeter needle
Using new needle at each injection
Tips of Making Injection Less Painful
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Pen Injection Technique
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Pen Injection Technique
Re-suspension required for Pre-mix and
Intermediate acting Insulin
Gulung Pena Insulin
diantara kedua telapak
tangan sampai dengan 10 x
Gerakkan pena insulin
keatas dan ke bawah
sebanyak 10 x
&
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Pen Injection Technique
Removing the Outer Cap
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Pen Injection Technique
Ensure that no air bubbles are present in the pen
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