INSULIN PENSAN INTERACTIVE, INSTRUCTIONAL MODULE ON THE CORRECT TECHNIQUE OF INSULIN PENS

INSTRUCTIONSClick on pen needle to go back one page.

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Blue Text indicates actions to be performed or demonstrations.

TEXT

OBJECTIVESUpon finishing this module, you should be able to …

• Identify areas of the body where insulin can be administered

• Demonstrate how to load a dose of insulin with an insulin pen

• Demonstrate how to administer a dose of insulin with an insulin pen

• Identify how to discard used pen needles

WHY ARE YOU TAKING INSULIN?Insulin is an injectable medication that is used to treat either Type I or Type II diabetes mellitus. It helps control your blood sugar and is important in preventing symptoms associated with high blood sugar. Those symptoms can include increased thirst, headaches, frequent urination, and fatigue.

TYPES OF INSULINInsulin Type Color Onset ((time) Peak ((time) Duration(time

)

Rapid Acting: Humalog® (lispro), Novolog® (aspart), Apidra® (glulisine) Clear 0 - 15 minutes 30 - 90

minutes Up to 5 hours

Short Acting: Novolin R® Clear 30 minutes 2 - 5 hours Up to 8 hours

Intermediate Acting NPH: Humulin N®, Novolin N®

Milky white when mixed (rotate vial to mix)

2 - 4 hours 6 - 10 hours Up to 20 hours

Long Acting: Lantus® (glargine), Levemir® (detemir) Clear 1 - 2 hours No peak Up to 24 hours

Premixed - Short and Intermediate Acting: Humulin® 70/30, Novolin® 70/30, Humulin® 50/50

Milky white 30 minutes - 1 hour 1 - 6 hours 14 hours

Premixed - Rapid and Intermediate Acting: Humalog-Mix® 75/25, Novolog-Mix® 70/30, Humalog® 50/50

Milky white 0 - 15 minutes 30 minutes - 12 hours Up to 20 hours

WHY USE INSULIN PENS?• Convenient and disposable• Easy and conspicuous to store• Easy to prepare insulin doses• Less painful than traditional syringes

HOW TO USE INSULIN

PENS

LOCATIONSInsulin should be injected in only a few sites on the body. Click on shaded areas to learn more about that location.

The upper arms are good locations to inject insulin. However, only use the

outside and back of the arm.The abdomen is a popular location due to its

ease of access. Inject insulin at least 2 inches away from the bellybutton.

The thighs and buttocks are a convenient location because of easier access to subcutaneous tissue.

Only use the outside of the thighs.

SUPPLIES NEEDEDInsulin pen

Pen needle

Alcohol swab

http://www.diabeteshealth.com/browse/products/pens/ http://shanghaikdl.en.made-in-china.com/product/nMcQFoZOMGId/China-Insulin-Pen-Needle.html http://www.tridentpharm.com.sg/Othert-Disposables.htm

PROCEDURE1. Unwrap alcohol swab.

2. Use a circular motion to clean area to inject, working from inside to outside. Use the same swab to clean the top of the insulin pen with one simple swipe across the surface. Click text to see.

3. Allow skin to air dry.

1. D2. D3. d4. Peel back cover on the pen needle.

5. Remove cap from insulin pen.

6. Screw in pen needle clockwise.

PROCEDURE

PROCEDURE 7. Refer to dosage window on pen.

8. Twist the end of the pen until the correct dose is in the window.

9. Before every shot, prime the pen by discharging 2 units into the air.

10. Dial pen to amount of units needed.

http://petdiabetes.wikia.com/wiki/Insulin_pen

PROCEDURE11. At area to inject, pinch an inch of skin.

12. Insert needle into skin at 90○ angle.

13. Push down on the other end of the insulin pen all of the way down.

14. Wait a few seconds.

15. Remove needle from injection site.

http://www.phartoonz.com/2010/10/24/how-to-give-an-insulin-injection/

PROCEDURE16. Twist pen needle counterclockwise to remove.

17. NEVER keep pen needle on insulin pen.

18. Place cap on insulin pen.

19. Store at room temperature. 36°F - 86°F

PROCEDURE20. Discard pen needle in sharps container.

*** Any container made of hard plastic or metal can be used as a sharps container.

Which of the following containers would be appropriate to use as a sharps container? Click on picture for answer.

http://www.accesshealth.com.au/practice-supplies/accessories/1403/terumo-sharps-container-14lt/ http://www.whataboutclients.com/archives/2008/09/index.html http://www.asktheexterminator.com/flies/Homemade_Drain_Cleaner_printer.shtml http://www.123rf.com/profile_jckca http://www.blackgarbagebags.com/2010/11/how-are-garbage-bags-made/ http://realanonymousgirl.wordpress.com/2011/03/21/fishing-in-the-toilet/

OK! OK! OK!

VIDEO DEMONSTRATION

ARE YOU READY TO TEST YOUR

KNOWLEDGE? GO BACK TO REVIEW

ANY MATERIAL YOU WOULD LIKE. CLICK

THE LOGO TO PROCEED TO ASSESSMENT

ASSESSMENTTo answer a question, click on the letter next to the corresponding answer.

A

http://www.clker.com/clipart-mouse-pointer.html

Click here to begin

QUESTION #1Which area of the body should you NOT inject insulin?

Abdomen

Upper Arm

Fingers

Outside of Thighs

A

B

C

D

CORRECT!

Please click the logo to continue.

That is incorrect. Please try again.That is incorrect. Please try again.That is incorrect. Please try again.

QUESTION #2It is okay to inject insulin within 2 inches of the bellybutton.

True

False

A

B

CORRECT!

Please click the logo to continue.

That is incorrect. Please try again.

QUESTION #3What is absolutely necessary before every injection?

Prime Insulin Pen

Check Blood Sugar

Eat a Meal

Use a New Insulin Pen

A

B

C

D

CORRECT!

Please click the logo to continue.

That is incorrect. Please try again.That is incorrect. Please try again.That is incorrect. Please try again.

QUESTION #4Which of the following windows show that 11 units are ready to be administered?

A B

C D

CORRECT!

Please click the logo to continue.

That is incorrect. Please try again.That is incorrect. Please try again.That is incorrect. Please try again.

81012

101214

0

2

10

12

QUESTION #5Which angle is the correct angle to inject insulin?

A B

CD

CORRECT!

Please click the logo to continue.

That is incorrect. Please try again.That is incorrect. Please try again.That is incorrect. Please try again.

QUESTION #6Which of the following containers can you NOT store used needles?

A B

C D

CORRECT!

Please click the logo to continue.

That is incorrect. Please try again.That is incorrect. Please try again.That is incorrect. Please try again.

QUESTION #7Open insulin pens can be stored at room temperature.

True

False

A

B

CORRECT!

Please click the logo to continue.

That is incorrect. Please try again.

CONGRATULATIONS!You have finished the assessment. Click on any link below to go back and review any material. Click on logo if you feel comfortable using an insulin pen.

Locations

Supplies Needed Administering Dose

Removing Pen Needle

Discarding Pen NeedleAttaching Pen Needle

Cleaning Area of Injection

Dialing Dose

LOCATIONSInsulin should be injected in only a few sites on the body. Click on shaded areas to learn more about that location.

The upper arms are good locations to inject insulin. However, only use the

outside and back of the arm.The abdomen is a popular location due to its

ease of access. Inject insulin at least 2 inches away from the bellybutton.

The thighs and buttocks are a convenient location because of easier access to subcutaneous tissue.

Only use the outside of the thighs.

SUPPLIES NEEDEDInsulin pen

Pen needle

Alcohol swab

http://www.diabeteshealth.com/browse/products/pens/ http://shanghaikdl.en.made-in-china.com/product/nMcQFoZOMGId/China-Insulin-Pen-Needle.html http://www.tridentpharm.com.sg/Othert-Disposables.htm

PROCEDURE1. Unwrap alcohol swab.

2. Use a circular motion to clean area to inject, working from inside to outside. Use the same swab to clean the top of the insulin pen with one simple swipe across the surface.

3. Allow skin to air dry.

1. D2. D3. d4. Peel back cover on the pen needle.

5. Remove cap from insulin pen.

6. Screw in pen needle clockwise.

PROCEDURE

PROCEDURE 7. Refer to dosage window on pen.

8. Twist the end of the pen until the correct dose is in the window.

9. Before every shot, prime the pen by discharging 2 units into the air.

10. Dial pen to amount of units needed.

http://petdiabetes.wikia.com/wiki/Insulin_pen

PROCEDURE11. At area to inject, pinch an inch of skin.

12. Insert needle into skin at 90○ angle.

13. Push down on the other end of the insulin pen all of the way down.

14. Wait a few seconds.

15. Remove needle from injection site.

http://www.phartoonz.com/2010/10/24/how-to-give-an-insulin-injection/

PROCEDURE16. Twist pen needle counterclockwise to remove.

17. NEVER keep pen needle on insulin pen.

18. Place cap on insulin pen.

19. Store at room temperature. 36°F - 86°F

PROCEDURE20. Discard pen needle in sharps container.

*** Any container made of hard plastic or metal can be used as a sharps container.

Which of the following containers would be appropriate to use as a sharps container? Click on picture for answer.

OK! OK! OK!

http://www.accesshealth.com.au/practice-supplies/accessories/1403/terumo-sharps-container-14lt/ http://www.whataboutclients.com/archives/2008/09/index.html http://www.asktheexterminator.com/flies/Homemade_Drain_Cleaner_printer.shtml http://www.123rf.com/profile_jckca http://www.blackgarbagebags.com/2010/11/how-are-garbage-bags-made/ http://realanonymousgirl.wordpress.com/2011/03/21/fishing-in-the-toilet/

YOU HAVE COMPLETED THE LEARNING MODULE.

PLEASE DEMONSTRATE TO AN INSTRUCTOR ON HOW TO USE AN INSULIN PEN.