this document provides a short guide on insulin injection ...€¦ · insulin injection technique...
TRANSCRIPT
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.