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CURRENT METHODS OF INSULIN DELIVERY - PowerPoint PPT Presentation


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CURRENT METHODS OF INSULIN DELIVERY. VIALS. U-40. U-100. RED. ORANGE. Only U-40 Syringes (with markings up to 40 ) should be used with a U - 40 insulin vial. Only U-100 syringe ( with marking up to 100 ) should be used with a U - 100 insulin vial. VIALS: U-40 and U- 100.

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slide2

U-40

U-100

RED

ORANGE

Only U-40 Syringes (with markings up to 40 ) should be used with a U - 40 insulin vial.

Only U-100 syringe ( with marking up to 100 ) should be used with a U - 100 insulin vial.

slide3

VIALS: U-40 and U- 100

40 IU (U40) - Each ml of U- 40 insulin consists of 40 IU* of insulin

100 IU (U100) - Each ml of U-100 insulin consists of 100 IU* of insulin

* IU=International Unit

injecting single type of insulin
Injecting Single Type of Insulin

1. Wash your hands.Gently mix the insulin by rolling the vial between the palms of your hands or by inverting the bottle 4-5 times. Don’t shake vigorously.

2.If using a new vial, inspect the insulin, then remove the flat, colored cap from the bottle; do not remove the rubber stopper or the metal band under the cap. 

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3.  Clean the rubber stopper of the bottle with an alcohol swab.

4. Remove the needle cover and pull back the plunger until the tip is at the line for the prescribed number of units. This will pull air into the syringe.

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5. Insert the needle through the rubber stopper of the bottle, making sure that the tip of the needle is not in the insulin. Then depress the plunger to put air into the bottle.

6. Turn the bottle and syringe upside down, and ensure that the tip of the needle is in the insulin. Hold both the vial and the syringe in one hand, and use the other hand to pull back on the plunger of the needle. This will draw insulin into the syringe. Stop pulling when the plunger reaches the line for your prescribed dose.

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7. Inspect the insulin in the syringe for bubbles. If bubbles are present, push the insulin back into the vial and start again with the previous step. Repeat this process until there are no bubbles in the syringe.

8. Pull the needle out of the rubber stopper. If you need to lay the syringe down before delivering your injection, put the cover back on the needle to protect the tip from becoming contaminated.

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Sometimes your doctor may ask you to mix two different types of Insulin's.

Using two types of Insulin's can help you keep your blood sugar level in target range. When you mix two insulin's in one syringe, one insulin should always be clear and short/rapid acting while the other type should be cloudy/long acting.

As an example we are considering mixing Regular Insulin(R) and long acting Insulin(Neutral ProtamineHagedorn(NPH)).

mixing two types of insulin
Mixing Two Types of Insulin

Clean the rubber stoppers of both vials with an alcohol swab.  

Inject air into the vial of NPH(Neutral ProtamineHagedorn) in the number of N units prescribed by your doctor. Do not draw insulin into the syringe. Remove the needle from the vial.

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Inject air into the vial of R in the number of R units prescribed by your doctor. Then turn the vial and the syringe upside down and hold both in one hand. Use the other hand to pull back on the plunger until you have drawn your prescribed dose of R into the syringe.

Note that R should be drawn into the syringe first. This prevents cloudiness in the R vial due to inadvertent contamination that may occur if the NPH is already in the syringe.

 Remove any air bubbles, then remove the needle from the vial of R.

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Gently roll or shake the vial of NPH until it is mixed.

Insert the needle into the vial of NPH. Then turn the vial and the syringe upside down and hold both in one hand. Use the other hand to pull back on the plunger until the syringe contains your prescribed total dose of R and NPH. Be careful not to push any R into the vial of NPH. Then inject.

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Mixing Two Types of Insulin

1. Clean top of vials

2. Add: clear + cloudy = total dose

3. Measure air = to cloudy dose & inject into cloudy vial

4. Measure air = to clear dose & inject into clear vial

5. Withdraw clear insulin FIRST (check for bubbles)

6. Gently mix cloudy insulin

7. Insert syringe into cloudy insulin and withdraw cloudy insulin = to total dose

8. Check dose - DISCARD if wrongly measured.

how to inject
How to inject
  • Choose an injection site.

“ Pinch ” up a large area of skin.

  • Insert the needle into the skin at a 90 angle.
  • Push the plunger all the way down. Release the pinched skin
  • and count to five slowly.
  • Pull the needle straight out. Do not rub the injection site.
  • Thin people may find it easier to inject at an angle of 45 degrees
insulin pens
INSULIN PENS

Reusable Pen “HUMAPEN Ergo II”

HumalogKwik Pen

Link to User manual and video

Link to User manual and video

giving the injection
GIVING THE INJECTION

REMEMBER…..

Fear of

the injection is

more painful

than the

injection itself !