How to Draw Up Insulin
Before handling medicine or syringes, wash your hands thoroughly with warm water and soap, scrubbing the entire surface area of each hand. Dry your hands with a clean paper towel, as hand towels can harbor germs and bacteria, making your hands dirty again.
Always draw up clear insulin (Novolog/Humalog) before cloudy insulin (NPH). Clean the top of each insulin bottle with an alcohol wipe before using. Roll NPH insulin between your hands before using. Never shake the vial as this can create air bubbles that could later make their way into the syringe.
How do you draw clear and cloudy insulin?
If you’re using both clear and cloudy insulin, inject air into the cloudy insulin first, then the clear insulin. Leave the needle in the clear insulin bottle and turn it upside down with one hand, keeping the needle inside.
Do you shake vial before withdrawing insulin?
Wipe the rubber part on the top of the insulin bottle with an alcohol pad or cotton ball dampened with alcohol and set it nearby on a flat surface.
Can you draw up insulin together?
When mixing regular insulin with another type of insulin, draw the regular insulin into the syringe first; when mixing two types of insulins other than regular insulin, the order in which they are drawn into the syringe does not matter.
Why do you draw up clear insulin before cloudy?
To prevent intermediate-acting insulin (cloudy) from getting into the rapid- or short-acting insulin bottle and affecting the onset, peak, and duration, the rapid- or short-acting insulin (clear) is drawn up first.
What is the difference between clear and cloudy insulin?
Intermediate- and long-acting insulins contain added substances (buffers) that make them work over a long period of time and may appear cloudy when the bottle (vial) sits for a while.
Do you draw up regular insulin or NPH first?
When mixing insulin NPH with other insulin preparations (e.g., insulin aspart, insulin glulisine, insulin lispro, insulin regular), insulin NPH should be drawn into the syringe after the other insulin preparations, and the formulation should be used right away after mixing NPH with regular insulin.
Which insulin should never be mixed?
Some insulins, such as glargine (Lantusu00ae) and detemer (Levemiru00ae), cannot be mixed, while others, such as NovoLog 70/30u00ae and Humalog 75/25u00ae, contain two types of insulin and should not be mixed.
How do you draw insulin for IV push?
a. If following ACLS guidelines, mix 50 mL 50% dextrose in a mini-bag with 10 unit regular insulin and give IV over 15-30 minutes.
Do you have to pinch the skin when giving insulin?
If your skin tissues are thicker, you may be able to inject straight up and down (90o angle) if the insulin needs to go into the fat layer beneath the skin. Pinch the skin and insert the needle at a 45o angle. If your skin tissues are thicker, you may be able to inject straight up and down (90o angle).
What happens if you inject air instead of insulin?
An air bubble in an insulin syringe poses no immediate health risk; if you inject air into your body along with your insulin, it will not kill you because the insulin is injected into the fat layer beneath the skin rather than directly into a vein.
How do you draw liquid from a vial?
Push gently on the plunger to push the air bubbles back into the vial. If you have a lot of bubbles, push the plunger to push all the medicine back into the vial. Draw medicine out slowly and tap air bubbles out.
What is a Somogyi effect?
Hormones (such as growth hormone, cortisol, and catecholamines) are released when blood sugar levels fall too low in the early morning hours, helping to reverse the low blood sugar level but also causing blood sugar levels to rise higher than normal in the morning.
How much insulin should you draw up?
Combine the units of each type of insulin, for example, 6 units of intermediate-acting insulin and 5 units of short-acting insulin for a total of 11 units of insulin. Gently mix intermediate or long-acting insulin.