Insulin injection resources tip sheets on insulin injection best practices. Insulin recommended safe practice guidelines administration, the insulin should be obtained by a nurse and provided to the patient for observed administration, then returned to a secure area for proper storage. A disposable pen needle is attached to the end of the pen prior to injecting. Patient instructed humalog insulin lispro is a fastacting insulin that starts to work about 15 minutes after injection, peaks in about 1 hour, and keeps working for 2 to 4 hours. Safe and successful use of a pump requires considerable education and training, and their cost can be relatively high.
Jul 28, 2019 insulin doses should be individualized based on patient needs. Press the plunger to push air into the vial of insulin. Improving insulin adherence in diabetes care american nurse. Guide launched for managing insulin administration in the. Insulin that is cloudy nph, premixed needs to be mixed before using. Delegation of medication administering subcutaneous. Information to support the teaching of hand hygiene and use of gloves is located in the teaching module principles o f infection control. Protocol for the administration of insulin to adults with. Cold chain, diabetes, injection, insulin, low income. Apr 12, 2020 spanish, low literacy pdf very low literacy pdf general diabetes patient education handouts through a partnership with home diagnostics, a producer of glucometers, the acu has created new patient education materials focused on diabetes for a low literate and multicultural population. Turn the vial and syringe upside down so that the tip of the needle is in the insulin 12. Hyperglycemia commonly results from reliance on only sliding scale insulin to control blood glucose, a failure to.
How to use an insulin pen japanese bilingual pdf health information translations mixing two insulins japanese bilingual pdf. Despite numerous strategies introduced to promote the safe use of insulin, insulinrelated medication errors persist. Medication administration record insulin pen alcohol swab, or cotton ball moistened with alcohol pen needle parts of an insulin pen how to use 1. As an example, for some, 1 unit of insulin may drop their blood sugars 50 points.
The provider or staff performing the teaching should check off each item as it is completed to. In all instances of insulin use, the insulin dosage must be individualized and balanced with medical nutrition therapy and exercise. All insulin available in the united states is manufactured in a laboratory, but. The guide covers issues around accountability and delegation. An insulin pen has a replaceable reservoir of insulin called a cartridge, a replaceable needle to puncture the skin and to deliver insulin to the subcutaneous tissue, a dial to choose the insulin dose, and a mechanical pumping or insulin release mechanism. Use of a device for training that is different from the device to be used in practice is inconsistent with teachinglearning principles, and may. In contrast, individuals with type 2 diabetes are not dependent on exogenous insulin for survival. Information to support the teaching of standard precautions for medication administration and sterile technique are located in the teaching module principles of infection control. Talk to your healthcare team about whether or not your insulin should be cloudy. This position statement addresses issues regarding the use of conventional insulin administration i. Insulin is most commonly administered with a syringe, but can be given via insulin pens and pumps. Assessment of insulinrelated knowledge among healthcare. Now that insulin is available in 500unit vials, it is critical to ensure the appropriate syringe is being used. All insulin available in the united states is manufactured in a laboratory, but animal insulin can still be imported for personal use.
If you are using a cloudy insulin, gently roll the pen between your hands to mix the insulin. Define key terms related to diabetes and insulin administration. They contain insulin instead of ink and have a dial for setting the dose. Patient information and handouts for use are attached. The barbara davis center serves as a model for combining basic and clinical investigation. Insulin administration by pen school health associates. Once you are at home, refer to this booklet and the notes that have been made to remind yourself of any aspect of your care. Single dose of insulin that combines either rapidacting or shortacting and intermediateacting insulin in a fixed ratio. Your doctor will tell you how much insulin to take and how often to take it. Education pitfalls of insulin administration in patients.
Teaching injection technique to people with diabetes american. Our aim was to examine the knowledge and selfreported confidence of a range of healthcare professionals regarding insulin use in a large teaching. Insulin is necessary for normal carbohydrate, protein, and fat metabolism. Pdf many patients with advanced type 2 diabetes mellitus t2dm and all. We created a series of tip sheets for diabetes care and education specialists to use when assisting their patients with understanding how insulin works and teaching proper injection technique, whether using a syringe, pen, or pump for delivery. English, low literacy pdf very low literacy pdf spanish, low literacy pdf very low literacy pdf general diabetes patient education handouts. It is used to improve blood sugar control in patients with dmii. For people with diabetes who use insulin or other injectable. A new guide, developed by diabetes uk, for managing insulin administration in the community was launched at the diabetes uk professional conference in glasgow. Are responsible for the prescribing and administration of insulin as guided by the nonmedical prescribing. Through a partnership with home diagnostics, a producer of glucometers, the acu has created new patient education materials focused on diabetes for a low literate and multicultural population. How to use an insulin pen pick the place site to inject sites to inject include. Stepbystep patient injection guide becton dickinson. Insulin type and species, injection technique, insulin antibodies, site of injection.
High blood sugar correction or insulin sensitivity factor refers to the amount of bolus insulin needed to drop a certain blood sugar, and is a bolus of insulin. Insulin pumps are not typically used by those who are new to insulin, but can be an e. Insulin administration insulin syringes traditionally insulin had been administered with a single use, 100unit syringe. People with type 2 diabetes often need to add insulin to control their blood sugar when oral medications or non insulin injectable medications exenatide and liraglutide are not enough. About insulin english, low literacy pdf very low literacy pdf spanish, low literacy pdf very low literacy pdf. Demonstrate technique for mixing insulins by drawing up insulin lispro. Injection is usually taken 2 times per day with breakfast and dinner. Use alcohol to clean the end of the pen where the needle twists on. Teach people with diabetes to rotate injections sites refer to section 5 injection. Different people will have different sensitivities to insulin. If patients are not properly administering their insulin, controlling their diabetes will be very difficult. People with type 1 diabetes mellitus do not produce enough of this hormone to sustain life and therefore depend on exogenous insulin for survival. Qma insulin administration education module qualified medication aide insulin administration education module e. Teaching injection technique to people with diabetes.
Sep 11, 20 but delivering teaching during scheduled insulin doses takes only 5 to 10 minutes. Thisinstructions for use hasbeen approved by the u. Education on use of the equipment used in the procedure and its safe disposal 3. How to use your lantus solostar pen what is lantus. Teaching injection technique to people with diabetes january 2017 for people with diabetes who take insulin or other injectable diabetes medications, the diabetes educator can teach evidencebased standardized methods to improve clinical outcomes. An understanding of different insulin s, their action and safe dose adjustments. Unopened insulin should be stored in the fridge between 2. Insulin administration using an insulin penprocedure. Do not change the type of insulin you use unless told to do so by your healthcare provider. Discard insulin that has been frozen, exposed to temperatures greater than 30. Getting started on novolog flexpen a discreet, prefilled, dialadose insulin pen please see additional important safety information on next page. There are different types of insulin depending on how quickly they work, when they peak, and how long they last. Qualified medication aide insulin administration education. Teaching injection technique to people with diabetes american association of diabetes educators june 20 for people with diabetes who use insulin or other injectable medications, the diabetes educator can enhance and improve patient engagement to maximize clinical outcomes by.
Check for large air bubblesif there is push insulin. If applicable, combining the short or rapidacting, and longacting insulins may be necessary. To give an insulin injection, you need to fill the right syringe with the right amount of medicine, decide where to give the injection, and know how to give the injection. Pdf in brief incorrect administration of insulin e. Insulin doses should be individualized based on patient needs. If your dose is more than 60units, you will need to give yourself more than 1injection.
The most common route of insulin administration is subcutaneous insulin. Novolog mix 7030, novolin mix 7030, humalog mix 7525, humulin. The insulin you are using can be stored at room temperature for up to 1 month. The intermediateacting insulin cloudy wont be altered in the way that the rapid or shortacting insulin will be if a minute amount of mixing occurs.
Insulin type and species, injection technique, insulin antibodies, site of. The center is a consistent incubator for novel ideas and discoveries in the immunology, genetics, and cell biology of diabetes that have developed into diagnostic assays now standard in diabetes research. Types of insulin common when its how soon when its how long insulin names usually taken it starts working it lasts working the most fastacting insulin novolog right before a meal 15 minutes 30 to 90 3 to 5 hours humalog minutes apidra longacting insulin lantus 30 minutes before the 1 hour steady up to 24 hours. Be informed by the health facility where the qma is employed that the. The provider or staff performing the teaching should check off each item as it is completed to document teaching. Subcutaneous administration of insulin in adults with type. Teaching injection technique to people with diabetes aade. Very rapidly absorbed from subcutaneous administration sites. A popular alternative to the insulin syringe is an insulin pen. Insulin can only be given by injections, also called shots. Over the course of a patients hospital stay, these 5 to 10 minutes per administration add up and can pay high dividends by enabling patients to selfadminister insulin safely. Insulin requires the most extensive instruction when educating patients with diabetes. Insulin requirements vary dramatically between patients and dictate frequent monitoring and close medical supervision.
Insulin selfadministration technique with disposable syringe among patients. A crosssectional study was conducted at chitwan medical college teaching hospital, bharatpur, nepal, from february 2017 to may 2017. Insulin injection resources american association of. For a detailed description of how to mix insulin, see mixing insulin. Because insulin doses depend on blood sugar, food intake and activity levels, it is critical to give the exact dose ordered. Getting started with insulin canadian diabetes guidelines. Types of insulin common when its how soon when its how long insulin names usually taken it starts working it lasts working the most fastacting insulin novolog right before a meal 15 minutes 30 to 90 3 to 5 hours humalog minutes apidra longacting insulin lantus 30 minutes before the 1. People with type 2 diabetes often need to add insulin to control their blood sugar when oral medications or noninsulin injectable medications exenatide and liraglutide are not enough. Insulin syringes should be stored separately from tuberculin syringes. Education in insulin therapy, including reasons for insulin treatment, contraindications, complications and appropriate aftercare 2. Individualized patient assessment should guide the use of an esip insulin syringe during insulin selfadministration instruction.
Holding the vial with one hand, pull back on the plunger to pull insulin into the syringe until has reached the line of the proper dose. Specifically, patient counseling needs to incorporate the importance of proper insulin administration. An understanding of different insulins, their action and safe dose adjustments a step by step approach is provided to teaching your patient the basics about starting insulin. Pdf assessment of insulin injection practice among diabetes.
Insulin administration using an insulin pen what you will need before you administer insulin subcutaneously via an insulin pen, you will need the following. Insulin selfadministration technique with disposable syringe among. Prescription lantus is a longacting insulin used to treat adults with type 2 diabetes and adults and pediatric patients children 6 years and older with type 1 diabetes for the control of high blood sugar. Instruct patient on proper technique for administration. You can givefrom 1 to 60units in a singleinjection.
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