STORAGE OF INSULIN

UNOPENED INSULIN VIAL

Refrgerate unt needed.
OPENED INSULIN VIAL
1. Kept at room temperature for 1 month or;
2. Refrgerated for 3 months.
Opened nsun vas ose ther effectveness after approxmatey 3
months.
Insun vas shoud not be paced n the freezer, paced under drect
sunght, or n hgh temperatures.
Prefed nsun syrnges shoud be refrigerated used wthn 1 - 2
weeks.
PREPARATION OF INSULIN
SINGLE INSULIN DOSE
Requred Materas:
Insun syrnge
Insun va/s
Cotton bas wth acoho
Step 1. Ro the nsun botte (va) genty between your hands. Ro a
botte of coudy nsun unt the whte powder has dssoved.
Rong the botte w warm the nsun f you have been keepng the
botte n the refrgerator.
Important Do not shake the nsun va.
Step 2. Wpe the rubber d of the nsun botte wth an acoho wpe or
a cotton ba dpped n acoho. Let the acoho dry. If you are usng a
va for the frst tme, remove the protectve cover from the rubber d
before ceanng.
Step !. Remove the pastc cap coverng the neede on your nsun
syrnge.
Important Do not touch the neede.
Step ". Pu the punger of the syrnge back and draw ar nto the
syrnge equa to the number of unts of nsun to be gven.
Step #. Frst, nsert the neede of the syrnge nto the rubber d of the
nsun botte.
Next, push the punger of the syrnge to force the ar nto the botte.
Then, eave the neede n the botte.
Rationa$e Forcng ar nto the nsun botte equazes the pressure n
the botte when removng the dose of nsun.
Step %. Frst, turn the botte and syrnge upsde down.
Next, poston the tp of the neede so that t s beow the surface of
nsun n the botte.
Then, pu back the punger to f the syrnge wth sghty more than
the correct number of unts of nsun to be gven.
Step &. Frst, tap the barre of the syrnge so that trapped ar bubbes
move nto the neede area.
Next, push the ar bubbes back nto the botte.
Make sure you have the correct number of unts of nsun n your
syrnge.
Fnay, remove the neede from the botte.
AD'INISTRATION OF INSULIN
The abdomen, but at east 2 n. (5.1 cm) nches from the bey
button. The abdomen s the best pace to n|ect nsun because
your abdomen area can absorb nsun most consstenty.
The top outer area of the thghs. Insun usuay s absorbed more
sowy from ths ste, uness you exercse soon after n|ectng
nsun nto your egs.
The upper outer area of the arms.
The buttocks.
Insun s a admnstered S()*(taneo(+$,, at a 45-90-degree ange
dependng on the patents body weght.
For thn patents = 45-60 degree ange
For fat patents = 90-degree ange
STEPS IN ADMINISTERING INSULIN IN|ECTIONS:
1. Choose the part of your body to n|ect.
2. Cean the ste usng cotton bas wth acoho to cean the skn before
gvng the n|ecton and et t dry. Ask the patent to reax the musces
n the area so the n|ecton w be ess panfu.
3. Sghty pnch a fod of skn between your fngers and thumb of one
hand.
4. Hod the syrnge ke a penc cose to the ste, keepng your fngers
off the punger. Usuay the syrnge s at a 90-degree ange to the skn
ste. If the patent s a thn adut, you may want to nsert the neede at
a 45-degree ange.
5. Bend your wrst and qucky push the neede a the way nto the
pnched-up area. Then et go of the pnched-up area.
6. Push the punger of the syrnge a the way n so the nsun goes nto
the fatty tssue. Wat a few seconds to make sure the nsun gets nto
the tssues.
7. Take the neede out at the same ange that you nserted t. If there s
a tte beedng, appy pressure over the n|ecton ste wth a cotton
ba. Do not rub the area. Check the bood sugar more frequenty on
the days when beedng occurs.
8. Dscard the neede. Do not recap.
Insun s usuay gven n the mornng before breakfast and can be
gven severa tmes a day.
In|ecton stes shoud be rotated to prevent podystrophy (tssue
atrophy or hypertrophy), whch can nterfere wth nsun absorpton.
Lipoatrop-, s the term descrbng the ocazed oss of fat tssue. Ths
may occur as a resut of subcutanous n|ectons of nsun n the
treatment of dabetes (http://en.wkpeda.org/wk/Lpoatrophy)
Lpoatrophy s a depresson under the skn surface.
Commony occurs n women and chdren.
Common cause s the use of anma nsun, (pork and beef)
Lipo-,pertrop-,

s a ump under the skn caused by accumuaton of
extra fat at the ste of many subcutaneous n|ectons of nsun. It may
be unsghty, mdy panfu, and may change the tmng or
competeness of nsun acton.
More common n maes.
Frequenty caused by repeated n|ectons n the same ste.
NURSING INTERVENTIONS . RATIONALES
Make sure to gve the correct type of nsun.
RATIONALE: Gvng the wrong type of nsun can resut to aergc
reactons (beef nsun)
Prepare the correct dosage.
RATIONALE: Overdosng can ead to a hypogycemc state and
underdosng w not gve the nsun requrement of the patent that
can ead to an eevated bood gucose.
Montor vta sgns after admnstraton.
RATIONALE: To check for tachycharda, whch occurs durng an
nsun reacton.
Determne bood gucose eves and report changes.
Norma bood gucose: 60-100 mg/dL
Norma serum gucose: 70-110 mg/dL
RATIONALE: Eevated or decreased bood gucose must be reported
mmedatey for the approprate nterventon to be done.
Educate the cent about the dsease, det and drug therapy.
RATIONALE: For the cent to be nformed about the dsease and how
to manage t on hs/her own.