Mixing Insulin
Mixing Insulin
1. Verify the practitioner's order. Review an accurate list of all of the patient's medications
and supplements and allergies. To ensure safety and reduces risk of errors when administering
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2. Know the actions, adverse effects, side effects and nursing responsibilities related to
drug. Allow nurse to administer medication properly and to monitor clients
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4. Prepare gather supplies and check medication regular and intermediate insulin from
refrigerator. Organization facilitates error free administration and saves
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5. Compare doctor’s orders with the medication ticket and the medication ticket with the
medication. Ensures accuracy and prevent
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6. Check the expiration date. Check for the clarity of the regular insulin and the cloudiness
of the intermediate insulin. Second check of the label and to prevent from errors upon doing the
said medications.
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7. Perform the standing “3 checks “of the drug together with the medication ticket. When it
is taken from the medication cart. Before withdrawing the medication. After withdrawing the
medication. Checking and verifying reduces future errors.
8. Disinfect the rubber stopper of the two insulin, let it dry. To prevent spreading of
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9. Remove cap from needle, aspirate air equal to the dose for the NPH/intermediate
insulin. To allow flow of insulin.
10. Inject the amount of air equal to the dose of the regular insulin to the Regular insulin vial.
To prevent spoilage of the medication.
11. Do the second checking of the medication. Verify calculations with the another nurse to
ensure safety.
12. Withdraw the ordered amount of regular insulin by tilting the vial upside down. Tilting upside
down avoid from errors and prevent from patient’s injury.
13. Withdraw the ordered amount of intermediate insulin. To allow the flow of prescribed
amount.
14. Remove excess air, until you see a small amount of insulin on top of the needle. To prevent
air when injecting.
15. Recap the needle, place the insulin syringe on top of the medication ticket. To have easy
access to the medication. It also reduces risk of an injury.
16. Transport the medication tray with the alcohol prep to the patient’s room. Careful handling
and close observation prevents accidental or deliberate disarrangements of some medications.
17. Introduce yourself, and identify the patient. To ensure safety and clients compliance.
18. Explain the procedure and the actions of the drugs. To promote awareness to the client and
prevent from anxiety.
20. Select the site (abdomen) and disinfect. To address the medication carefully and prevent
spreading of microorganisms.
21. Pinch the site with the nondominant hand. Insert a cotton between the 3rd and 4th finger.
Inserting a cotton between 3rd and 4th finger is essential for it is easily accessible when needle is
withdrawn.
22. Remove the needle cap with dominant hand. To prevent from needle injury.
23. Inject slowly and evenly the medication at an angle of 45-90 degrees. Inserting quickly
causes patient to have less pain. Subcutaneous tissue is abundant in well- nourished, well-
hydrated people.
24. Count 1-10 after fully injecting the medication then remove the needle. Allows medication to
begin to diffuse into the surrounding tissue.
25. Use the cotton from the non-dominant hand to gently swab the area. Do not massage.
Applying cotton to a bleeding site stops from bleeding.
26. Do after care. Discard needles in puncture-proof- container. Recapping the contaminated
needle may prick you accidentally.
27. Evaluate and document care. Proper documentation for future record and legal purposes.