How Do You Inject Insulin?
This program will demonstrate injecting insulin. The goal is to inject the insulin into the subcutaneous tissue between the top layer of the skin, the dermis and the underlying muscle layer.
The only concentration of insulin available in the United States is 100 units per milliliter. A milliliter is equal to a cubic centimeter. All insulin syringes are graduated to match this concentration.
Insulin syringes are available in various volumes, for example: 3/10 cc, which would hold a maximum dose of 30 units, 1/2 cc to hold a maximum dose of 50 units and 1 cc to hold a maximum dose of 100 units.
Some insulins are cloudy suspensions. To ensure uniform dispersion of the insulin in the cloudy suspension, roll the vial gently between your hands. Avoid vigorous shaking, which will produce air bubbles or foam and interfere with obtaining the accurate dose.
Wipe off the top of the bottle with an alcohol swab. Discard the swab. Pick up the syringe and remove the needle cap. With the syringe held upright, pull the plunger back until the end of the plunger is at the mark of your dose, which in this example is 20 units. There is now air in the syringe.
Check the insulin bottle to ensure you have the correct type of insulin.
With the insulin bottle held firmly on a counter or tabletop, insert the needle through the rubber cap into the bottle. Push the plunger down so that the air goes from the syringe into the bottle.
Turn the bottle upside down so that the air in it is at the top. With the tip of the needle kept in the liquid, pull the plunger back to your dose. If any air bubbles are in the syringe, push the plunger back in and draw up the dose again. Remove the syringe and needle from the bottle.
Do not let the needle touch anything else until it touches your skin for the injection.
Wipe the skin of the chosen injection site with an alcohol swab and let the skin dry.
Pinch up the skin and put the needle fully through the skin at an 80 to 90 degree angle and push the plunger down completely. Discard the syringe and attached needle into a puncture-proof container and replace the container’s screw cap. Instead of a puncture-proof container you can purchase a special “Sharps” container with a hinged lid to store your used syringes and needles. ”
When your storage or “Sharps” container is 3/4 full, dispose of it according to the policies of your local authorities. The recommended sites for insulin injections are shown. Change the place of each injection by moving a couple of inches from the previous site. By doing this, you can stay in one general area for several days. * Comb and Brush * Disposable gloves * Sealable plastic storage bag
Ensure that the bathroom is pleasantly warm, around 70. Place the skid-proof plastic bath mat in the tub and fill one-third of the tub with warm water. Test the temperature of the water with your hand. Wash and carefully dry your hands. Put on your disposable gloves. Help your patient undress and place soiled clothing in the plastic bag in the laundry hamper.
If your patient is not strong enough to get into the tub or stand upright long enough to take a shower you can use a bath stool or a bath seat across the tub. Help your patient sit on the edge of the tub. If there is a grab bar on the back wall of the tub, have the patient hold it with one hand. Swivel and lift both legs into the tub.
With the patient seated, it is easiest, and most comfortable for the patient, to use a shower extension. Patient Education Again, encourage the patient to do as much as possible for himself. You may have to help with the back and to make sure all soap is rinsed off the skin.
If it’s shampoo time and the patient cannot do it himself, you can have him hold a dry, folded washcloth over his eyes to protect them. Pour clean, warm water over the patient’s head using a pitcher or a shower extension. Rub in shampoo and massage the patient’s head. Rinse off the shampoo with clean warm water using a pitcher or a shower extension. Dry the hair.
If possible have the patient stand and help him dry his upper body. Otherwise, dry his upper body and arms with him sitting in the tub. Let the water out of the tub. With the towel over his upper body, help the patient sit on the edge of the tub. Support the patient and help him swivel his legs over the edge of the tub. He can rest for a while, if need be. Help dry the rest of the body, paying attention to under the arms and other skin creases and between the toes.
Apply body lotion to the skin and help the patient dress. After making your patient comfortable, return to the bathroom, place soiled towels and washcloths in the laundry bag, clean the tub and mop the floor. Remove your gloves, discard them into a plastic storage bag. Seal the bag and place it in the trash. Carefully wash and dry your hands. If you have a walk-in shower and the patient is strong enough to stand for a shower, the helper may need to stay with him and generally help with the procedure.