Set the insulin vial down and hold the syringe as you would a dart, with your finger off of the plunger. Swab the injection site with an alcohol pad. Allow it to air dry for a few minutes before inserting the needle. To avoid injecting into muscle, gently pinch a 1- to 2-inch portion of skin.
Insert the needle at a degree angle. Push the plunger all the way down and wait for 10 seconds. With smaller needles, the pinching process may not be needed. You may notice minor bleeding after the injection. If so, apply light pressure to the area with gauze and cover it with a bandage if necessary. In the United States, people use more than 3 billion needles and syringes each year, according to the Environmental Protection Agency.
These products are a risk to other people and should be disposed of properly. Regulations vary by location. Before beginning insulin therapy, your doctor or health educator will show you the ropes.
Read this article in Spanish. Insulin is a hormone that helps cells use glucose sugar for energy. Diabetes is normally managed with diet and exercise, with medications, including insulin, added as needed.
If you have type 1 diabetes, injecting insulin is required for life. This may seem difficult at first, but you can learn to successfully administer insulin with the support of your healthcare team, determination, and a little practice. Insulin syringes come in multiple sizes to deliver different doses of insulin. We explain what insulin sizes mean, how to choose the correct size for…. People with type 2 diabetes may not produce enough, or any, insulin.
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Build your knowledge with top universities and organisations. Learn more about how FutureLearn is transforming access to education. Learn more about this course. What are the routes of administration for insulin? Helps the learner to be familiar with the means by which insulin can be provided for administration. If a person always administers a morning dose of rapid-acting insulin into their abdomen, they should alternate between different areas of the abdomen to avoid repeated injections into the same site.
Ask the doctor any questions about insulin injection, site selection and rotation, and other injection techniques. In addition, people with diabetes should monitor their blood sugar routinely, as the doctor will advise. It is important to keep track of blood sugar levels in a diary or notebook for sharing with the doctor. Share any unusual values so that the doctor can adjust insulin dosage and delivery as is necessary. Read more on self-monitoring glucose levels here.
A person can administer insulin injections into the abdomen, upper arm, thigh, lower back, hips, or buttocks. Take into account comfort, as injections into some sites can cause pain. Be sure to inject into a pinch of tissue and consider the different methods for injection at each site. Each site delivers insulin to the bloodstream at different speeds, so consider these depending on the time of day and how fast the body needs insulin. Avoid repeatedly administering injections to the same spot.
Speak to a doctor for advice on switching sites and self-administering. In this article, we look at nine ways to lower high insulin levels.
This can be achieved through diet, lifestyle changes, supplements, and medication. It is sometimes thought that people with type 2 diabetes may then develop type 1. While some people with type 2 diabetes might need insulin to manage…. Consuming fiber promotes the growth of certain strains of gut bacteria. In turn, these bacteria reduce the symptoms of diabetes and promote weight…. New guidelines from the American College of Physicians recommend that clinicians aim for moderate blood sugar levels in patients with type 2 diabetes….
Researchers suggest that targeting the gut microbiota could be a potential strategy for the prevention and treatment of type 1 diabetes. The World Health Organization suggested that if a patient is physically clean and generally in good health, swabbing of the skin before injection is not required.
It is common practice to draw back on a syringe after the needle has been inserted to check whether it is in a blood vessel. This is not recommended for subcutaneous injections, as there are no major blood vessels in the subcutaneous tissue and the risk of inadvertent intravenous administration is minimal Public Health England, The WHO ; stated that gloves need not be worn for this procedure if the skin of both health worker and patientis intact. It also notes that gloves do not protect against needlestick injury.
Nurses need to assess risk in each individual patient Royal College of Nursing, and be aware of local policies for glove use. It is recommended that subcutaneous injections, particularly of insulin, are administered at a degree angle to ensure that the medication is delivered into the subcutaneous tissue Down and Kirkland, ; Hunter, However, patient assessment is vital — patients who are cachectic and therefore have minimal amounts of subcutaneous tissue may require injections to be delivered at a degree angle.
PHE recommends that subcutaneous vaccinations are given with the needle at a degree angle to the skin and the skin should be pinched together PHE, Tagged with: Coronavirus zone: diabetes Newly qualified nurses: practical procedures. Sign in or Register a new account to join the discussion. You are here: Assessment skills. Injection technique 2: administering drugs via the subcutaneous route. Abstract The subcutaneous route allows drugs such as insulin and heparin to be absorbed slowly over a period of time.
Author: Eileen Shepherd is clinical editor at Nursing Times. This article has been double-blind peer reviewed Scroll down to read the article or download a print-friendly PDF here if the PDF fails to fully download please try again using a different browser Read part 1 of this series here. Box 1.
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