Posts Tagged ‘Humalog’
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Your doctor or diabetes educator may ask you to mix a short-acting or clear insulin
with an intermediate or long acting cloudy insulin in the same syringe so that both can be given at the same time.
* The only insulin that cannot be mixed is insulin glargine.
* In this example, the doctor has asked you to mix 10 units of regular, clear, insulin with 15 units of NPH cloudy insulin, to a total combined dose of 25 units.
* Always, draw “clear before cloudy” insulin into the syringe. This is to prevent cloudy insulin from entering the clear insulin bottle.
* Always do this procedure in the correct order, as shown in the following sequence.
Roll the bottle of the cloudy insulin between your hands to mix it.
Clean both bottle tops with an alcohol wipe.
Pull back the plunger of the syringe to the dose of the long-acting (cloudy) insulin in this example 15 units. You now have 15 units of air in the syringe.
Check the insulin bottle to ensure you have the correct cloudy 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. Remove the needle and syringe. This primes the bottle for when you withdraw the Insulin later.
Pull back the plunger of the syringe to the dose of the shorter acting clear insulin in this example 10 units. You now have 10 units of air in the syringe.
Check the insulin bottle to ensure you have the correct clear 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 goes to the top.
With the tip of the needle kept in the liquid, withdraw the dose of clear insulin, in this example, 10 units.
Remove the needle and syringe.
Go back to the longer-acting, cloudy insulin bottle.
Turn it upside down. Insert the needle into the liquid and slowly pull back the plunger to measure your total dose, in this example, 25 units. You are now ready to give your injection.
Duration : 0:4:5
http://www.PreOp.com
Your doctor or diabetes educator may ask you to mix a short-acting or clear insulin
with an intermediate or long acting cloudy insulin in the same syringe so that both can be given at the same time.
* The only insulin that cannot be mixed is insulin glargine.
* In this example, the doctor has asked you to mix 10 units of regular, clear, insulin with 15 units of NPH cloudy insulin, to a total combined dose of 25 units.
* Always, draw “clear before cloudy” insulin into the syringe. This is to prevent cloudy insulin from entering the clear insulin bottle.
* Always do this procedure in the correct order, as shown in the following sequence.
Roll the bottle of the cloudy Insulin between your hands to mix it.
Clean both bottle tops with an alcohol wipe.
Pull back the plunger of the syringe to the dose of the long-acting (cloudy) insulin in this example 15 units. You now have 15 units of air in the syringe.
Check the insulin bottle to ensure you have the correct cloudy 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. Remove the needle and syringe. This primes the bottle for when you withdraw the insulin later.
Pull back the plunger of the syringe to the dose of the shorter acting clear insulin in this example 10 units. You now have 10 units of air in the syringe.
Check the insulin bottle to ensure you have the correct clear 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 goes to the top.
With the tip of the needle kept in the liquid, withdraw the dose of clear insulin, in this example, 10 units.
Remove the needle and syringe.
Go back to the longer-acting, cloudy insulin bottle.
Turn it upside down. Insert the needle into the liquid and slowly pull back the plunger to measure your total dose, in this example, 25 units. You are now ready to give your injection.
Duration : 0:4:5
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This program will demonstrate the use of insulin pens.
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.
Insulin pens are devices that can provide an easy way to carry and give insulin when away from home. Also, for people who are not comfortable working with syringes and bottles to draw up and measure individual doses, the pens provide a convenient and accurate alternative.
There are two types of insulin pens:
* those that are completely disposable after providing a single dose of insulin
* and those that use disposable cartridges to provide multiple doses.
* If you use more than one type of insulin, you must use a separate pen for each type. The basic method of use is similar for both pens and there are four main steps to be learned.
An insulin pen has three components.
* A base which contains the mechanism for measuring the correct dose.
* A holder for the cartridge of insulin
* and a cap, which is removed and replaced by the needle prior to the injection.
Follow the manufacturer’s instructions to remove the cap, separate the base from the cartridge holder by unscrewing it.
Rewind the base dose regulating mechanism back to zero and put down the base.
Pick up the cartridge holder. Shake out the used cartridge.
Check that the new cartridge contains the correct insulin and insert it, metal end first, into the holder.
Screw the cartridge holder back onto the base.
* Keep a record of all your injections and also record when you begin a new cartridge.
* Subtract the total insulin used in previous injections from the total of 150 units in each cartridge to be sure you have enough insulin left for the next dose.
Clean the end of the cartridge holder and the projecting cartridge with an alcohol swab.
Remove the seal from the end of the new needle unit. Don’t touch the exposed needle or allow it to touch any other object.
Screw the needle unit onto the end of the cartridge holder.
Pull the outer shield off the needle. Do not throw it away. You will need it later to remove the needle unit from the pen.
Pull the inner shield off the needle and discard it. Hold the pen upright and tap the cartridge holder to enable air bubbles to escape through the needle.
Dial the dose knob so that #1 is in the dose scale window and prime the pen according to the manufacturer’s instructions.
Hold the needle upright. Press in the injection button at the end of the unit and check that insulin comes out of the tip of the needle. If no insulin is seen, continue to dial up one unit at a time and press the injection button until insulin is seen. A new cartridge may take 4-6 units before insulin flows.
Dial in your dose of insulin in addition to the units needed to produce the insulin flow. For example, if it took 4 units to start the insulin flow and your insulin dose is 20, the total in the dose scale window will be 24.
* Choose and clean the injection site as usual.
Pinch the skin and insert the needle through the skin at a 90Ë? angle. Press the injection button at the end of the needle and wait 5 seconds for the injection to be completed before removing the needle from the skin.
* The needle must be removed from the pen immediately after the injection is finished.
Place the outer needle shield that you had saved on the counter top with the opening facing up.
Without holding onto the shield, insert the pen needle carefully into the shield and push down firmly. Grip the shield and unscrew the needle from the pen.
Dispose of the shielded needle into the puncture proof container that you have reserved for your needles. Store all pens that are in use at room temperature.
Duration : 0:6:16
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Diabetes Patient Education
Insulin is the hormone normally made in the pancreas that stimulates the flow of sugar – glucose – from the blood into the cells of the body. Glucose provides the cells with the energy they need to function.
There are two main groups of insulins used in the treatment of diabetes: human insulins and analog insulins, made by recombinant DNA technology.
The concentration of most insulins 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 insulin concentration.
There are four categories of insulins depending on how quickly they start to work in the body after injection:
* Very rapid acting insulin
* Regular, or Rapid acting insulins
* Intermediate acting insulins
* Long acting insulin.
Diabetes Patient Education
* In addition, some insulins are marketed mixed together in different proportions to provide both rapid and long acting effects. Certain Insulins can also be mixed together in the same syringe immediately prior to injection.
A very rapid acting form of insulin called Lispro insulin is marketed under the trade name of Humalog.
A second form of very rapid acting insulin is called Aspart and is marketed under the trade name Novolog.
Humalog and Novolog are:
* clear liquids.
* They begin to work 10 minutes after injection,
* peak at 1 hour after injection,
* and last 3-4 hours in the body.
Diabetes Patient Education
* Humalog and Novolog are used as “bolus” insulins to be given 15 minutes before a meal.
* Most patients also need a longer-acting insulin to maintain good control of their blood sugar. Humalog and Novolog can be mixed with NPH, Lente and Ultralente insulins.
* Check your blood sugar level before giving Humalog or Novalog.
* Your doctor or diabetes educator will instruct you in determining your insulin dose based on your blood sugar reading and anticipated meals and exercise.
* Always check the bottle before drawing up the insulin. If the solution is cloudy, discard the bottle.
* If you are mixing Humalog or Novalog with a longer-acting insulin, always draw up the Humalog or Novalog first to maintain the purity and clarity of the Humalog and Novalog solutions.
Another solution of insulin that acts rapidly is called “Regular” or “R” insulin. This insulin does not act as quickly as Humalog or Novalog.
Regular insulin is:
* a clear, colorless liquid.
* It begins to work 30 minutes after injection,
* peaks at 3-5 hours
* and lasts 6-10 hours in the body.
Diabetes Patient Education
Regular insulin is:
* usually given 30 minutes before a meal.
* It can also be mixed with in the same syringe with longer acting NPH, Lente and Ultralente insulins or given separately immediately after each other.
* Glargine cannot be mixed with it.
Regular insulin is:
* the most stable of all the different types of insulin,
* but unopened regular insulin is best refrigerated.
* Always check the bottle before drawing up the insulin.
* If the solution is cloudy, discard the bottle.
Diabetes Patient Education
* If you are mixing Regular with a longer-acting insulin, always draw up the Regular insulin first to maintain the purity and clarity of the Regular solution.
Examples of intermediate acting insulins are NPH and Lente insulins.
Intermediate acting insulins are:
* cloudy suspensions of crystalline insulin.
* They need to be gently rotated between the hands before being used.
* They begin to work 1 hour after injection,
* peak at 6-12 hours after injection
* and last 20-24 hours in the body.
The intermediate insulins are:
* often given before breakfast.
* They may also be given at bedtime, depending on your blood glucose reading.
* They can be mixed in the same syringe with Regular, Lispro and Aspart insulins.
Ultralente is a long-acting insulin.
Ultralente is:
* a cloudy suspension.
* It begins to work 2-8 hours after injection,
* peaks at about 12 hours
* and lasts around 18-24 hours in the body.
Ultralente insulin is:
* often given before breakfast.
* It may also be given before dinner in the evenings or at bedtime, on your doctor’s instruction.
* It can be mixed in the same syringe with regular insulin.
* When unopened, it is best stored in the refrigerator.
Diabetes Patient Education
Duration : 0:9:46
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Storage Insulins refrigerator temperature Insulin glucose sugar blood syringe Humalog Novolog bolus Lispro Aspart Pens needles
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.
Duration : 0:4:54
