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INSULIN TECHNIQUES
Josefina E. Florendo, RN, MAN
Objectives
 At the end of the presentation, the participants will be ableto:
1.
State ways to administer insulin safely;
2.
Identify interventions to prevent problems associated withinsulin administration;
3.
Demonstrate the competencies expected in theadministration of insulin.
INSULIN
Most powerful and effective pharmacologic tool availableto treat diabetes.
Its potential to lower plasma glucose levels is limited only  by hypoglycemia.
Sustained near-normal blood sugar to prevent the onsetand progression of long-term complications is the majortreatment goal of insulin therapy.
Insulin Preparations
ClassClass Agents AgentsHuman insulinRegular, NPH, lenteInsulin analoguesAspart, Glulisine, Lispro,Glargine, DetemirPremixed insulinHuman 70/30, 50/50Humalog mix 75/25Novomix 70/30
INSULIN ADMINISTRATION
Insulin therapy is used to achieveand sustain target-level glycemic
Delivered using various devices
Insulin Administration Devices
 
 Josefina E. Florendo, RN, MAN 
 Insulin Injection Certification Workshop:Insulin Injection Techniques
 
Insulin Administration Devices
Insulin pensFaster and easierthan syringes
Improve patient attitudeand adherenceHave accurate dosingmechanisms, butinadequate mixing maybe a problem
reusable pendisposable pens
Insulin Pen
Hides needle to reduce anxietyHides needle to reduce anxiety
Insulin Pump
Continuoussubcutaneous insulininfusion (CSII)
External, programmablepump connected to anindwelling subcutaneouscatheter to deliver rapid-acting insulin
Insulin Pump
External, programmablepump connected to anindwelling subcutaneouscatheter to deliver rapid-acting insulin
Insulin Administration Devices
Inhaler
Designed for people with:
Poor eyesightDexterity problemsLearning difficulties
No longer available
INSULIN ADMINISTRATION
Technique
employed in administrationmay 
affect absorption rate
andeventually the blood glucose levels.
 
 Josefina E. Florendo, RN, MAN 
 Insulin Injection Certification Workshop:Insulin Injection Techniques
 
Injection Tips
Do NOT wipe the needle
 with alcoholas it removes the protective coating.The coating makes injection easierand less painful
Insulin Tips
 Absorption
differs in various areas of the human body.
The new shot can be given in the area with the
distance of 1 to 2 fingers
from the site wherethe last shot was given.
Site Selection/Rotation
Insulin Tips
Injecting any insulin at the same siterepeatedly over time or
 blunting a needle
 with re-use can cause a
lipodystrophy 
:either
lipoatrophy 
or
lipohypertrophy 
.Either makes
absorption
unreliable. Varying the injection site can cause variability in action profile
.
Lipodystrophy 
Insulin Tips
Eliminate bubbles
Keep vial upright
Draw insulin slowly 
Re-inject insulin into vial when air bubble
get into the syringe
Tap the syringe with a finger or two to removeair bubbles while holding it upright
 
 Josefina E. Florendo, RN, MAN 
 Insulin Injection Certification Workshop:Insulin Injection Techniques
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