Lewis: Medical-Surgical Nursing, 8th Edition

Chapter 49: Nursing Management: Diabetes Mellitus Patient and Caregiver Teaching Guides

INSULIN THERAPY
Patient:______________________________Date:_______________________ Nurse Teacher:____________________________________________________ 1. Wash hands thoroughly. 2. Always inspect insulin bottle before using it. Make sure that it is the proper type and concentration, expiration date has not passed, and top of bottle is in perfect condition. 3. If insulin solutions are cloudy, the insulin bottle needs to be gently rolled between the palms of hands to mix the insulin. 4. Select proper injection site. 5. Cleanse the skin with soap and water or alcohol. 6. Pinch up the skin, and push the needle straight into the pinched up area (90o angle). If very thin or using 5/16-inch needle, may need to use a 45o angle. 7. Push the plunger all the way down, let go of pinched skin, leave needle in place for 5 seconds to ensure that all insulin has been injected, and then remove needle. 8. Destroy and dispose of single-use syringe safely. Additional Comments:____________________________________________ ______________________________________________________________ ______________________________________________________________

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