INSULIN TERAPI

SANTHA KUMARI A/P

S.GOVINDARAJOO
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Prosedur pemberian Insulin

Rujuk gambar rajah

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 PERALATAN:
a) Troli atas b) Troli bawah
Injection tray sterile Insulin syringe
mengandungi:
2 kidneydish kecil Needle size 26G
1 gallipot berisi swab dan 21G
kering Sharp bin
1 disecting forceps
Bekas sisa klinikal
Spirit swab (dalam
canister/ packed) Bekas sisa
Insulin yang diperlukan domestic
Carta medikasi/ profil ubat
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pesakit 3 Page 3
Mengajar pesakit

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 alcohol swabs , insulin bottle &
insulin syringe dalam kidney dish

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 firstly , Have a look
at the insulin bottle
- Check the label on
the insulin bottle to
make sure you are
using the right kind

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 - discard the bottle if you noticed
precipitated crystals or change in the
insulin colour , also there shouldnt be
any particles attached to the corners of
the insulin bottle

if you are not sure whether your insulin

bottle can be used, Consult a health
care professional . Templates
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 if you are using Cloudy insulin type ,mix the
bottle contents by rolling the it between
your hands until the white powder is
distributed equally in the vehicle and you
see one homogeneous phase ,
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 Never shake the bottle as this leads to
formation on air bubbles and could also
make the insulin clump together
Tip : if you keep your insulin ( clear or
cloudy ) in the fridge , warm the insulin
by gently rolling the bottle between your
hands before injecting it as Injecting
cold insulin can make your shot more
painful
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Remove the plastic cap of
the insulin bottle

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Clean the rubber stopper with an
alcohol swab

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 Inject an amount of air that is equal to
your insulin dose into the bottle.
simply , Pull back the syringe plunger
until the dose is adjusted .
e.g : lets make a dose of 53 units
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 Hint : Injecting air into the bottle increases the
air pressure inside the bottle, This air pressure
decreases the resistance you feel while
withdrawing insulin from the bottle & makes it
easier to draw the right accurate dose of insulin
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Push the syringe needle
straight into the rubber
top of the insulin bottle

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 pay attention while pushing the syringe into the
bottle because hitting the the metal edges
rather than the rubber center could contaminate
your syringe or even break its needle if you are
pushing fast

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 inject air into it by pushing the plunger in.
With the needle still in the bottle ,Turn the
insulin bottle upside down
Tip : Make sure the needle is in all the way in
the insulin bottle to prevent breaking the needle
while flipping thePowerpoint
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bottle .
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 Pull the plunger back while Making sure
the needle is dipped into the insulin &
Draw the correct dose of insulin into the
syringe
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 if you find air bubbles stuck in
the syringe with the up taken
insulin ,

push the insulin back into the

bottle slowly

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 then re-draw the insulin carfully and
slowly making sure your syringe is
under the insulin surface all the time
Hint : If small air bubbles are present ,
tap the syringe head ( Not needle
) with your finger , air bubbles will
float to the top ,carefully Push the
plunger to move the air bubbles out of
the needle , then draw more insulin
units from the bottle to adjust your
dose .
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 after drawing the right dose ,
remove your fingers from the
plunger and grab the syringe as
a pen to prevent any messing
with the dose .
then , carefully restore the
syringe and bottle to the Normal
position

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 remove the syringe from the bottle
Tip : if you have to leave the syringe
somewhere before injecting it , make
sure its on a clean surface and that the
needle is touching nothing but air to
prevent contamination .

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 clean the injection site with an
alcohol swab using a circular
motion

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 bench some skin & fat between
your thumb and first finger and
inject the syringe to it at a 90
angle
Tip : in case of young children or
thin people , inject at a 45-degree
angle so that you make sure
youre going into the fat layer
and not into the muscles

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 inject the insulin dose slowly and then
let go of the pinched tissues
Hint : wait for a few seconds before
removing the syringe to prevent insulin
likage

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 clean the site again with an
alcohol swab using a circular
motion .

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