Diabetes part 3 monitoring Flashcards
________________
Measure interstitial glucose = sensor glucose (SG)
CGM (Continuous Glucose Monitor)
How To Choose the Correct Syringe: Gauge
Gauge = thickness
Higher the gauge, the___________ the needle
Lower the gauge, the thicker the needle
Ex: 31 gauge needle is thinner than a 28 gauge
needle
higher the gauge, the thinner the needle
How To Choose the Correct Syringe: Barrel Size
3/10mL(cc)—> 30 units or less
1/2mL (cc)—>_______or less
1mL–> __________
1/2mL–>50 units or less
1mL—>51 units to 100 units
What to do with Used Sharps in Massachusetts
Make your own sharps container!
Hard _________ container
Screw _______
Do not throw filled container in the trash or recycle
Take back sites! Provide handout or location!
hard plastic container
screw cap
Drawing Up Insulin
1) Gather your insulin supplies
2) Gently ______intermediate or premixed insulin (cloudy)
a) Fast and long-acting insulins (clear) do not need to be mixed
3) Prepare insulin bottle with alcohol swab
4) Pull air into the syringe
5) Inject air into the vial
6) Draw up the insulin into the syringe
7) Check the syringe for air bubbles
8) Remove needle from the bottle
stir
Rotating Injection Sites
Injecting in same spot can cause
lipodystrophy
Rapid and long-acting insulins
Can inject in ________body parts
Intermediate and pre-mixed insulins
Should inject in _______ body part
different
one body part
Self-Injection Teaching
Pen devices
Deliver drug subcutaneously by attaching a pen needle
All a little different and might require extra teaching
time
In specific patient populations these devices have been
demonstrated to improve:
accuracy of administration
adherence
Requires needle to be left embedded in skin for at least
__________seconds after plunger depressed
5-10 seconds
Self-Injection Teaching
Review Storage
Generally insulin or GLP-1 agonist not in use should be stored in ________
Extreme temperatures and excess agitation should be
avoided
Discard dates
Important to go over how long insulin can be stored at room temperature
Insulin inspection
Proper disposal of sharps – provide handout
fridge
What can happen when a pen needle is reused?
Air bubbles and ________
Needle blockage and __________
Accumulation of ______ on the needle
_______ needle tips
Broken needle tips
Whole needle breakage
leakage
clogging
bacteria
Bent
Rotating Injection Sites
Injecting in same spot can cause
lipodystrophy
Rapid and long-acting insulins
Can inject in ___________body parts
different body parts
Intermediate and pre-mixed insulins
Should inject in ____________ part
one body
The correct angle of injection when lifting a skin fold is 90 degree angle
Injection Technique for 4 mm, 5mm and 6 mm Pen Needles
No pinch up required
Injection Technique for 8 mm and 12.7 mm Pen Needles __________ is required
pinch up
Subcutaneous Injection Sites
Alternate sites include the back of the ______,
______, and buttocks
Site absorption may vary depending on the site
Look at image on slide it will be on exam professor stated
arms, thighs
Subcutaneous Self-Injection
Advise patients to wash hands
Have patient confirm type of insulin on bottle label
_______vial or pen in palms, if appropriate
Show patients in counseling where to read _____on syringe and appropriate _______to draw
Demonstrate _______ dose on pen
Ensure using best syringe for dose
Inject at 90° angle for subcutaneous insulin
Injecting into the subcutaneous fat of the ______ most common
Site should be approximately ________ inches from belly button
Rotate sites to avoid formation of fatty deposits or scarring
roll
dose
amount
dial dose
2 inches
belly
The reuse of pen needles can result in complications ranging from mild discomfort to poor glycemic control, infection, and ____________
lipohypertrophy
