Insulin Administration Flashcards
what is the most common route of insulin injection
subcutaneous
what are the main sites of subcutaneous insulin injection
abdomen, upper outer arm, upper outer thigh, some in buttock at home
what are the key principles of subcutaneous insulin injection
rotation of injection site with each injection, using same general location at same time of day, changing insulin needle of pen for each injection
describe the problem that can arise from subcutaneous insulin injections
lipohypertrophy can occur at site if used too much, insulin absorption in this area will be poor and must be avoided or can lead to hypo or hyperglycaemia
what layer of tissue must subcutaenous insulin be injected into
subcutaneous fatty tissue, NOT muscle and NOT too superficial
how does the range of insulin needle sizes range
different for different patients, between 4 and 8 mm
how does oedema affect subcutaneous insulin injections
avoid injecting into oedematous areas as will cause delayed action
what conc. is the vast majority of insulin administered in the ward
100 units per ml
what different devices can be used to administer insulin
insulin syringe, disposable pens, reusable cartridge pens, insulin pump therapy(used for continuous insulin treatment)
what device is used by healthcare professionals to administer subcutaneous insulin
insulin safety syringe + vial of insulin, OR safety pen needle
describe the relevance of blood glucose when administering subcutaneous insulin
monitor using quality controlled hospital meter and review results daily
where should insulin prescription be recorded
in both drug prescription chart and separate insulin prescription chart
what different aspects of insulin prescription should be recorded
which insulin, when given, to what effect, blood glucose levels
when should fast acting insulin be prescribed
after meal times
