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Sept 24th lab
Mixing NPH and Regular Insulin for Injection
Roll NPH Insulin
Alcohol to Multiuse Vials
Inject Air into NPH Insulin (Cloudy)
Inject Air into Regular Insulin (Clear)
Withdraw Regular Insulin Units
Withdraw NPH Units
Verify with 2nd Nurse
Discard if Error
Intramuscular Medication (IM) Administration
Injury to Nerves, Bone, and Blood Vessels
Selection of Needle Length
Aseptic Technique for Drawing Up
90 Degree Angle
Max Amount (2-5 mL Adult, 1 mL Child)
Techniques to Reduce Pain
Needle Sizes and Uses
Adjust Size Based on Height/Weight
3/8 or 5/8 inch
Tuberculosis Skin Mantoux Test (PPD)
Delayed Hypersensitivity (Cell Mediated Response)
Read 48-72 hours
≥ 5 mm Induration
≥ 10 mm Induration
High Risk Patients
≥ 15 mm Induration
Mechanism of Action
Inhibits Clotting Factors
Clot Formation Prevention
Heparin Induced Thrombocytopenia (HIT)
2 Inches from Umbilicus or Incisions
Insulin Lispro (Humalog)
Insulin Aspart (Novolog)
Insulin Glulisine (Apidra)
Regular Insulin (Humulin R)
Isophane NPH (Humulin N)
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