Administering insulin PDF

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Description

ACTIVE LEARNING TEMPLATE:

Nursing Skill

STUDENT NAME _____________________________________

to administer regular and nph insulin SKILL NAMEPreparing ____________________________________________________________________________

REVIEW MODULE CHAPTER ___________

Description of Skill Administer insulin via injection.

Indications Purpose of mixing insulin: To prevent having to give the patient two separate injections (hence better for the patient). Most commonly ordered insulin that are mixed: NPH (intermediate-acting) and Regular insulin (short-acting).

Outcomes/Evaluation such as treatment satisfaction, ease of injection, convenience, flexibility, discreetness of injection, and injection pain can be important determinants of adherence to insulin therapy in patients with diabetes.

Potential Complications Omitted or delayed insulin may lead to hyperglycemia, which can have potentially serious complications. Incorrect insulin product and incorrect dose can lead to either hyperglycemia or hypoglycemia. Research has shown that, in many instances, insulin is administered too early, leading to hypoglycemia.

ACTIVE LEARNING TEMPLATES

CONSIDERATIONS

Nursing Interventions (pre, intra, post) Never mix Insulin Glargine “ Lantus” with any other type of insulin. Administer the dose within 5 to 10 minutes after drawing up because the regular insulin binds to the NPH and this decreases its action. Check the patient ’ s blood sugar and for signs and symptoms of hypoglycemia to ensure they aren’ t hypoglycemic … if patient is hypoglycemic hold the dose and notify for furthe orders. It is important to know the peak times of the insulin the nurse is giving because this is the most likely time the patient could experience HYPOGLYCEMIA. Regular insulin has an onset of 30 minutes, peak 2 hours, and duration of 8 hours NPH insulin has an onset of 2 hours, peak 8 hours, and duration of 16 hours

Client Education Outcomes data collected directly from patients are termed patient-reported outcomes (PROs). Patient-reported outcomes are typically assessed using questionnaires, which should be administered at the clinic. Many different PRO instruments have been used to assess the multifactorial impact of treatment on the quality of life (QOL) of patients.

Nursing Interventions *Increase blood glucose monitoring if patient is experiencing fever, nausea, vomiting, or diarrhea. (Illness may increase insulin need.) *Instruct patient to increase blood glucose monitoring when experiencing fever, nausea, vomiting or diarrhea, as illness usually requires adjustments in insulin doses. *Check urine for ketones if blood glucose is over 300. (Ketones will spill into the urine at this glucose level and provide an early sign of impending diabetic ketoacidosis.) Teach patient: 　＂ how to check urine for ketones. 　＂ that the presence of ketones may be an early sign of impending diabetic ketoacidosis. 　＂ that unlike hypoglycemia reactions, which develop quickly, ketoacidosis normally develops slowly but is still a serious problem that needs to be corrected.

THERAPEUTIC PROCEDURE

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