List the steps for mixing a short acting and long acting insulin in the same syringe PDF

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notes for 21 final. endocrine, cardiac oxygenation...

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1. List the steps for mixing a short acting and long acting insulin in the same syringe. a. Draw air (equal to the prescribed number of units) b. Inject air into long acting insulin—being careful not to make contact with insulin c. Draw air (equal to the prescribed number of units) again with the same needle d. Inject air into short acting insulin. e. Turn short acting insulin bottle upside down to draw prescribed number of units f. Insert needle (with short-acting insulin) into long acting insulin and draw prescribed number of long acting insulin units. *Drawing the insulin in this order prevents the possibility of accidently injecting the long acting insulin into the short acting insulin vial (ATI, 2019). 2. Explain the steps involved in providing an intermittent enteral feeding. a. Check for residual feeding. If normal, proceed, if volume is more that previous feeding hold feeding and notify provider. b. Prepare formula and a 60 ml syringe c. Remove plunger from the syringe d. Hold the tubing above instillation site e. Open stopcock on tubing and insert barrel with the end up f. Fill syringe with 40-50 ml of formula g. Hold syringe high enough for the formula to empty gradually via gradually h. Repeat steps e and f until the feeding is complete i. Follow with at least 30 ml of water to prevent clogging. *Alternatively, if you are using a feeding bag, fill the bag with formula for 1 feeding and hang it to drain with gravity assistance (ATI, 2019). 3. What principles of wound care should the nurse include when completing wound care for a client with sutures? Principles of wound care include assessment, cleansing and protection.

a. Assessment: Note the color length, width and depth, presence of exudate b. Cleansing: Perform wound cleansing and irrigation, cleans from least contaminated (the incision) towards most contaminated (surrounding skin). c. Applying sutures d. Removing sutures (use suture scissors and cut under the knot close to the skin)

Suggested Fundamentals Learning Activity: Enteral Feeding

Suggested Fundamentals Learning Activity: Wound Care...