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Why Do You Draw Up Short Acting Insulin Before Long Acting?

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My Doctor Says I Need To Mix Insulins...

Mixing Insulins BD Getting Started ™ My Doctor Says I Need to Mix Insulins... How Do I Begin? When your doctor tells you to use two types of insulin for an injection, they can be mixed in the same insulin syringe so that you will need only one injection. Using two types of insulin can help you keep your blood sugar levels in your target range. When you mix two insulins in one syringe, one type of insulin is always clear and short or rapid-acting, while the other type is cloudy and long-acting. Check that you have the right syringe size. Match your dose to the syringe size that is just right for you. It is an easy way to assure the accuracy of your dosage. Two types of Insulin BD™ Insulin Syringe BD™ Alcohol Swabs To mix your insulins, you will need:To mix your insulins, you will need: Also check that you have the right brand and type of insulin. Make sure that the expiration date on the insulin bottle has not passed. Between 30 and 50 units Between 50 and 100 units Use a 3/10 cc BD INSULIN SYRINGE Use a 1/2 cc BD INSULIN SYRINGE Use a 1 cc BD INSULIN SYRINGE Less than 30 units at one time - - - 1 2 3 if you inject:if you inject: ml ml ml 1 2 3 •Roll the bott Continue reading >>

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Popular Questions

  1. TheCommuter

    We draw up the clear insulin first due to the following rationale:
    1. Clear insulin will not significantly impact the action of cloudy insulin if we draw it up before drawing the cloudy insulin.
    2. On the other hand, even minute amounts of cloudy insulin will slow down the action of clear insulin if we draw the cloudy insulin first.
    3. The overarching point of drawing up 'clear before cloudy' is to prevent altering of the action of both insulins so they act as intended in our patients' bodies.

  2. Cell-Nurse

    Sorry, can you clarify this?
    They are going to mix in the syringe. How does drawing one up before the other impact the other at all when they are simply going to mix anyways?

  3. RNcali22

    I would think it's so that if you get any in the vial that will be used again you have less concerns when going clear to cloudy

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Withdrawing Solution From A Vial

Vials are plastic or glass containers in which liquid or powdered medication is packaged in an airtight and sterile environment. They are sealed with a rubber stopper. You access the medication by pushing a sterile needle through the center of the stopper. Vials may be single-use, or, if a preservative has been added to the solution, multidose. When you are the first user of a multidose vial, follow your agency’s policy for labeling the vial for subsequent users. When you are a subsequent user of a multidose vial, follow your agency’s policy for determining whether the vial is acceptable to use or should be discarded. Many agencies require that a multidose vial be discarded one month after it is opened, no matter how much medication remains in the vial. Withdrawing solution from a vial To withdraw a solution from a vial, you must first pressurize the vial. To achieve this, draw air into the syringe. The amount of air should be the same as the amount of solution you’ll withdraw from the vial. For example, if you plan to draw up 1.3 mL of fluid, draw up 1.3 mL of air into the syringe. After cleansing the rubber stopper with an antimicrobial wipe and allowing it to dry, insert t Continue reading >>

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Popular Questions

  1. Pharmacy Kid

    Clear before Cloudy

    What's the reason for drawing regular before NPH?

  2. BeLikeBueller

    I don't know, but when I utilized the most reliable of all search methods (google ), I came across a diabetes help forum where someone had the username "Cinnabon."
    If I had to guess though (after a little bit of digging), I would say it is because if you introduce the protamine component from the NPH into the regular insulin vial, you have effectively transformed a small portion of your fast-acting insulin to intermediate acting insulin (since it's an association of insulin with the protamine that causes the increased duration - if I recall insulin pharmacology correctly)? Whereas if you introduce regular insulin into a solution of NPH, regular insulin associating w/ protamine would have really no effect (it's already an intermediate acting insulin after all).
    Hopefully someone w/ a greater knowledge base in pharmacology will respond. I just had to share about "Cinnabon" and felt like it was important to add something meaningful to the discussion as well.

  3. zelman

    Nph is also cloudy, and cloudiness in regular insulin would mean it should be discarded.

  4. -> Continue reading
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How To Draw Up Insulin

AMBULATORY CARE: Insulin should be drawn up correctly and safely. This will help prevent problems such as infection or low or high blood sugar levels. Use the correct size insulin syringe to make sure you get the right dose of insulin. For example, you must inject U100 insulin with U100 syringes. A different syringe is needed for U500 insulin. Your healthcare provider or pharmacist will help you find the right size syringe. The syringe will have measurements in mL and units. Contact your healthcare provider if: You have questions about how to draw up insulin. You cannot afford to buy your diabetes supplies. You have questions or concerns about your condition or care. How to draw up 1 type of insulin into a syringe: If you use only 1 type of insulin at a time, do the following: Remove insulin from the refrigerator 30 minutes before you will use it. Inject insulin that is room temperature. Wash your hands. This will help decrease your risk for an infection. Gather your insulin supplies. Get your insulin bottle, syringe, and alcohol pads. Check the insulin bottle to make sure it is the right type and strength of insulin. Also check the expiration date. Do not use expired insulin. Rapi Continue reading >>

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Popular Questions

  1. Pharmacy Kid

    Clear before Cloudy

    What's the reason for drawing regular before NPH?

  2. BeLikeBueller

    I don't know, but when I utilized the most reliable of all search methods (google ), I came across a diabetes help forum where someone had the username "Cinnabon."
    If I had to guess though (after a little bit of digging), I would say it is because if you introduce the protamine component from the NPH into the regular insulin vial, you have effectively transformed a small portion of your fast-acting insulin to intermediate acting insulin (since it's an association of insulin with the protamine that causes the increased duration - if I recall insulin pharmacology correctly)? Whereas if you introduce regular insulin into a solution of NPH, regular insulin associating w/ protamine would have really no effect (it's already an intermediate acting insulin after all).
    Hopefully someone w/ a greater knowledge base in pharmacology will respond. I just had to share about "Cinnabon" and felt like it was important to add something meaningful to the discussion as well.

  3. zelman

    Nph is also cloudy, and cloudiness in regular insulin would mean it should be discarded.

  4. -> Continue reading
read more close
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​insulin Syringe Preparation: How To Mix Short- And Intermediate-acting Insulin

​Nurses from the Department of Specialty Nursing, Singapore General Hospital, a member of the SingHealth group, share the right way of mixing short-acting (clear) and intermediate-acting (cloudy) insulin for injection. How to mix short-acting (clear) insulin and intermediate-acting (cloudy) insulin Step 1: Roll and clean ​ Wash and dry your hands. Roll the cloudy (intermediate-acting) bottle of insulin between your palms 10 times gently. Do not shake vigorously. Clean the top of vial with an alcohol swab. Step 2: Add air to cloudy (intermediate-acting) insulin ​ Draw the required amount of air (equal to the dosage of cloudy insulin) into the insulin syringe. Inject air into the cloudy insulin vial. Do not draw out any insulin, and remove the syringe and needle. Step 3: Add air to clear (short-acting) insulin ​ Using the same syringe and needle, draw the required amount of air (equal to the dosage for clear insulin) into the insulin syringe. Inject air into the clear insulin vial. Step 4: Withdraw clear (short-acting) insulin first, then cloudy (intermediate-acting) insulin ​ With the insulin syringe and needle attached, turn the clear insulin bottle upside down, with the Continue reading >>

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Popular Questions

  1. Pharmacy Kid

    Clear before Cloudy

    What's the reason for drawing regular before NPH?

  2. BeLikeBueller

    I don't know, but when I utilized the most reliable of all search methods (google ), I came across a diabetes help forum where someone had the username "Cinnabon."
    If I had to guess though (after a little bit of digging), I would say it is because if you introduce the protamine component from the NPH into the regular insulin vial, you have effectively transformed a small portion of your fast-acting insulin to intermediate acting insulin (since it's an association of insulin with the protamine that causes the increased duration - if I recall insulin pharmacology correctly)? Whereas if you introduce regular insulin into a solution of NPH, regular insulin associating w/ protamine would have really no effect (it's already an intermediate acting insulin after all).
    Hopefully someone w/ a greater knowledge base in pharmacology will respond. I just had to share about "Cinnabon" and felt like it was important to add something meaningful to the discussion as well.

  3. zelman

    Nph is also cloudy, and cloudiness in regular insulin would mean it should be discarded.

  4. -> Continue reading
read more close
Share on facebook

How To Prepare Two Types Of Insulin In One Syringe

A step-by-step guide to combine two types of insulin in a single syringe ​People with diabetes may be prescribed two types of insulin to be taken at the same time. To reduce the number of insulin injections, it is common to combine two types of insulin in a single syringe using r​apid-acting (clear) insulin with either an intermediate or a long-acting (​​cloudy) insulin.​ ​ ​ ​​ ​ ​ ​ ​ ​ ​Follow These Steps to Prepare the Injection: Prepare your supplies and remove the insulin vials from the fridge half an hour before your injection. Check their expiry dates. Discard the vial six weeks after opening or as per the manufacturer’s guide. Roll the vial of cloudy insulin (intermediate or long-acting insulin) until the white powder has dissolved. Do NOT shake the vial. Clean the rubber stopper of the insulin vials with an alcohol wipe or a cotton ball dipped in alcohol. Draw air into the syringe by pulling the plunger down. The amount of air drawn should be equal to the dose of cloudy insulin that you require. With the vial standing upright, insert the needle into the vial containing the cloudy insulin. Inject air into the vial and remove the needle. Repe Continue reading >>

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Popular Questions

  1. Pharmacy Kid

    Clear before Cloudy

    What's the reason for drawing regular before NPH?

  2. BeLikeBueller

    I don't know, but when I utilized the most reliable of all search methods (google ), I came across a diabetes help forum where someone had the username "Cinnabon."
    If I had to guess though (after a little bit of digging), I would say it is because if you introduce the protamine component from the NPH into the regular insulin vial, you have effectively transformed a small portion of your fast-acting insulin to intermediate acting insulin (since it's an association of insulin with the protamine that causes the increased duration - if I recall insulin pharmacology correctly)? Whereas if you introduce regular insulin into a solution of NPH, regular insulin associating w/ protamine would have really no effect (it's already an intermediate acting insulin after all).
    Hopefully someone w/ a greater knowledge base in pharmacology will respond. I just had to share about "Cinnabon" and felt like it was important to add something meaningful to the discussion as well.

  3. zelman

    Nph is also cloudy, and cloudiness in regular insulin would mean it should be discarded.

  4. -> Continue reading
read more close

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