Equipment preparation:
- - The insulin must be sure that the injection is the correct type. Some patients have more than one type of insulin and must check for an expiration date. Or unusual color changes. Or insufficient sediment If checked, drug degradation should be discarded immediately.
- - Insulin syringe
- - Sterile clean cotton
- - Alcohol type 70%
The steps for self-administered insulin are as follows.
- 1. Wash your hands with soap.
- 2. Roll the bottle of insulin on the palm horizontally. Do not use shake because it will cause bubbles. And the amount of insulin that is absorbed wrongly.
- 3. Clean the rubber stopper bottle insulin by cotton plating alcohol.
- 4. Use syringe sucking air into the syringe. Equal to the number of insulin to injection. Then push air into the bottle of insulin.
- - if the patient requires insulin shots mixes. Vacuum air into the volume of the insulin to needle injection. Insulin take active short and active medium, such as insulin injection type short action 5 units, working medium 10 unit. Sucking air in the needles of 15 unit.
- 5 upside down and suction insulin bottle. Insulin according to volume. But must ensure that the needle in the insulin dosage before inhale. To prevent the air suction into the syringe.
- - If the insulin type mix. To put the air into the insulin bottle of type medium-acting first, then suck insulin 10 unit. And put the air into the bottle to insulin action short then suck the insulin 5 unit.
- 6. Select the location of the injection include abdominal area away from the navel area is approximately 5-20 cm, upper arm, thigh and butt cheeks to absorb the abdominal area is better absorbed than the upper arm or thigh area. The injection should be approximately 1.5 inches away from its original location because the original position repeat injections may be caused. Fatty lumps caused by insulin (Lipohypertrophy).
- 7. Clean the injection site with a cotton swab moistened with alcohol. And let dry for 5-10 seconds before injection.
- 8. Hold the skin before injections were raised. This helps reduce the chance of embroidery needle into the muscle layer. The injection of insulin is required. Will be injected into the subcutaneous layer. (Subcutaneous injection)
- 9. Insulin injection by 45-90 degree angle to the skin. Mid-needle prick when the needle used to inject the insulin. But in the case of using a long needle to prick of a needle about ½ inch by 45-degree angle.
- 10. Push the rod all the way insulin syringes. After the injection, explore whether bleeding or not. If it is, press the injection area until blood stops, but no syringes should massage the area because it will make the absorption of insulin dosage faster and if the blister is embossed, shows that the injection into the skin layers epidermis (skin), which shows that the injection too shallow.
