Nurses Helping Nurses
allnurses Network: Central | Jobs | Books | Newsletter
allnurses: A Nursing Community for Nurses
Home General News Blogs Articles Students Region Specialty Degrees F.A.Q.
Nursing Issues On Patient Safety /

Administering heparin and insulin SQ



Did You Know?
allnurses is the largest community for nurses on the web. We now have over 388,695 members! Join today to network with other nurses, laugh, share, and much more.

Aug 30, 2008 12:24 PM

Administering heparin and insulin SQ


I am a nursing student. During clinicals I had a patient with a fresh abdominal incision and a PICC line in his left arm. I wasn't administering medication for him that day, but it made me wonder? If his abdomen was too sore for the heparin injection and his right upper arm was to be used for his insulin injection, where would I inject the heparin? Can both heparin and insulin be injected in the same arm? Thanks


Share

Search Tags
None
Top

 
Advertisement
Sponsored Links
 
Reply
5 Comments
No. 1
from PiPhi2004
Old Aug 30, 2008, 12:48 PM

Default Re: Administering heparin and insulin SQ
You can also use thighs for insulin injections.
Top

1 Reader Gave Kudos
 
No. 2
Old Aug 30, 2008, 12:49 PM

Default Re: Administering heparin and insulin SQ
Originally Posted by melvinsgirl View Post
I am a nursing student. During clinicals I had a patient with a fresh abdominal incision and a PICC line in his left arm. I wasn't administering medication for him that day, but it made me wonder? If his abdomen was too sore for the heparin injection and his right upper arm was to be used for his insulin injection, where would I inject the heparin? Can both heparin and insulin be injected in the same arm? Thanks
Insulin can be injected in either arm(Picc line would not interfere ,there generally lots of sq tissue in the back of arm). Insulin can be given in thighs ,abdomen ,away from the incision,if needed. But heparin can only be given in the abdomen. Was it low dose to prevent blood clots? That is always given in the "love handles" not in middle of abdomen.
Regular heparin is generally given by IV drip but not sure about why giving to a fresh abdominal surgery. Hope I am being clear. But as always follow hospital policy, look it up.
Top

1 Reader Gave Kudos
 
No. 3
Old Aug 30, 2008, 12:56 PM

Default Re: Administering heparin and insulin SQ
Originally Posted by Sunflowerinsc View Post
Insulin can be injected in either arm(Picc line would not interfere ,there generally lots of sq tissue in the back of arm). Insulin can be given in thighs ,abdomen ,away from the incision,if needed. But heparin can only be given in the abdomen. Was it low dose to prevent blood clots? That is always given in the "love handles" not in middle of abdomen.
Regular heparin is generally given by IV drip but not sure about why giving to a fresh abdominal surgery. Hope I am being clear. But as always follow hospital policy, look it up.
I'm sorry, he was scheduled for Lovenox (LMWH) and regular insulin and the same time of day. I thought that I wouldn't be able to use the PICC line arm because there was a sign on the patient's door no needle sticks in left arm.
Top
 
No. 4
from jamato8
Old Aug 30, 2008, 02:13 PM

Default Re: Administering heparin and insulin SQ
Originally Posted by melvinsgirl View Post
I'm sorry, he was scheduled for Lovenox (LMWH) and regular insulin and the same time of day. I thought that I wouldn't be able to use the PICC line arm because there was a sign on the patient's door no needle sticks in left arm.
Normally you do not want to use the arm with the PICC line and this is a policy at anywhere I have worked. Hep can be given in the stomach area, just note where you give it. Since it was Lovenox there shouldn't be much concern. It can sting a little and I once had a guy get out of bed and start crying. His wife was disgusted and left after saying he always put on a show like that. Maybe he really was ultra sensitive. Anyway, I stay away from PICC lines as I have seen enough that are infected for one reason or another.
Top
 
No. 5
Old Aug 30, 2008, 06:51 PM

Default Re: Administering heparin and insulin SQ
I tend to give insulin in the arms, as it's a place most patients won't reach/use at home....heparin/lovenox is always given in the stomach...you could have used the thighs as well...plenty of places without giving it in the PICC arm.
Top
 
Reply




Thread Tools


Who's Online
150 members
1,384 guests
1,534

42

lawsuit - But don't most RN's work through breaks/lunch...

0

Patient Evaluation of Retail Clinic Care

7

The hard to reach on-call doctor, and its effects on...

9

Woman charged with passing off prescription drug as...

22

Man in "Vegetative State" was conscious for 23...

2

Interesting article on ThedaCare's Collaborative Care Model

13

Possible breakthrough regarding MS

63

16th Philly area hospital to stop delivering babies: Mercy...

14

Really interesting article on Indian open hearts

12

High-Tech Pump Does What Her Heart Can't



43

Dear preceptor

1

Society Needs Care Too

13

Why am I doing this, anyway?

2

Nurse Heal Thyself

10

My Papa, why I am the nurse I am today.

17

I made it through

11

An angel's gaze

16

A Sister Never Forgets

16

Ruby's Marbles

42

What Do Operating Room Nurses Do?

14

My Little Old Jedi

21

I love this job......

23

"I hear voices"

20

Preventing FRUTI (Foley Related Urinary Tract Infection) in...

24

Error and Attitude





Currently Reading This Page: 1 (0 members & 1 guests)

Interested in the hottest topics of the week? Subscribe to the Nurse-zine Newsletter.
Enter email address: