Insulin Question

[nurse~ashley]

i know this sounds stupid BUT i have to know...long acting insulin is NPH??

and whats the order when drawing up regular insulin vs long acting?

thanks in advance

[Beary-nice]

i know this sounds stupid BUT i have to know...long acting insulin is NPH??

and whats the order when drawing up regular insulin vs long acting?

thanks in advance

Clear to cloudy if there's a doubt-tee...someone told me that once...

Is that what you want to know? I guess I didn't understand exactly what you are asking? No question is stupid BTW.

NPH is a long-acting insulin...one of them anyway.

[leslie :-D]

Clear to cloudy if there's a doubt-tee...someone told me that once...

i was taught, "RN"...regular, nph.

same as clear, cloudy. :)

leslie

[nurse~ashley]

thank you!!

[Beary-nice]

i was taught, "RN"...regular, nph.

same as clear, cloudy. :)

leslie

That's a good one Leslie...makes more sense.

[RNKay31]

clear before cloudy, keep this in mind.

[nursingismydream]

I always remember..."clear to cloudy skies".

[nursecpa]

i was taught, "RN"...regular, nph.

same as clear, cloudy. :)

leslie

You got me confused there. NPH is intermediate acting insulin- thats according to the book im reading now. u think my book is wrong?

[mayflower2000, RN]

You got me confused there. NPH is intermediate acting insulin- thats according to the book im reading now. u think my book is wrong?

yes, NPH is intermediate acting insulin. you are right.

[Spidey's mom, ADN, BSN, RN]

[color=#006699]how to draw up two types of insulin in the same syringe

combining two types of insulin in the same syringe is easier than it first appears.

you just need to know the order and then follow the steps below!

difficulty: average

time required: 5 minutes

what you will need:

long-lasting insulin

short-acting insulin

alcohol prep pads

insulin syringe

here's how to do it:

ensure patient's blood sugar is appropriate to the insulin dose to be administered.

check the label of insulin vials, confirm dose of both types; check expiration dates.

wash hands.

mix longer-lasting insulin by rolling vial between hands or gently inverting 20 times. do not shake.

shaking introduces air into the solution, and air bubbles make it difficult to draw up an accurate dose.

swab top of both vials with alcohol prep pad; let dry.

remove cap from syringe and draw up air equivalent to the amount of long-lasting insulin to be

administered.

inject air into long-lasting insulin vial but do not withdraw any insulin yet.

remove needle from vial. draw up air equivalent to the amount of short-acting insulin to be administered.

inject air into short-acting vial. leave the needle in the vial.

turn the bottle upside down making sure the needle is covered with insulin

draw up the short-acting dose. remove any air bubbles by tapping syringe and injecting air back into vial,

making sure the syringe is refilled with the correct amount of insulin before withdrawing needle.

carefully insert needle into long-lasting insulin vial. making sure the needle is covered with insulin

slowly withdraw insulin until the black tip lines up with the total amount of insulin ordered.

remove needle and recap per facility protocol.

[color=#cc3300]to recall the order in which to insert air

[color=#cc3300]and withdraw insulin

[color=#cc3300]remember: "cloudy-clear-clear-cloudy"

[suzanne4, RN]

Lantus would be long-acting.

NPH is only intermediate, or longer acting, but it is not long-acting. It does not last as long as the insulins that were designed to be taken just one time per day.