DM lab Flashcards
list out the appropriate sites for S/C injections
1) abdomen
2) upper third anterior lateral aspect of both thighs
3) Posterior lateral aspect of both upper buttocks and flanks
4) middle third posterior aspect of the upper arm
How to prepare insulin suspension?
Roll the cloudy insulin gently for 10 times, invert 10 times until solution becomes milky white. DO NOT SHAKE.
what is the range for deltoid injection?
0.5mls to 2mls.
What is the range for ventrogluteal Injection?
1-5mls. typical 2.5mls -5 mls.
range for vastus lateralis injection
5ml, 1-5mls.
what is the filter for for IM injection for ?
5 micron filter stops 98% of particulates.
where is the preferred site to inject heparin?
lower abdominal fat pad just below the umbilicus
can u mix insulin?
only those from the same source such as humulin R and humulin N can be mixed as both of them are from human source.
why is the z track recommended
to prevent leakage into the subcutaneous tissue, and decreases the chance of local irritation.
how often should patients check on their HbA1c?
every 3-4 months for unstable glycaemic control, 6 monthly for stable ones.
what should you monitor for if you have a patient with uncontrolled T2DM
1) Dawn phenomenon- normal blood glucose levels until 3am, then spike up.
2) Insulin waning- progressive increase in glucose levels from bedtime to morning
3) Somogyi effect:
nocturnal hypoglycaemia then rebound hyperglycaemia.
