INSULIN PREPARATION

AT THE TIME OF ONE

INSULIN INJECTION
1. Wash hands
thoroughly.
2. Put the insulin
bottle on between
the palms of your
hand and roll it
slowly so that the
insulin is mixed with
each other. However,
never shake the
insulin bottle.
3. Wipe the rubber
part of the insulin
bottle with alcohol
cotton.
4. Pull the syringe
plunger up to the
required scale (the
amount of insulin to
pull out) to allow air
into the syringe.
5. Insert the needle
into the rubber
stopper of the bottle
with the insulin
bottle as shown and
push the plunger.
Then the air in the
syringe enters the
insulin bottle, so it is
easy to remove
insulin.
6. Hold the insulin
bottle and syringe
upside down and
slowly pull the
plunger. If there is
no air in the syringe,
push the end of the
plunger to the dose
scale.
7. If there is air in the
syringe, use your fingers
to gently tap the syringe
with air. As the air rises
to the tip of the syringe,
the plunger tip is pushed
to the dose scale.
Although injecting with
bubbles is not
dangerous, but it is
important to remove air
to administer the correct
amount of insulin.
Then remove the
syringe from the
insulin bottle, cap it
and place it on a flat
surface until it is
injected.
 INSULIN PREPARATION WHEN USING RAPID-
ACTING AND LONG-ACTING INSULIN TOGETHER

When 20 units of long-acting

insulin and 10 units of rapid-acting
insulin are used, the sequence of
inserting two kinds of insulin into
one syringe is important in this
case.
1. Wash hands
thoroughly.
2. Place a long-
acting insulin bottle
between the palms
of your hand and
slowly roll the
insulin so that the
insulin is mixed well.
3. Wipe the rubber
stopper part of the
insulin bottle with
alcohol cotton.
4. Pull the syringe
plunger by 20 units
to allow 20 units of
air into the syringe.
5. Insert the syringe
into the rubber stopper
of the middle insulin
bottle, push the plunger
to put air in and then
withdraw the syringe. At
this time, the middle
insulin bottle should be
used upright (to keep
the syringe needle from
getting long-acting
insulin).
6. Immediately after
filling the syringe with
air, fill the syringe
plunger with as little
as 10 units of insulin
required, then insert
the needle into the
rubber stopper of the
rapid-acting insulin
bottle and push the
plunger into the air.
After inserting air into the
rapid-acting insulin bottle,
do not remove the
syringe, hold the insulin
bottle and syringe upside
down, pull the plunger
slowly down to get the
insulin by 10 units. If
there is air in the syringe,
flick the air with the
finger and push the
plunger to remove the air
when the air rushes up to
the end of the syringe.
8. After removing the
rapid-acting insulin,
reverse the long-acting
insulin bottle as shown
in the picture. Insert
the needle of the
syringe containing the
short-acting insulin
into the rubber stopper.
Pull the plunger to pull
out the long-acting
insulin of 20 units.
If air is in the
syringe during the
long-acting insulin
withdrawn, discard
the syringe and start
with a new syringe
(because the ratio of
rapid-acting insulin
and long-acting
insulin becomes
wrong).