In mixing regular and NPH insulin, the nurse completes the following actions. Place these actions in the correct order. (Separate letters by a comma and space as follows: a, b, c, d.)
a. Inspect bottles for expiration dates.
b. Gently roll bottle of NPH in hands.
c. Wash your hands.
d. Inject air into the regular insulin.
e. Withdraw the NPH insulin.
f. Withdraw the regular insulin.
g. Inject air into the NPH bottle.
h. Clean rubber stoppers with an alcohol swab.
c, a, b, h, g, d, f, e
After washing hands, it is important to inspect bottles and then to roll NPH to mix the insulin. It is important to inject air into the NPH bottle before placing the needle in a regular insulin bottle to avoid mixing of regular and NPH insulin. The shorter-acting insulin is always drawn up first.
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