Which principle(s) is/are correct for mixing insulin? (Select all that apply.)
a. Insulin orders and calculations must be checked with another nurse.
b. Air is injected into the vial of the shorter-acting insulin first.
c. The longer-acting insulin is drawn up first.
d. The nurse must verify the compatibility of the insulin types.
e. Withdraw the shorter-acting insulin first.
ANS: A, D, E
Two nurses should verify orders and prepared insulin amounts to prevent inaccuracy in administration. When two medications are mixed in the same syringe, compatibility must be determined. The shorter-acting insulin is withdrawn first and air is injected into the longer-acting insulin first.
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