A nurse prepares to administer insulin to a client at 1800. The client's medication administration record contains the following information:
- Insulin glargine: 12 units daily at 1800
- Regular insulin: 6 units QID at 0600, 1200, 1800, 2400
Based on the client's medication administration record, which action should the nurse take?
a.
Draw up and inject the insulin glargine first, and then draw up and inject the regular insulin.
b.
Draw up and inject the insulin glargine first, wait 20 minutes, and then draw up and inject the regular insulin.
c.
First draw up the dose of regular insulin, then draw up the dose of insulin glargine in the same syringe, mix, and inject the two insulins together.
d.
First draw up the dose of insulin glargine, then draw up the dose of regular insulin in the same syringe, mix, and inject the two insulins together.
ANS: A
Insulin glargine must not be diluted or mixed with any other insulin or solution. Mixing results in an unpredictable alteration in the onset of action and time to peak action. The correct instruction is to draw up and inject first the glargine and then the regular insulin right afterward.
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