The nurse is drawing up a teaching plan for a patient who has type 1 diabetes. The doctor has ordered two types of insulin, 10 U of regular insulin and 35 U of NPH insulin. The proper procedure is to:
1. draw up the insulins in two separate syringes so that there can be no confusion.
2. draw up the regular insulin before drawing up the NPH insulin.
3. inject air into the NPH insulin, draw it up to 35 U, then inject air into the clear regular insulin and withdraw to 45 U.
4. inject 35 U air into the NPH insulin, inject 10 U air into the regular insulin, with-draw 10 U of the regular insulin, and withdraw 35 U of the NPH insulin.
4
When drawing up two insulins, the vials are injected with air and the regular insulin is drawn first. This slow and time-consuming activity has been greatly reduced with the advent of premixed insulins.
PTS: 1 DIF: Cognitive Level: Application REF: 1014
OBJ: 5 TOP: Insulin Administration
KEY: Nursing Process Step: Implementation
MSC: NCLEX: Physiological Integrity
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