How should regular insulin be combined with NPH insulin in the same syringe?

They cannot be combined in the same syringe
Add NPH to the syringe first, then add regular insulin
Add regular insulin to the syringe first, then add NPH
They can be combined either way, according to the wishes of the nurse who will administer the injection


Add regular insulin to the syringe first, then add NPH

Rationale: In certain situations, different insulins may be mixed in the same syringe, such as regular insulin being mixed with NPH. Regular insulin should always be drawn up first if mixing with NPH, in order to avoid the inadvertent contamination of regular insulin with NPH insulin.

Health Professions

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