The referenced video excerpt describes a step in the insulin injection process, specifically what to do if bleeding occurs after the injection. A complete guide to using injectable insulin involves many steps. Consult your doctor or diabetes educator for complete and personalized instructions. This information is for informational purposes only and does not substitute professional medical advice.
Here's a general overview of how to use injectable insulin, typically involving a vial (bottle) and syringe:
General Steps for Insulin Injection (Vial and Syringe)
- Gather Supplies: You will need your insulin vial, a syringe (correct size), alcohol swabs, and a sharps container for disposal.
- Wash Your Hands: Thoroughly wash your hands with soap and water.
- Prepare the Insulin:
- If using cloudy insulin (like NPH), gently roll the vial between your hands to mix it. Do not shake it, as this can create bubbles.
- Wipe the rubber stopper of the insulin vial with an alcohol swab.
- Draw Air into the Syringe: Pull back the plunger of the syringe to draw air into the syringe equal to the insulin dose you need. This step helps equalize the pressure in the vial.
- Inject Air into the Vial: Insert the needle of the syringe straight down through the rubber stopper of the insulin vial. Inject the air into the vial.
- Withdraw the Insulin: With the needle still in the vial, turn the vial upside down. Make sure the tip of the needle is below the insulin level. Slowly pull back the plunger to withdraw the correct dose of insulin.
- Check for Air Bubbles: Check the syringe for air bubbles. If you see any, gently tap the syringe with the needle pointing upward to make the bubbles rise to the top. Push the plunger gently to expel the air bubbles, and then redraw insulin to the correct dose if necessary.
- Choose an Injection Site: Common injection sites include the abdomen, thigh, upper arm, and buttocks. Rotate injection sites to prevent lipohypertrophy (lumps or thickening under the skin).
- Clean the Injection Site: Clean the chosen injection site with an alcohol swab and let it air dry.
- Pinch the Skin (Optional): Pinch up a fold of skin. This is particularly important if you are thin or using a longer needle.
- Inject the Insulin: Insert the needle into the skin at a 45- or 90-degree angle, depending on the needle length and your body size (your healthcare provider will advise you on the best angle).
- Release the Skin and Inject the Insulin: Release the pinched skin (if applicable) and slowly push the plunger all the way down to inject the insulin.
- Wait Before Removing the Needle: Leave the needle in place for a few seconds (typically 5-10 seconds) to ensure all the insulin is injected.
- Withdraw the Needle: Gently withdraw the needle.
- Apply Pressure (If Needed): If you notice bleeding, apply pressure with a clean alcohol swab or cotton ball. Cover the injection site with a bandage if necessary.
- Dispose of the Syringe Properly: Immediately dispose of the used syringe in a sharps container. Do not reuse syringes.
Important Considerations:
- Types of Insulin: Different types of insulin (rapid-acting, short-acting, intermediate-acting, long-acting) have different onset and duration times. Use the correct insulin as prescribed by your doctor.
- Dosage: Always use the correct insulin dosage as prescribed by your doctor.
- Injection Technique: Proper injection technique is essential to ensure that the insulin is absorbed properly. Your healthcare provider can demonstrate the correct technique.
- Storage: Store insulin properly according to the manufacturer's instructions. Typically, unopened insulin vials should be stored in the refrigerator. Opened vials can be stored at room temperature for a certain period (usually 28-31 days), as indicated on the vial label.
- Rotation of Injection Sites: Rotate your injection sites to prevent lipohypertrophy. Keep a record of where you injected.
- Hypoglycemia: Be aware of the signs and symptoms of hypoglycemia (low blood sugar), such as shakiness, sweating, dizziness, and confusion. Always carry a source of fast-acting glucose with you, such as glucose tablets or juice.
- Hyperglycemia: Be aware of the signs and symptoms of hyperglycemia (high blood sugar), such as increased thirst, frequent urination, and blurred vision. Check your blood sugar regularly and adjust your insulin dose as needed, under the guidance of your healthcare provider.
Disclaimer: This is a general guide only. Always follow your doctor's instructions and consult with your healthcare team for personalized advice on how to use injectable insulin safely and effectively.
