Page 127 - BUKU JILID 2 ENGLISH FOR PROFESSIONAL NURSE FIX

daily dose of basal insulin. As a first step, prandial Before drawing up insulin, it is important to know
insulin may be started as a single injection before the dose and type of insulin needed; if you use more
the largest meal of the day, but your health care than one type of insulin, you will need to calculate

provider might suggest another approach. The dose the total dose needed (your health care provider will
of short-acting or rapid-acting insulin is adjusted show you how to do this). Some people, including
immediately prior to a meal; the dose needed children and those with vision problems, may need
depends on many different factors, including your assistance. Magnification and other assistive
current and goal blood sugar level, the carbohydrate devices are available. If you have difficulty drawing
content of the meal, and your activity level. up your insulin, let your health care provider know,
as there are ways to help with this.
Insulin cannot be taken in pill form. It is usually
injected into the layer of fat under the skin (called One type of insulin, called U-500 insulin, requires a
"subcutaneous" injection) with a device called a special U-500 syringe; this syringe makes it easier to
"pen injector" or a needle and syringe. Insulin pen measure the right dose. If you use this type of
injectors may be more convenient to carry and use, insulin, your health care provider can show you
particularly when you are away from home. Most how to use the U-500 syringe. It's very important to
are approximately the size of a large writing pen use this specially marked syringe only for U-500

and contain a cartridge insulin. Using a U-500
that contains the insulin, syringe with other
a dial to set the dose, and insulins can cause a
a button to deliver the dangerous insulin
injection. A new needle overdose. Because it can

must be attached to the be confusing to figure out
pen prior to each how to accurately
injection. The needles are measure the correct dose,
sold separately from the U-500 insulin is now
pens. Insulin pen primarily prescribed in an
cartridges should never be shared, even if the needle insulin pen device. Insulin is usually injected under
is changed. The injection technique is similar to the skin, so it is important to use the correct

using a needle and syringe. injection angle since injecting too deeply could
deliver insulin to the muscle, where it is absorbed
Some people use a needle and syringe (rather than
too quickly. On the other hand, injections that are
a pen injector) to give themselves insulin. This
too shallow are more painful and not absorbed well.
involves drawing up insulin from a bottle using the
The best angle for insulin injection depends on your
syringe, then injecting it with the needle. There are
body type, injection site, and length of the needle
many different types of syringes and needles, so it's
used. Your health care provider can help you figure
best to get specific instructions for drawing up
out what length needle to use and the angle at which
insulin from a health care provider
to inject your insulin.

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