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The steps for mixed doses must be followed in the correct order. Specifically, air must be injected into the vial of the slower-acting insulin first and the faster-acting insulin must be drawn into the syringe first.
The main points to consider when prescribing insulin are: Avoid using terms IU, U or units and just write a number on hospital drug charts. Prescribe the correct insulin. Prescribe the correct dose or range of doses; check and double check with the patient. Prescribe the correct device and strength.
Insulin Syringe Preparation: How to Mix Short- and Intermediate-Acting Insulin Step 1: Roll and clean. ​ Step 2: Add air to cloudy (intermediate-acting) insulin. ​ Step 3: Add air to clear (short-acting) insulin. ​ Step 4: Withdraw clear (short-acting) insulin first, then cloudy (intermediate-acting) insulin.
The American Diabetes Association (ADA) recommends initiation of basal insulin at 10 units/day or 0.10.2 units/kg/day, adjusted by 1015% or 24 units once or twice weekly to docHub a target fasting plasma glucose (FPG) in patients whose A1C remains uncontrolled after 3 months of triple combination therapy, whose A1C
If clear and cloudy insulin are used, inject air into the cloudy insulin first, followed by the clear insulin.
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How do I Give an Insulin Injection? Pick the injection site. Clean the area with alcohol or soap and water. If you use alcohol, allow the skin to dry to prevent stinging. Insert the needle straight into the skin. Count slowly to 10. Remove the needle from the skin. Check the site to see if insulin leaks out.
Injecting air into NPH insulin first, then regular insulin second, allows one to immediately withdraw from the regular insulin vial. Regular insulin must always be drawn prior to withdrawing the NPH insulin.
When you mix regular insulin with another type of insulin, always draw the regular insulin into the syringe first. When you mix two types of insulins other than regular insulin, it does not matter in what order you draw them into the syringe.

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