#20

#20 Discuss safety implications for insulin and heparin
Insulin- obtain FSBS to assess amount needed. Mix by rolling the vials not shaking, shaking can cause particules to foam up. Never drawl an insulin with a modify protein (cloudy insulin NPH or Lente) before the clear (regular insulin). The protein slows absorption, so inject air for the amount you will need into cloudy without touching the insulin inside the vial, and then inject and drawl out the amount of regular insulin you need. Next drawl up the cloudy, but be careful not to over drawl because you cannot put excess back, and be careful not to drawl up air bubbles. Inject at a 45 degree angle, and rotate injection sites to prevent skin break down.
Heparin- Do not aspirate when giving heparin by SC injection. Aspiration can possibly damage the surrounding tissue and cause bleeding as well as bruising. Do not massage the site after the injection. Massaging could cause bleeding and ecchymosis and hasten drug absorption. Alternate the sites of subsequent injections.