You are too Sweet
The nurse should do this before administering insulin
What is know/verify blood glucose or trends?
Areas insulin is administered
What is "fatty" areas of arms, abdomen, back or thighs?
Second nurse (TPCN or Inst) needs to verify amount at this time
When is before administration of any insulin?
Location to administer Enoxaparin
What is the love handle region of the abdomen, (minimum of 2inches from umbilicus)?
The nurse should select this type of site for allergy and TB testing
What is a site that is free of tattoos, blemishes, hair, scarring bruises, etc?
How insulin is administered
What is in units (never ml)?
What is alternate injection sites by at least 1", avoid areas of bruising and lipodystrophy, avoid linea alba and umbilicus by at least 2" away and do NOT aspirate rub or massage any subcutaneous injection?
This type of insulin usually reaches the bloodstream within 30 minutes after injection, peaks from 2-3 hours after injection and is effective for approx. 3-6 hours
What is regular or short acting insulin?
Enoxaparin sites should be ___________
What is rotated (avoid any bruised sites)?
The nurse should cleanse the area with this before the injection
What is alcohol (allow to dry)?
Insulins should be administered within ______ of preparation
What is minutes?
Insulin comes in this type of vial
What is a multi-dose vial?
This type of insulin generally reaches the bloodstream about 2-4 hours after injection, peaks 4-12 hours later and is effective for 12 to 18 hours
What is Intermediate acting insulin?
This angle is recommended for enoxaparin injection
What is a 90º angle unless underweight (then 45º angle)?
The nurse should do this to provide easy entrance for the needle
What is stretch the skin taut between non-dominant gloved thumb and forefinger (middle 1/3 of site)?
Should do this to mix insulin
What is rotate gently to mix evenly (Do NOT shake)?
The nurse should draw insulin dose based on one of these two things
What is verified blood sugar or standing order?
This type of insulin reaches the bloodstream several hours after injection and tends to lower glucose levels for 24 hours or longer
What is long acting insulin?
The nurse should not do these things when administering enoxaparin
What is aspirate, expel the nitrogen bubble, or rub or massage after the injection?
Inject at _________degree angle with bevel up until bevel barely disappears under skin
What is 15 degree (almost parallel)?
How the nurse knows their patient
What is by assessments, teaching, interventions, eMAR, and standing orders?
Once insulin has been drawn in syringe the nurse should do this
What is attach insulin label to syringe and leave insulin vial in pyxis
This type of insulin begins to work about 15 minutes after injection, peaks in about 1 or 2 hours after injection and lasts between 2 to 4 hours
What is rapid acting insulin?
The nurse should do this once the needle has been withdrawn from the patient
What is engage the safety device away from self and patient and place in Sharps box (safety device is different)?
The nurse should ensure a _________ to ensure that medication has been correctly placed
What is a bleb (do not aspirate, rub or massage)?