A nurse is preparing to administer cloudy NPH insulin from a vial. Which action is correct?

Correct answer: B. Roll the vial gently between the palms before drawing the dose

  • A. Shake the vial vigorously before drawing the dose
  • B. Roll the vial gently between the palms before drawing the dose
  • C. Warm the vial in hot water for several minutes
  • D. Draw the dose immediately after removing the vial from the refrigerator

Explanation

NPH insulin is a suspension, so it should be gently rolled to mix the insulin evenly without creating bubbles. Vigorous shaking can damage the suspension and make the dose less accurate; refrigerated insulin may also be allowed to reach room temperature before injection.

Submitted by a TestUstad contributor and published by the TestUstad editorial teamLast updated
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About Endocrine and Diabetes Nursing

Covers diabetes mellitus, insulin therapy, hypoglycaemia, diabetic ketoacidosis, hyperosmolar states and common thyroid, adrenal and pituitary disorders. It includes blood glucose monitoring, diet, foot care, sick-day management and the clinical differences between type 1 and type 2 diabetes and between diabetic ketoacidosis and hyperosmolar hyperglycaemic state.

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