When preparing one syringe containing regular insulin and NPH insulin, which technique is correct?

Correct answer: B. Draw clear insulin before cloudy insulin

  • A. Draw cloudy insulin before clear insulin
  • B. Draw clear insulin before cloudy insulin
  • C. Shake both insulin vials vigorously first
  • D. Mix glargine with NPH in the same syringe

Explanation

Regular insulin is clear and NPH insulin is cloudy, so clear insulin is drawn up before cloudy insulin. This prevents NPH from contaminating the regular insulin vial; insulin glargine should not be mixed with other insulins.

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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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