Friday, January 27, 2023

This is how the clockwise technique works to rotate the insulin injection areas

Experts explain the factors needed to achieve proper administration of insulin.

Endocrinologist at the University Hospital for Adults on the Medical Sciences Campus, Dr. Villanelia Medina. Photo: Medicine and Public Health Magazine.

patient with diabetes type 1 and some diabetes Type 2 Depending on their clinical presentation, they may need to be given insulin regularly to control the level of glucose in the bloodstream.

However, self-administering insulin requires recognition of the types of insulin present and their presentations, as well as the equipment currently available to administer it.

In this sense, an important aspect that patients need to know is the clockwise method for changing insulin injection sites. In this regard, an endocrinologist at the Hospital Universitario de Adultos del Recinto de Ciencias Medicas, Dr. Villanelia Medina offered a series of recommendations on the subject in an exclusive interview for Medicine Y. Health public.

Designated area to inject insulin: Hand technique

“The most common is the abdominal area, which would be two inches from the belly button, the front of the thighs, the back of the arms and also the upper part of the buttocks. Once we designate these areas, the important thing is to go clockwise for each injection. using the method rotates the injection site”.

But why is it important to rotate insulin injection sites? Medical sources report that malformation of these spots can lead to the formation of a type of callus in the subcutaneous tissue or lipodystrophy, a prominence of subcutaneous fat or soft nodules that often occurs as a local complication in these patients. can be seen.

The clockwise technique refers to selecting the application area and dividing it into four quadrants, using one per week and rotating them according to the hands, in order to avoid the complications described earlier.

It is also recommended to change sides within the same injection area. An alternative would be that, for example, if the evening dose is administered to the thighs, the patient could inject into the right thigh one night and the left thigh the next night.

How to prepare insulin injection?

Dr. Medina explained step-by-step how to prepare an insulin injection.

“If we opt for the syringe method and the insulin vial, the first thing is to always wash our hands with soap and water. Once we are going to use it, the first thing to do is to Rub the vial between your hands for 1 to 1 minute. 10 seconds to warm that up,” he said.

After this preparation, endocrinologists recommend cleaning the mouth of the insulin vial with an alcohol pad, then charging the syringe with air to the number of units used; The syringe is inserted into the insulin vial, the air is released and the desired amount of insulin is loaded.

“When we talk about insulin pens, the way to use them is to first take the needle apart; then we proceed to do a test. In the test we load two units of insulin by turning the dosing knob. going to do, then we remove the protector and we press the dose button until the window tells us level 0 and then we load it with the desired number of units,” he explained.

Once the patients are ready to give a dose of insulin, the process continues with the preparation of the skin in the previously defined injection area.

“Once we have the area we’re going to use and the insulin is ready, we proceed to clean the injection area with an alcohol pad. Once it’s completely dry, we Let’s make a fold with our fingers, just a fold of the skin and then we proceed to inject the insulin,” suggested Dr. Medina.

“It is recommended to inject between 45 and 90 degrees into the skin. Once we insert the needle, we will depress the administration plunger and count ten seconds. Once we apply it, we fold and do the same withdraw the needle in the direction it entered.” He insisted …

Insulin Supplemental Care

To dispose of sharps waste in case vials and syringes are used by the patient, it is important to dispose of them in a thick plastic vial or red colored packaging for this type of material.

On the other hand, when talking about an insulin pen, the endocrinologist indicates that only the needle is being discarded, which comes down to opening its protective cap.

With regard to refrigeration, “opened insulin can be stored at room temperature, below 30°C or 86°F. The insulin pen is covered with its protector and without the needle,” Dr. Medina said.

Regardless of whether a patient uses insulin syringes, disposable and non-disposable insulin pens, or insulin pumps as a method of administration, the care for correct administration is largely the same.

View the full program here.

Nation World News Desk
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