Before taking any / single dose insulin, all required supplies must be gathered. This include, insulin syringe bottle of insulin and alcohol wipe or a cotton ball dipped in alcohol.
Ideally this supplies should be kept together in a bag or kit. This insulin bottle label and content should be checked. When any insulin vial is opened for the first time the date of opening should be written on bottle as they have an expiry date and should be washed with soap and water and dried before performing the following steps.
Steps to be followed for Single Dose Insulin
- Wipe the rubber lid of the insulin bottle with an alcohol wipe or a cotton ball dipped in alcohol (If the insulin bottle is opened for the first time, the protective cover over the rubber lid must be removed) Let the alcohol dry.
- Role the bottle gently between hands to warm the insulin, role a bottle of cloudy insulin between hands until the white powder has dissolved and solution is mixed.
- Remove the plastic cap form the needle on insulin syringe. The needle should not be touched. Pull the plunger of the syringe back, and draw air into the syringe equal to the number of unit insulin to be given.
- Insert the needle of the syringe into the rubber lid of the insulin bottle. Push plunger of syringe to force the air into the bottle. This equalized the pressure in the bottle when the dose of insulin is removed. Leave the needle in the bottle.
- Turn the bottle and syringe upside down, position the tip of the needle so that it is below the surface of insulin in the bottle. Pull back the plunger to feel the syringe with lightly more than the correct number of unit of insulin to be given.
- Tap the outside (barrel) of the syringe so that trapped air bubbles move into the needle area. Push the air bubbles back into the bottle. Check that the correct amount to insulin has been withdrawn in the syringe. Remove the needle from the bottle.
- If alcohol is used to clean the skin before that shot, let it dry. Relax the muscles in the area so the shot is less painful.
- Slightly inch a fold of skin between fingers and thumb of one hand. Hold the syringe like a pencil close to the site, keeping the fingers off the plunger. Usually the syringe is at a 90 degree angel to the shot site. Bend the wrist and quickly push the needle all the way into the inched-up area. Push the plunger of the syringe all the way in so the insulin would be gone into the fats.
- Take the needle out at the same angle that you inserted it. If there is slight bleeding, pressure to be applied over the shot area with your fingers, a cotton swab or with a gauze piece. Do not rub the area. Replace the cover over the needle.