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Showing posts with the label Rotating injection site

Insulin Injections

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Introduction Each insulin injection device has its own advantages and drawbacks. Insulin Syringes To be used with insulin vials. Reusable insulin pens Not all insulin cartridges can be used in all insulin pens, but they are brand specific. e.g. NovoPen, INSUPen. Pre-filled insulin pens Disposable once finished, but more costly. Insulin Syringes Insulin syringes are available by prescription in 3 sizes: 0.3 ml, 0.5 ml and 1 ml. Choose a syringe based on the dose (units) of insulin you require. A 6 mm and 8 mm needle is recommended over a 12.7 mm needle due to a higher risk of intramuscular injection. NovoPen 3, NovoPen 4, NovoPen 5 and NovoPen 6 Although NovoPen 4 has been phased out and replaced by NovoPen 5 in the UK, NovoPen 4 is still marketed in Malaysia. NovoPen 5 offers an additional feature of a digital display that shows the dose memory. Time elapsed: Each segment represents an hour since the last injection. Last dose volume: Records the last insulin dose in units. On ...

From Facts to Practice

Introduction While I have always envisioned writing a book for junior pharmacists to help them navigate their new careers, I hesitated because I needed a unique angle. I wanted to provide extra value beyond what already exists in standard pharmacy textbooks. Recently, I was validating the medication counseling skills of fresh provisional registered pharmacists (PRPs) on insulin injection techniques , using the checklists from the Garis Panduan Kaunseling Ubat-ubatan 2025 . While the information in the guide is factually complete, it lacks clinical insight - the "why" behind the facts. Because these insights are missing, most PRPs resort to memorizing factual information instead of truly making sense of it. Beyond Memorization Consider administration times. Guidelines state that we should inject short-acting regular human insulin 30 minutes before meals, whereas rapid-acting insulin analogues can be injected 0-15 minutes before, or immediately after, meals. If we only memorize...