Which principle(s) is/are correct for mixing insulin? (Select all ...

[bucstennis@aim.com]

Which principle(s) is/are correct for mixing insulin? (Select all that apply.)
 
  a. Insulin orders and calculations must be checked with another nurse.
  b. Air is injected into the vial of the shorter-acting insulin first.
  c. The longer-acting insulin is drawn up first.
  d. The nurse must verify the compatibility of the insulin types.
  e. Withdraw the shorter-acting insulin first.

Question 2

The mother of a 6-year-old child informs the school nurse that the child is allergic to insect stings and requires an EpiPen. If the child is stung by an insect while in school, the nurse must
 
  a. hold the EpiPen perpendicularly against the thigh and activate.
  b. provide additional care in the nurse's office prior to sending the child back to class.
  c. call the physician prior to administration.
  d. provide a second dose within 2 minutes following initial dose.

[kaillie]

Answer to Question 1

ANS: A, D, E
Two nurses should verify orders and prepared insulin amounts to prevent inaccuracy in administration. When two medications are mixed in the same syringe, compatibility must be determined. The shorter-acting insulin is withdrawn first and air is injected into the longer-acting insulin first.

Answer to Question 2

ANS: A
When held perpendicularly against the thigh and activated, the needle of the EpiPen penetrates the skin and a single dose of epinephrine is injected into the muscle. Once the epinephrine is administered, the person should go to a hospital emergency department because additional treatment may be necessary. The physician does not have to be notified prior to administration. A second dose should not be provided at this time.

[bucstennis@aim.com]

TYSM

[tranoy]

Thanks for the timely response, appreciate it