​Nurses from the department of Specialty Nursing in ~ Singapore basic Hospital (SGH) share the right means of mixing short-acting (clear) and intermediate-acting (cloudy) insulin because that injection.
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How to mix short-acting (clear) insulin and intermediate-acting (cloudy) insulin

Step 1: Roll and also clean

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Wash and dry her hands. Role the cloudy (intermediate-acting) party of insulin between your palms 10 times gently. Perform not shiver vigorously. Clean the height of vial with an alcohol swab.

You are watching: Which insulin do you draw first

Step 2: add air to cloudy (intermediate-acting) insulin

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Draw the required amount of wait (equal to the dosage the cloudy insulin) into the insulin syringe. Inject air into the cloudy insulin vial. Do not attract out any insulin, and also remove the syringe and needle.

Step 3: add air to clean (short-acting) insulin

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Using the same syringe and needle, attract the forced amount of wait (equal come the dosage because that clear insulin) into the insulin syringe. Inject air right into the clean insulin vial.

Step 4: withdraw clear (short-acting) insulin first, then cloudy (intermediate-acting) insulin

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With the insulin syringe and also needle attached, turn the clear insulin party upside down, with the needle bevel within the insulin, withdraw the forced amount of clean insulin right into the syringe.

Then carry out the very same with the cloudy insulin. Constantly withdraw clear insulin an initial before withdrawing cloudy insulin. For sure the total dose that clear and cloudy insulin is correct. If overdrawn, discard and repeat.

"Not all species of insulin are an ideal to be mixed. If in doubt, please check with her pharmacist or diabetes nurse educator," say registered nurses from the room of Specialty parenting at Singapore basic Hospital (SGH), a member the the SingHealth group.

Key reminders

Look the end for the expiry date top top the party Write down the date and time of opening on the bottle Discard vial 4 weeks from day of openingRefer come manufacturer’s / pharmacist"s reference Do not use the insulin if it is discoloured, has actually lumps or flakes, is frozen or heated

See previous page to learn exactly how to draw up insulin right into a syringe.

See following page to uncover out how to administer insulin v a syringe.

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