胰岛素的保存及注射方法.pptVIP

* * If this will be the patients first time to give an injection-have them inject themselves with some sterile saline before you teach them all the intricacies of how to measure up the injection. It is a poor instructor who teaches the patient all about the insulin, how to prepare the insulin and then has them practice giving injections into an orange or some other unrealistic substitute. Remember-Anxiety inhibits memory and concentration. Have them give an injection first. Give them lots of praise and congratulations for giving their first injection. The anxiety level will drop drastically and they will be better able to concentrate on you r teaching. Then teach the steps needed to prepare the injection. Lastly, never use oranges or other substitutes, have them practice on themselves. If they are excessively fearful-let them give YOU an injection of sterile saline. If they see that you are willing to let them give you an injection, they will trust that it cant be as painful as they had feared * * 1. Select site based on site rotation guidelines 2. Clean the site. An alcohol wipe or cotton wool soaked in 70% Isopropyl alcohol is commonly used. If the patient bathes routinely and has washed their hands before the procedure this may not be necessary. Simply washing the skin with soap and water is adequate. Alcohol is a bactericide that must be in contact with germs for approximately 20 minutes to be effective, hence the only purpose it serves is to wipe surface dirt from the skin (soap water are just as effective). Alcohol is also drying to the skin and if not allowed to dry before giving the injection, can cause stinging. * * 1. Select site based on site rotation guidelines 2. Clean the site. An alcohol wipe or cotton wool soaked in 70% Isopropyl alcohol is commonly used. If the patient bathes routinely and has washed their hands before the procedure this may not be necessary. Simply washing the skin with soap and water is adequate. Alcohol is a bact