• Wash your hands.​
  • Pick up the CLOUDY bottle and turn it upside down.​
  • Roll the bottle gently between your hands to mix the insulin.​
  • Set the bottle back on the table.​
  • Wipe the top of both (clear and cloudy) bottles with alcohol.​
  • Remove the caps from the top and bottom of the syringe.​
  • Pull the plunger down to the correct unit mark for your CLOUDY insulin dose as ordered.​
  • Insert the needle into the CLOUDY bottle.​
  • Push the plunger down to inject air into the CLOUDY bottle.​
  • Withdraw the empty syringe from the bottle. Set the bottle aside.​
  • Pull the plunger down to the correct unit mark for the CLEAR insulin dose as ordered.​
  • Insert the needle into the CLEAR bottle.​
  • Push the plunger down to inject air into the CLEAR bottle.​
  • Leave the needle in the bottle.​
  • Turn the bottle upside down with the needle in it.​
  • Hold the bottle at eye level.​
  • Pull the plunger down to the correct unit mark for the CLEAR insulin dose.​
  • Look for air bubbles in the syringe.​
  • If you see air bubbles in the syringe, push the insulin back into the bottle, and repeat steps 17 and 18.​
  • Pull the bottle away from the needle, and set aside the CLEAR bottle.​
  • Pick up the CLOUDY bottle of insulin.​
  • Turn the CLOUDY bottle upside down and push the needle into the bottle. Be very careful not to move the plunger.​
  • Pull the plunger down and withdraw the correct number of units for the CLOUDY insulin.​
  • The plunger should now be on the unit mark showing the total units of both the CLEAR and CLOUDY types of insulin. For​ example, 6 units of CLEAR insulin are already in the syringe. Add 14 units of CLOUDY insulin for a total of 20 units in the​ syringe.
  • Pull the bottle away from the needle. Set both bottles on the table.​
  • Look for air bubbles in the syringe.​
  • If you see air bubbles, discard the dose and begin again.​
  • Set the syringe down. Do not let the needle touch anything.​
  • Pinch or spread the skin at the chosen injection site.​
  • Wipe the area with alcohol. Let the alcohol dry.​
  • Pick up the syringe. Hold it like a dart.​
  • Insert the needle straight into the skin at a 90-degree angle. Make sure the needle is all the way through the skin.​
  • Push the plunger down to inject the insulin. Count to five.​
  • Pull the needle out while applying pressure to the area with an alcohol swab.​
  • Discard the needle and syringe as​ advised.

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