Guest guest Posted September 12, 2009 Report Share Posted September 12, 2009 yea it does..thanks.....here's another thing about novolog mix 70/30....how do you calculate this....i heard 1500 divided by the quanity using a day...now how did 1500 come up in the problem From: rxjm2002 <rxjm2002@...> Subject: Re: insulin Date: Saturday, September 12, 2009, 2:25 PM Insulin is available 10 ml vials 100 units per ml or 100 units/1ml Since there are 10ml then the vial has 1000 units in it. Here is the math for that: 100 units ----X units ----------- = ----------- 1 ml ---------10 ml 100 x 10/1 = X units = 1000 units per vial IF the patient is to take 10 units w/breakfast 20 units with lunch and dinner That would be 50 units per day. How long will the vial last? 50 units ------1000 units ----------- = ----------- 1 day --------- X days 1 x 1000/50 = X days = 20 days Answer = 20 days Hope this helps you, Jeanetta Mastron CPhT BS Pharm Tech Program Director Founder/Owner > > can someone give me a example of how to calculate insulin and day supply for it...wanna make sure if i know how to do it. > > > there is a name for this and i dont remember what it was > > ex) you are showing the patient what she needs (tylenol) but then you make a move to try to sell her the store brand....... . > > what is that thing called...theres a name for it...and y do they try to sell the store brand? > > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted September 12, 2009 Report Share Posted September 12, 2009 Dear Crystal, Glad you were able to get some help from that mini tutorial/post. I will have to defer your question to those with some direct experience in which they may know about " 1500 " . Della? Joy? Mark? Joe? any ideas? Any one else? You may gain some insight from this demo and site: http://www.novologmix70-30.com/novolog-mix-FlexPen-demo.asp Also this may help you. * Throw away unrefrigerated disposable NovoLog® Mix 70/30 FlexPens after 14 days, even if they still contain insulin. Throw away unrefrigerated vials after 28 days, even if they still contain insulin. This site will show you a photo of the vial AND that it too has 100 units/ml with 10 ml in the vial. http://www.americandiabeteswholesale.com/-strse-342/Novo-dsh-Nordisk-Novolin-70/\ 30-Insulin-U-dsh-100/Detail.bok?zmam=69792428 & zmas=1 & zmac=2 & zmap=16983711 Respectfully, Jeanetta Mastron CPhT BS Founder/Owner > > > > can someone give me a example of how to calculate insulin and day supply for it...wanna make sure if i know how to do it. > > > > > > there is a name for this and i dont remember what it was > > > > ex) you are showing the patient what she needs (tylenol) but then you make a move to try to sell her the store brand....... . > > > > what is that thing called...theres a name for it...and y do they try to sell the store brand? > > > > > > > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted September 14, 2009 Report Share Posted September 14, 2009 Thank you Joy Pharm D.! A GREAT job explaining this. So this must be what the member was asking about when she asked about dividing 1500 by the daily use. I am so very proud and honored to have you and a few other Pharmacists here to help with some of the questions. I/We truly appreciate your time and dedication to this site over the years. Resepctfully, Jeanetta Mastron CPhT BS Founder/Owner From: nerissafaye <nerissafaye@...> Subject: Re: insulin Date: Monday, September 14, 2009, 6:01 AM We only sell the cartridges in the full box of 5. It depends on the insulin in the cartridge - some only have a 10 day expiry at room temp (once they put the cartridge in the pen it is stored at room temp while the rest of the cartridges in the box would be kept in the fridge.) They very rarely need a new pen - maybe once per year but the hospital here gives them the pen on discharge in most cases, and since we are a hospital outpatient pharmacy, we very rarely dispense pens. Someone from a community pharmacy may see more pens than we do. If the cartridge would last longer than 10 days (if using less than 30U per day) than you would calculate each cartridge at 10 days and the box would last 50 days. Because the different insulins have differing cartridge expiries (most in the 10-15 day window) we use 10 days for all of them as it easier to remember. If they would use less than 5 cartridges in a month but their plan only pays a 30 day supply, we would round down to 1 box = 30 days. If the plan will pay more than 1 month or the box would last less than 30 days (depending on the dose) then we would calculate the actual days. Eg. Lantus patient using 55 units SC QHS = 1500 Units (in box) divided by 55 units per day = 27 day supply. It is much harder if the patient is using the insulin for a sliding scale as you really don't know how often they will need to use it or how much at each time they will need so we often give 1 box = 30 day supply unless they start going through it faster than 30 days and then we'll adjust to match their usage. HTH Joy > > I thought of this too Joy, But then I thought about that each pen is only 3 ml with is only 300 units not 1500 units. So when one would think how long that pen lasts it is 300 units. But if they are asking how long a BOX of 5 pens lasts then it would be 1500 units. So what is the most common purchase: A pen/cartridge at a time or a box of them at a time. > So as a Pharmacist, can you explain to this forum how you explain to your techs how to calculate days supply on this item? The site says one pen can last 14 days once open and one vial 28 days. Dose any of this figure into the days supply? > > Thanks in advance, > > Jeanetta Mastron CPhT BS > Pharm Tech Educator > Founder/Owner > > ------------------------------------ Quote Link to comment Share on other sites More sharing options...
Guest guest Posted June 30, 2010 Report Share Posted June 30, 2010 Not in our pharmacy (east-central Nebraska). We send all insulin pens and Novolin vials out to each individual pt drawer. The nursing staff is responsible for adminstration. The only time the techs do anything with insulin in the pharmacy is if a pt is put on an insulin drip. Staci R CPhT/Nebraska Sent from my BlackBerry Smartphone provided by Alltel Quote Link to comment Share on other sites More sharing options...
Guest guest Posted June 30, 2010 Report Share Posted June 30, 2010 To all. At our hospital we use the insulin pens. This is a fairly recent (< 2 years) change from vials. Pharmacy dispenses the pens to the specific patient but nursing injects the patients. Individual pens are more expensive but wastage of vials and medication error reduction off sets the expense. I cannot imagine the time it would take for pharmacy to draw up every single insulin order for every patient! Maybe hospital size comes into the equation? We are almost 400 beds. Janel Aldridge CPhT Medication Assistance Program St. 's Medical Center Department of Pharmacy 2900 First Ave Huntington WV 25702 304-526-1222 Fax 304-399-4951 " I feel that we all must live so that when we are gone everyone will miss the work we did, but someone has learned by watching us how to take up the banner and go forward. " Unknown Important Notice: This e-mail message and any attachments are from the above sender at St. 's Medical Center and are intended solely for the individual or entity to which it is addressed and may contain information that is privileged, confidential and exempt from disclosure under applicable law. If you are not the intended recipient of this communication or the employee or agent responsible for delivering the message to the intended recipient, or if it has been sent to you in error, please notify the sender immediately. Do not examine, review, use, disclose, deliver, distribute, reproduce or take any action in reliance on it and immediately delete the message and any attachments. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted June 30, 2010 Report Share Posted June 30, 2010 We too give the pens for novolog and 70/30. We draw for Lantus, and we dispense the vial for regular insulin. We dont add it to the tpn's, that would fall upon the nurse. We dont evrn make tpns, get them made by a company. Sent from my iPhone On Jun 30, 2010, at 6:44 AM, " Aldridge, Janel " <janel.aldridge@...> wrote: To all. At our hospital we use the insulin pens. This is a fairly recent (< 2 years) change from vials. Pharmacy dispenses the pens to the specific patient but nursing injects the patients. Individual pens are more expensive but wastage of vials and medication error reduction off sets the expense. I cannot imagine the time it would take for pharmacy to draw up every single insulin order for every patient! Maybe hospital size comes into the equation? We are almost 400 beds. Janel Aldridge CPhT Medication Assistance Program St. 's Medical Center Department of Pharmacy 2900 First Ave Huntington WV 25702 304-526-1222 Fax 304-399-4951 " I feel that we all must live so that when we are gone everyone will miss the work we did, but someone has learned by watching us how to take up the banner and go forward. " Unknown Important Notice: This e-mail message and any attachments are from the above sender at St. 's Medical Center and are intended solely for the individual or entity to which it is addressed and may contain information that is privileged, confidential and exempt from disclosure under applicable law. If you are not the intended recipient of this communication or the employee or agent responsible for delivering the message to the intended recipient, or if it has been sent to you in error, please notify the sender immediately. Do not examine, review, use, disclose, deliver, distribute, reproduce or take any action in reliance on it and immediately delete the message and any attachments. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted July 2, 2010 Report Share Posted July 2, 2010 Here's another method from another corner of the states... Our hospital group administers most insulin via the pens to reduce med errors as well...the only places with vials of insulin are the ER and Post Op Recovery. We make insulin drips...100u in 100ml of NS. These accompany all TPNs for diabetic patients so that we can instantly titrate the dose of insulin. You can't get that insulin out of the TPN if something causes your pt to crash, so we don't add it to the TPN, it saves money (we don't waste TPN) and allows the patient to continue to receive much needed nutrition. Many of our regular diabetic patients also go on insulin drips made by pharmacy, the patient doesn't have to get stuck (again!), we have better control of the amount of insulin they are receiving and there are no spikes and dips in glucose levels. Self RPhT, Good Samaritan Regional Medical Center Instructor, Sterile Products & Aseptic Techniques Linn Benton Community College On Wed, Jun 30, 2010 at 10:45 AM, Jeanetta Mastron <rxjm2002@...>wrote: > > > Thank you for your input ! > I know at some or many Kasiers in the LB area they still make their own > TPN's and still add the insulin. > > So we are all learning fo the various ways/methods of billing, dispensing > and administering insulins. > > Great! One can never stop learning! > > Respectfully, > > Jeanetta Mastron CPhT BS > Founder/Owner > > > > To all. > > At our hospital we use the insulin pens. This is a fairly recent (< 2 > years) change from vials. > Pharmacy dispenses the pens to the specific patient but nursing injects the > patients. Individual > pens are more expensive but wastage of vials and medication error reduction > off sets the expense. I > cannot imagine the time it would take for pharmacy to draw up every single > insulin order for every > patient! Maybe hospital size comes into the equation? We are almost 400 > beds. > > Janel Aldridge CPhT > > Medication Assistance Program > > St. 's Medical Center > > Department of Pharmacy > > 2900 First Ave Huntington WV 25702 > > 304-526-1222 > > Fax 304-399-4951 > > " I feel that we all must live so that when we are gone everyone will miss > the work we did, but > someone has learned by watching us how to take up the banner and go > forward. " Unknown > > Important Notice: This e-mail message and any attachments are from the > above sender at St. 's > Medical Center and are intended solely for the individual or entity to > which it is addressed and may > contain information that is privileged, confidential and exempt from > disclosure under applicable > law. If you are not the intended recipient of this communication or the > employee or agent > responsible for delivering the message to the intended recipient, or if it > has been sent to you in > error, please notify the sender immediately. Do not examine, review, use, > disclose, deliver, > distribute, reproduce or take any action in reliance on it and immediately > delete the message and > any attachments. > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted July 2, 2010 Report Share Posted July 2, 2010 I think this is the BEST alternative method yet! Thanks for sharing ! Can you detail how the LVP of Insulin speed/flow rate is changed increased or decreased? WHO makes the decision to do this? Is a special order written due to an immediate glucose " prick " /blood test? Jeanetta Mastron CPhT BS Founder/Owner > > To all. > > At our hospital we use the insulin pens. This is a fairly recent (< 2 > years) change from vials. > Pharmacy dispenses the pens to the specific patient but nursing injects the > patients. Individual > pens are more expensive but wastage of vials and medication error reduction > off sets the expense. I > cannot imagine the time it would take for pharmacy to draw up every single > insulin order for every > patient! Maybe hospital size comes into the equation? We are almost 400 > beds. > > Janel Aldridge CPhT > > Medication Assistance Program > > St. 's Medical Center > > Department of Pharmacy > > 2900 First Ave Huntington WV 25702 > > 304-526-1222 > > Fax 304-399-4951 > > " I feel that we all must live so that when we are gone everyone will miss > the work we did, but > someone has learned by watching us how to take up the banner and go > forward. " Unknown > > Important Notice: This e-mail message and any attachments are from the > above sender at St. 's > Medical Center and are intended solely for the individual or entity to > which it is addressed and may > contain information that is privileged, confidential and exempt from > disclosure under applicable > law. If you are not the intended recipient of this communication or the > employee or agent > responsible for delivering the message to the intended recipient, or if it > has been sent to you in > error, please notify the sender immediately. Do not examine, review, use, > disclose, deliver, > distribute, reproduce or take any action in reliance on it and immediately > delete the message and > any attachments. > > Quote Link to comment Share on other sites More sharing options...
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