• Sonuç bulunamadı

May the z-tracking technique to prevent any leakage in insulin injection be an alternative to the 10-second waiting technique?

N/A
N/A
Protected

Academic year: 2021

Share "May the z-tracking technique to prevent any leakage in insulin injection be an alternative to the 10-second waiting technique?"

Copied!
2
0
0

Yükleniyor.... (view fulltext now)

Tam metin

(1)

https://doi.org/10.1177/1932296817730378 Journal of Diabetes Science and Technology 2018, Vol. 12(2) 537 –538

© 2017 Diabetes Technology Society Reprints and permissions: sagepub.com/journalsPermissions.nav DOI: 10.1177/1932296817730378 journals.sagepub.com/home/dst Letter to the Editor

Correct technique in insulin delivery is an important aspect of a successful insulin therapy.1 Observed anomalies at

injec-tion sites are insulin leakage, pain, bleeding, inflammainjec-tion, bruising, lipoatrophy, and lipohypertrophy.2 Possible

con-cerns regarding incorrect insulin application technique include greater insulin leakage and back flow. Reflux from the injection site is by far the most frequently reported type of leaking patients report. Incidence is variable and etiology is unclear.3 Leakage influences patients’ perception of

insu-lin administration because patients are concerned whether they have received the correct dosage.

The 10-second waiting and Z-track techniques can be supplied to prevent any leakage of liquid in patients receiv-ing subcutaneous injections. It’s necessary to prevent medi-cation leakage and to get the full dose.4,5 The 10-second

waiting technique is recommended to prevent any leakage of liquid in patients receiving subcutaneous insulin injections. For the 10-second waiting technique, a 90° needle is directly inserted into the subcutaneous tissue and patients wait at least 10 seconds after the injection before the needle is with-drawn from the skin.1

For the Z-track technique, the cutaneous tissues are pulled 2 cm caudad before inserting a 90° needle into the subcuta-neous tissue after the button has been fully depressed, and then the needle is removed from the skin. When using the Z-track technique, you displace the tissue before you insert the needle. Once the needle is withdrawn, the tissue is restored to its normal position. This traps the drug inside the subcutaneous tissue and prevents any leakage.6

To prevent leakage, an injection should be performed with the Z-track insertion technique with a thin needle in the cuta-neous tissues. It was felt necessary to conduct this study to compare the effects on drug leakage of the 10-second wait-ing technique and the Z-track technique, which is claimed to be helpful in this regard.4,5

Recent studies have indicated that leakage of liquid from the skin did not occur when administering subcutane-ous tissue lateral to vertical lines drawn 5 cm away from the umbilicus 30 units/mL distilled water with shorter 4

mm prefilled pens needles by the Z technique. Studies have included both healthy volunteers and persons with diabetes, and their results have been consistent.4,5 Demirhan

et al4 found that in the healthy volunteers group with the Z

technique, mean Schirmer liquid leakage was 0.0 ± 0.0 mm, whereas with the 10-second waiting technique these values were 0.1 ± 0.7 mm, respectively. In their other works,5 the authors found that in the persons with diabetes

group with the Z technique mean Schirmer liquid leakage was 0.0 ± 0.0 mm, whereas with the standard 10-second waiting group these values were 0.4 ± 0.5 mm, respec-tively. When compared to the 10-second waiting tech-nique, the Z-track insertion technique did not have leakage of liquid from the skin with subcutaneous injections. This suggests that Z-tracking may be an alternative to the 10-second hold time. This is necessary to prevent medica-tion leakage and to get the full dose.

Declaration of Conflicting Interests

The author(s) declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article.

Funding

The author(s) received no financial support for the research, author-ship, and/or publication of this article.

References

1. Frid AH, Kreugel G, Grassi G, et al. New insulin deliv-ery recommendations. Mayo Clin Proc. 2016;91(9):1231- 1255.

730378DSTXXX10.1177/1932296817730378Journal of Diabetes Science and TechnologyAltun

letter2017

1Department of Fundamentals in Nursing, İstinye University, Faculty of

Health Sciences, Cevizlibağ, İstanbul, Turkey

Corresponding Author:

İnsaf Altun, RN, MSN, PhD, Department of Fundamentals in Nursing, İstinye University, Faculty of Health Sciences, Cevizlibağ, İstanbul 34010, Turkey.

Email: ialtun@istinye.edu.tr

May the Z-Tracking Technique to Prevent

Any Leakage in Insulin Injection Be an

Alternative to the 10-Second Waiting

Technique?

İnsaf Altun, RN, MSN, PhD

1

Keywords

(2)

538 Journal of Diabetes Science and Technology 12(2)

2. Kalra S, Mithal A, Sahay R, et al. Indian Injection Technique Study: injecting complications, education, and the health care professional. Diabetes Ther. 2017;8(3):659-672.

3. Præstmark KA, Stallknecht B, Jensen ML, Sparre T, Madsen NB, Kildegaard J. Injection technique and pen needle design affect leakage from skin after subcutaneous injections. J Diabetes Sci Technol. 2016;10(4):914-922.

4. Demirhan Y, Altun İ, Peker A, Çetinarslan B. Comparison of the “90° technique” and the “Z-track technique” in subcutaneous

injections. Paper presented at: 12th Symposium on Diabetes; 2016;Trabzon, Turkey.

5. Demirhan Y, Altun İ. Peker A, Çetinarslan B. Comparison of the “10 seconds waiting” and the “Z-track” injection tech-niques in subcutaneous insulin administration. Paper presented at: 53rd National Diabetes Congress, 19th National Diabetes Nursing Symposium; 2017;Girne, Cyprus.

6. Pullen RL Jr. Administering medication by the Z-track method. Nursing. 2005;35(7):24.

Referanslar

Benzer Belgeler

Conclusion: The Winograd technique (surgical matrixectomy) has low recurrence, low complication and high satisfaction rates in all pediatric age groups even with advanced

 This was a retrospective medical chart review of patients with breast cancer and bone metastases between April 1990 and April 2000 to evaluate the clinical use of

İki uzay aracından oluşan Van Allen sondaları, parçacıkların enerjilerini, konumlarını ve hareket açılarını radyasyon kuşağının iki farklı bölgesinde eşzamanlı

Considering the increase in the number of studies being submitted to our journal, the struc- ture of our journal will lead to the fact that the waiting period will continue to

The intrinsic harmonic balancing technique has been applied successfully to many bifurcation problems associated with autonomous systems and non-linear oscillations.. In this

anticipate the possibility of intracardiac penetration, and choosing a left anterior thoracotomy as the most appropriate surgical option was based on the anterior

Objective: We aimed to detect if there were any radiologic, demographic, or clinical findings that were valuable for differen- tiating benign nodules from malignant nodules in old

Amaç: Çalışmadaki amacımız, çıkan aorta ve arkus aortayı (proksimal aorta) içine alan patolojilerinde yan greft tekniği ile yapılan sağ aksiller arter kanülasyonun