— 藥理與非經腸給藥 · MEDIUM · MCQ —
護理師正在進行靜脈注射胰島素。哪項安全預防措施是強制性的？
A nurse is administering IV Insulin. Which safety precaution is mandatory?
- AUse only Regular insulin for IV use僅使用適用於靜脈注射的 Regular 胰島素
- BAdminister the insulin as a bolus over 10 seconds於 10 秒內以靜脈推注方式給藥
- CObtain two-nurse verification✓ 正解執行雙重護理師核對
- DFlush the line with sterile water以無菌水沖洗管路
— Explanation · 中文詳解 —
胰島素屬於高警訊藥物（High-alert medication）。根據給藥安全原則，胰島素劑量必須經由兩位護理師共同核對，以防劑量錯誤導致嚴重低血糖甚至死亡。靜脈注射僅限使用速效或短效胰島素，且給藥過程需監控血糖變化。
Insulin is a high-alert medication. According to medication safety principles, insulin doses must be double-checked by two nurses to prevent dosing errors that could lead to severe hypoglycemia or even death. Only rapid-acting or short-acting insulin may be given intravenously, and blood glucose changes must be monitored during administration.
✦ 台美臨床差異
兩地皆將胰島素列為高警訊藥物，美國護理師常需在電子系統中輸入雙重簽章，台灣則多用雙人簽名確認紀錄。