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藥理與非經腸給藥 · EASY · MCQ

護理師準備貼上穿皮貼片(Transdermal patch)。下列哪項操作是正確的?

A nurse is administering a transdermal patch. Which action is correct?

  • AWear gloves when applying✓ 正解
    貼敷時戴手套
  • BApply heat over the patch to speed absorption
    在貼片上加熱以加速吸收
  • CApply to the same site every time
    每次都貼在同一個部位
  • DCut the patch to adjust the dose
    剪開貼片以調整劑量
Explanation · 中文詳解

穿皮貼片(Transdermal patch)含有高濃度的藥物,直接接觸護理師皮膚可能導致護理師經皮吸收藥物。因此,執行給藥時配戴手套是保護護理師安全的核心步驟。此外,正確操作還包括:定期輪替貼敷部位以防皮膚刺激、不可剪切貼片(以免破壞藥物緩釋膜導致劑量過大)、絕對不可加熱貼片部位(因為熱能會使血管擴張,加速藥物吸收,導致藥物過量中毒)。

Transdermal patches contain a high concentration of drug, and direct contact with the nurse's skin may result in transdermal drug absorption by the nurse. Therefore, wearing gloves during administration is the key step in protecting the nurse's safety. Correct administration also includes rotating application sites to prevent skin irritation, never cutting the patch (which destroys the sustained-release membrane and may release an overdose), and absolutely never applying heat to the patch site (because heat dilates vessels and accelerates drug absorption, leading to overdose toxicity).

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