— 藥理與非經腸給藥 · EASY · MCQ —
病人獲醫囑使用經皮吸收貼片，護理師更換新貼片時應採取什麼行動？
A patient is prescribed a transdermal patch. Which action should the nurse take when applying a new patch?
- ARotate the application site to a different location✓ 正解將貼片應用部位旋轉至不同位置
- BPlace the patch on the same site as the previous one將貼片貼在與上次相同的位置
- CClean the site with alcohol before applying貼敷前以酒精清潔部位
- DMassage the patch after application to ensure absorption貼敷後按摩貼片以確保吸收
— Explanation · 中文詳解 —
經皮吸收貼片（transdermal patch）設計為長時間穩定釋放藥物。更換貼片時，必須遵循「旋轉部位」的原則，以避免同一部位皮膚反覆接觸藥物成分而產生刺激、發紅、過敏或皮膚潰瘍。此外，必須確保皮膚清潔乾燥，且絕對不可按摩貼片部位，以免導致藥物過度吸收（dose dumping），造成藥物中毒。
A transdermal patch is designed for sustained, controlled drug release. When changing patches, the principle of site rotation must be followed to avoid repeated exposure of the same area of skin to the medication, which can cause irritation, redness, allergy, or skin breakdown. In addition, the skin must be clean and dry, and the patch must never be massaged after application, as this can lead to excessive absorption (dose dumping) and drug toxicity.