一位第一型糖尿病病人醫囑使用速效或短效胰島素進行滑動比例給藥。執行給藥時，下列哪些護理考量是必要的？（選所有適合的）
A client with type 1 diabetes is prescribed a sliding scale of regular insulin. Which nursing considerations are essential when administering rapid-acting or regular insulin? (Select all that apply.)
- AAssess the client's current blood glucose level before administration✓ 正解給藥前評估病人目前的血糖值
- BEnsure food is available or consumed if indicated by peak time✓ 正解若達作用高峰時間，確保食物可供攝取或已食用
- CDouble-check the insulin dose with another licensed nurse✓ 正解請另一位持照護理師共同核對胰島素劑量
- DRotate injection sites to prevent lipodystrophy✓ 正解輪替注射部位以預防脂肪萎縮或增生
- EAlways mix regular insulin with NPH for faster onset總是將常規胰島素與NPH混合以加快作用速度
胰島素給藥屬於高警訊藥物（High-Alert Medication），依據安全給藥原則，給藥前必須確認血糖值、進行雙人核對。為了預防低血糖，必須確保病人已進食或餐點即將送達。長期注射部位的輪替可預防脂肪萎縮。E 選項錯誤，混和胰島素並不會改變其各自的藥物代謝動力學。
Insulin is classified as a high-alert medication. Following safe medication administration principles, the blood glucose level must be checked and an independent double-check by another licensed nurse must be performed before administration. To prevent hypoglycemia, the nurse must ensure that the client has eaten or that a meal will arrive promptly. Long-term rotation of injection sites prevents lipodystrophy. Option E is incorrect because mixing insulins does not change the individual pharmacokinetic profiles of each insulin type.
美國醫院對於高警訊藥物雙人核對流程非常嚴格；台灣臨床對此流程的執行強度則依各醫院評鑑標準與內部規定而異。