護理師準備執行肌肉注射(IM),哪些步驟是正確的?(選所有適合的)
A nurse is preparing to administer an intramuscular (IM) injection. Which steps are correct? (Select all that apply.)
- ASelect the ventrogluteal site for adults✓ 正解選擇臀中肌作為成人注射部位
- BAspirate to check for blood before injecting注射前抽吸以確認是否有血液回流
- CClean the site with alcohol in a circular motion, moving outward✓ 正解以圓形由內向外方式以酒精消毒注射部位
- DInject at a 45-degree angle以45度角注射
- EApply firm pressure after the injection注射後施加適度壓力
肌肉注射:臀中肌(ventrogluteal)是成人的安全首選部位。消毒應由內向外畫圈。現代護理實證指出「抽回血」(aspirate)在多數 IM 注射中已非必要,除非特殊藥物;注射角度為 90 度而非 45 度;注射後應輕壓而非用力按壓,以免刺激肌肉。
Intramuscular injection: the ventrogluteal site is the preferred safe injection site in adults. Skin disinfection should be performed in a circular outward motion from the center. Current evidence indicates that aspiration before injection is no longer necessary for most IM injections, except for certain specific medications. The injection angle is 90 degrees rather than 45 degrees, and the site should be gently pressed rather than vigorously massaged after injection to avoid muscle irritation.
美國護理教學已廣泛更新抽回血指引,台灣部分舊制教學仍保留此動作,需持續推動實證更新。