護理師教導病人自行使用 EpiPen。哪項說明正確？
A nurse is teaching a client about self-administration of an EpiPen. Which instruction is correct?
- AInject into the outer thigh, through clothing if necessary✓ 正解注射至大腿外側，必要時可透過衣物注射
- BHold the pen against the skin for at least 1 minute將筆緊貼皮膚至少1分鐘
- CInject into the upper arm muscle注射至上臂肌肉
- DMassage the site immediately after injection注射後立即按摩注射部位
EpiPen（腎上腺素自動注射器）是處理嚴重過敏反應（Anaphylaxis）的急救藥物。正確的使用部位是大腿外側（Outer thigh），即股外側肌（Vastus lateralis）。該部位肌肉豐厚，吸收速度快，且能有效進入血液循環。臨床操作時必須強調安全與效率，若情況緊急，可直接透過衣物進行注射，無需脫衣，以爭取黃金救援時間。
The EpiPen (epinephrine auto-injector) is the emergency medication for severe allergic reactions (anaphylaxis). The correct injection site is the outer thigh — specifically the vastus lateralis muscle. This area has substantial muscle mass, rapid absorption, and effective entry into systemic circulation. In clinical practice, emphasis is placed on both safety and speed; in an emergency the injection may be given directly through clothing without removing it, to preserve the golden window for rescue.
美國臨床護理中極度強調「透過衣物注射（through clothing）」的教育，以避免家屬或病人在緊急情況下因找尋注射點而延誤給藥。台灣臨床教學亦同，但護理師需特別提醒病人不要害怕弄破衣服，救命優先。