護理師準備進行皮內注射,下列何種技術是正確的?
A nurse is preparing to administer an intradermal injection. Which technique is correct?
- AAspirate after inserting the needle.插入針頭後進行回抽。
- BMassage the injection site after administration.給藥後按摩注射部位。
- CInsert the needle at a 90-degree angle.以 90 度角插入針頭。
- DInject the medication slowly, forming a bleb.✓ 正解緩慢注入藥物,形成皮丘。
皮內注射(Intradermal injection)通常用於過敏測試或結核菌素測試(PPD)。正確的操作技術要求針頭斜面朝上,以 5 到 15 度的極小角度插入真皮層。注射藥物時應緩慢,目標是在皮膚表面形成一個清晰的「小腫塊」(Bleb),這代表藥物已精確注入真皮層。此類注射不需回抽,也不需按摩,因為按摩會導致藥物滲入皮下組織,影響測試結果。
Intradermal injection is commonly used for allergy testing or tuberculin (PPD) testing. The correct technique requires inserting the needle with the bevel up at a very shallow angle of 5 to 15 degrees into the dermis. The medication is injected slowly, and the goal is to form a clear "bleb" on the skin surface, indicating that the medication has been deposited precisely in the dermal layer. Aspiration and massage are not performed, because massage would push the medication into the subcutaneous tissue and affect test results.