護理師指導病人自我注射胰島素。下列哪句話表示病人已理解指導內容?
A nurse is teaching a client about self-administration of insulin. Which statement indicates the client understands the instructions?
- AI should inject into the same site every day我應該每天注射在同一個部位
- BI can shake the insulin bottle vigorously to mix it我可以用力搖晃胰島素瓶來混合
- CI will store my extra insulin vials in the freezer我會將備用的胰島素安瓿瓶存放在冷凍庫
- DI should rotate injection sites to prevent lipodystrophy✓ 正解我應該輪替注射部位以預防脂肪營養不良
胰島素注射部位必須定期輪替,以防止皮下脂肪萎縮或增生(Lipodystrophy),否則會影響藥物吸收率。胰島素的儲存需保持在室溫或冷藏(依包裝說明),不可冷凍,否則會破壞胰島素的蛋白質結構。混和胰島素時應輕輕翻轉,劇烈搖晃會產生氣泡,導致劑量誤差。這些衛教對於第一型與依賴胰島素之第二型糖尿病病人的血糖控制至關重要。
Insulin injection sites must be rotated regularly to prevent lipodystrophy (atrophy or hypertrophy of subcutaneous fat), which would otherwise impair drug absorption. Insulin should be stored at room temperature or refrigerated (according to the package directions); it must not be frozen, as freezing destroys the protein structure of insulin. When mixing insulin, the vial should be gently rolled rather than shaken vigorously, because vigorous shaking produces bubbles that may cause dose inaccuracy. These teaching points are essential for blood glucose control in patients with type 1 diabetes and in insulin-dependent type 2 diabetes.