— 健康促進與維護 · MEDIUM · MCQ —
護理師教導病人自行注射胰島素。為確保劑量準確，應包含下列哪項行動？
A nurse is teaching a client about self-administration of insulin. Which action should the nurse include to ensure accurate dosing?
- AShake the vial vigorously before drawing抽取前劇烈搖晃安瓿瓶
- BRotate injection sites to prevent lipohypertrophy✓ 正解輪替注射部位以預防脂肪肥厚
- CInject the insulin while it is cold from the refrigerator在胰島素仍從冰箱取出時冰冷狀態下注射
- DDiscard the insulin vial after 3 months of use使用超過 3 個月後丟棄胰島素安瓿瓶
— Explanation · 中文詳解 —
輪替注射部位（Rotate injection sites）是預防脂肪組織增生（Lipohypertrophy）的重要步驟，確保藥物吸收穩定。冷胰島素注射較疼痛，建議室溫；胰島素應輕轉混和而非劇烈搖晃；開封後的胰島素建議存放期限為 28 天（視類型而定）。
Rotating injection sites is an important measure to prevent lipohypertrophy and ensure consistent drug absorption. Cold insulin causes more pain on injection, so room temperature is recommended; insulin should be gently rolled, not vigorously shaken; opened insulin generally has a recommended use period of 28 days (varying by type).
✦ 台美臨床差異
台灣診所護理師對胰島素注射技巧的教學非常細緻，包含針頭回收的衛教也是重點。