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藥理與非經腸給藥 · MEDIUM · SATA

護理師指導病人自我注射胰島素,哪些衛教內容是正確的?(選所有適合的)

A nurse is teaching a client about self-administration of insulin. Which instructions are appropriate for the nurse to include? (Select all that apply.)

  • ARotate injection sites to prevent lipodystrophy✓ 正解
    輪替注射部位以預防脂肪營養不良
  • BGently roll the cloudy insulin vial between palms✓ 正解
    在兩掌之間輕輕滾動混濁胰島素瓶
  • CCleanse the injection site with alcohol and let it dry completely✓ 正解
    用酒精清潔注射部位並讓其完全乾燥
  • DDiscard the syringe after each use to maintain sterility✓ 正解
    每次使用後丟棄注射器以維持無菌狀態
  • EInject insulin into the same anatomical area consistently to ensure absorption rates
    始終在同一個解剖部位注射胰島素以確保吸收率
Explanation · 中文詳解

胰島素注射需注意部位輪替以防皮下脂肪增生(Lipodystrophy)。混濁型胰島素(如 NPH)需溫和搖勻,不可用力震盪。酒精消毒後需等揮發乾燥,避免刺痛。注射部位雖應輪替,但若要在同一區域(如腹部)輪替,應保持 2.5 公分距離,且不可在同一部位重複注射以免影響吸收率,因此 E 為誤導選項。

Insulin injection requires site rotation to prevent subcutaneous fat overgrowth (lipodystrophy). Cloudy insulins (such as NPH) should be gently rolled to mix and not shaken vigorously. After alcohol disinfection, allow the site to dry by evaporation to avoid stinging. Although the injection site should be rotated, when rotating within the same region (such as the abdomen), the sites should be at least 2.5 cm apart, and the same site should not be reused, as it would affect absorption. Therefore, E is a misleading option.

✦ 台美臨床差異

台灣糖尿病衛教師制度完善,對於胰島素注射技巧的教學非常細緻,這點與美國專科護理師的衛教內容高度一致。

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