護理師為病人皮下注射依諾肝素(Enoxaparin),下列哪項護理措施正確?
A nurse is administering a dose of subcutaneous enoxaparin to a client. Which nursing action is correct?
- AInject the medication into the client's abdomen, specifically the love handle area✓ 正解將藥物注入病人腹部,特別是腰部兩側區域
- BAspirate for blood return prior to injecting the medication在注射藥物前抽吸以確認是否有回血
- CExpel the air bubble from the pre-filled syringe before injection在注射前排出預充式注射器中的氣泡
- DMassage the injection site vigorously after administration給藥後用力按摩注射部位
Enoxaparin(Lovenox)是一種低分子量肝素(LMWH),給藥技術對於預防局部皮下出血至關重要。預充填針筒中的氣泡(Air lock)是設計的一部分,目的是確保劑量完全注入並封住針道,不應排出。注射部位選擇腹壁兩側(Love handles)是因為該處皮下脂肪層較厚,能降低肌肉注射的風險與瘀青機會。
Enoxaparin (Lovenox) is a low-molecular-weight heparin (LMWH), and proper injection technique is critical to prevent local subcutaneous bleeding. The air bubble in the prefilled syringe is intentional, designed to ensure the full dose is delivered and to seal the needle tract, and should not be expelled. The preferred injection site is the lateral abdominal wall (the love handles), where the subcutaneous fat layer is thick enough to reduce the risk of intramuscular injection and bruising.