護理師教導病人自行施打胰島素。哪些指導原則是正確的?(選所有適合的)
A nurse is teaching a client about self-administration of insulin. Which instructions are accurate? (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 vial between palms before drawing NPH✓ 正解抽取 NPH 胰島素前,在掌心輕輕滾動藥瓶
- CDispose of used needles in a designated sharps container✓ 正解將使用過的針頭丟入指定的銳器容器
- DInject insulin into muscle tissue for faster absorption將胰島素注入肌肉組織以加快吸收
- EClean the injection site with an alcohol wipe✓ 正解用酒精棉片清潔注射部位
正確的胰島素施打技術能確保血糖控制穩定。重點包括:一、輪替注射部位(Rotate sites)以預防脂肪肥大(Lipodystrophy)或萎縮;二、NPH 胰島素為混懸液,需輕輕滾動混勻;三、針頭丟棄於銳器回收筒;四、酒精消毒並待乾。胰島素應注射於皮下組織(Subcutaneous tissue),肌肉注射會導致吸收過快且疼痛,且注射後無需按摩,以防吸收不均。
Correct insulin administration technique ensures stable glycemic control. Key points include: (1) rotating injection sites to prevent lipohypertrophy or lipoatrophy; (2) gently rolling NPH insulin, which is a suspension, to mix; (3) disposing of needles in a sharps container; and (4) cleansing with alcohol and allowing it to dry. Insulin should be injected into subcutaneous tissue; intramuscular injection accelerates absorption and is painful, and the site should not be massaged afterward to avoid uneven absorption.