— 藥理與非經腸給藥 · MEDIUM · MCQ —
護理師皮下注射肝素（Heparin）。下列哪項操作正確？
A nurse is administering a dose of subcutaneous Heparin to a client. Which of the following actions is correct?
- AUse a 1-inch needle for the injection使用一吋長的針頭進行注射
- BInject into the abdominal fat pad✓ 正解注射至腹部脂肪墊
- CMassage the site after injection注射後按摩注射部位
- DAspirate before injecting the medication注射藥物前先抽吸
— Explanation · 中文詳解 —
肝素皮下注射應選擇腹部脂肪層，避開臍周圍（約 5 公分）。不可按摩注射部位，以免造成皮下瘀血或出血。抽吸（Aspiration）在皮下注射是不必要的，且會增加組織受損風險。通常使用短針頭（3/8 或 1/2 英吋）。
Subcutaneous heparin is given into the abdominal fat layer, avoiding a ~5 cm radius around the umbilicus. The site must not be massaged to prevent bruising and bleeding. Aspiration is unnecessary for subcutaneous injection and increases tissue trauma. A short needle (3/8 to 1/2 inch) is used.
✦ 台美臨床差異
無明顯差異，皆嚴禁注射後按摩，且腹部為首選部位。